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Travel Insurance Quotation Form

Personal information

Travel insurance is issued individually.  If more members of your group request insurance, they must fill up this form individually as well.

Your age group *

Travel information

Please fill up your arrival date, departure date and the country you will be traveling next.

Insurance general coverages

  • Medical assistance for accident
  • Medical assistance due to illness
  • Medical assistance in case of pre-existence
  • Comprehensive assistance for covid-19
  • Hotel for medical quarantine due to covid-19
  • Coverage in case of epidemic illness
  • Medicines
  • Emergency dental care
  • Telemedicine
  • Hotel expenses for convalescence
  • Expenses for delayed or canceled flight
  • Multi-cause trip cancellation
  • Compensation for lost luggage
  • Compensation for baggage delay
  • Assistance in case of loss of documents and/or luggage