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Individual & Family Products

Individual Short Term Rate Calculator

Step 1: Enter Your Effective Date:

Step 2: Enter Your Information:

* Your primary residence must be in our 21-county service area. Outside our service area? Enter your zip code into AskBlue to find a Blue Plan.

Step 3: Select your deductible by checking the appropriate box

Single Parent & Child Parent & Children Husband & Wife Family
         

Step 4: Enter the number of months of coverage you desire.

Total from deductible chosen
Enter number of months of coverage desired (maximum six months)
Sub-total
 
Application fee (non-refundable) $10.00
Total amount to be submitted with the application
Please remember to record this amount on the application
 
Be sure to read your policy. This web site summarizes the Short-Term Major Medical policy, but isn't an insurance policy or contract. Upon receipt of this policy, take time to read it carefully.