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Medical Plan for Visitors from Abroad

Monthly Fees

MONTHLY PAYMENTS FOR 2017
Age Benefit Plan A Benefit Plan B
1 - 17 $49 $64
18 - 29 $45 $61
30 - 39 $55 $76
40 - 49 $65 $91
50 - 59 $85 $121
60 - 64 $125 $181
65 - 69 $155 $226
70 - 79 $195 $289
80+ $255 $376
  Dependent child under 18 years of age:
  $28 $36

To Enroll:

Please complete the application form LRFA Medical Plan For Visitors From Abroad PDF and return it with your payment for coverage to LRFA.

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