You can chose to either pay the amout upfront in full, or purchase the plan for 1 month initially, and then continue to renew it for a maximum period of 12 months.
The downside to renewing the policy is that the renewal fee is $5 each time and you must make sure to renew your policy before it expires. You can renew your policy easily on our website here: http://www.visitorscoverage.com/visitor-insurance-renewal/
Insurance rates are regulated by law. You can't find the same insurance plan for a lower price anywhere else