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Aetna Global Benefits

Aetna Global Benefits - Mobile Healthcare Plan

 

Your worldwide partner in health Global health - Mobile Healthcare Plan for induviduals

 

The Mobile Healthcare Plan (MHP) is an innovative benefit package specifically designed by AGB to meet the growing sophistication in the medical insurance needs of the international expatriate community.

 

The Mobile Healthcare Plan provides comprehensive worldwide coverage for expatriates of all nationalities giving you access to the highest level of healthcare and services regardless of your location. Whether choosing MHP or the more comprehensive MHP Plus option, April Medibroker's our dedicated and professional advisors are poised to provide you with the necessary guidance and support when, where and however it is required.  

 

 

General Information:

 

To receive a free, no obligation tailored quotation please complete the form below and one of our expert advisors will email you initial quotations within one working day. If you would prefer someone to contact you by telephone to discuss your medical insurance needs in more detail, please let us know in the "Questions" box at the end of this form or visit our callback page.

1 - About You

Title  * :
First name  * :
Last name  * :
Date of birth DD/MM/YYYY  * :
 /   / 
Nationality, as on passport  * :
Country/countries where cover required  * :
Occupation  :
Do you wish to include spouse/dependant  * :

2 - Aetna Global Benefits Plan & Cover Required

Aetna Global Benefits Plan Options  :
Level of cover  * :
Length of cover  * :
The plans that April Medibroker advise upon are designed for those looking for long term cover (ie twelve months or more). If you are looking for shorter term coverage (ie under twelve months), may we suggest your visit our Short Term Cover page or alternatively please indicate the number of months required.
*If less than 12 months - how many months  :
Start date required  * :
 /   / 
Currency required  * :
Premium frequency  * :

3 - Medical History

If you have any pre-existing medical conditions or are currently receiving medical treatment, please provide details:

4 - Your Contact Details

E-mail address  * :
Confirm email address  * :
Alternative E-Mail Address  :
Daytime Telephone Number  * :
  
Address 1  :
Address 2  :
Town/ City  :
State / Province / County  :
Post/ Zip code  :
Country  * :

5 - Further Information & Newsletter/Survey

Please use this box to provide any further information or ask any questions that you may have for us:
We offer an APRIL Medibroker newsletter by E-mail.
Would you like to subscribe?  * :
On an annual basis we carry out a customer satisfaction survey (carried out in confidence by a third party market research company employed by APRIL GROUP) in order to assess our service levels and standards.
Would you like to participate ?  * :
Please provide the answer to this question
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Use of your information will solely by used by APRIL Medibroker and any personal information will remain confidential within normal procedures in advising on and completing applications for private medical insurance and associated plans. Your information will not be disclosed to any third parties outside of APRIL GROUP or used for unsolicited marketing.

 

Use of your information will solely by used by APRIL Medibroker and any personal information will remain confidential within normal procedures in advising on and completing applications for private medical insurance and associated plans. Your information will not be disclosed to any third parties outside of APRIL Group or used for unsolicited marketing.

 

 

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APRIL Medibroker Limited is regulated in the United Kingdom by the Financial Services Authority. Our regulated Firm number is 304773. Full details can be found on the FSA Register You can contact the Financial Services Authority (FSA) at: 25 The North Colonnade, Canary Wharf, London E14 5HS. You can also call their Consumer Helpline on 0845 606 1234. Additional information can be obtained from www.fsa.gov.uk - © 2010 APRIL Medibroker Limited. All rights reserved.