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IMG Patriot Exchange Plan

IMG - Patriot Exchange Plan

 

Travelling abroad can be an exciting experience, especially when you're involved in an educational or cultural exchange program. But what would happen if you became ill or injured while away from home? Your experience can quickly turn frightening if you're not prepared for a medical emergency.

 

Whether your trip takes you abroad for a few weeks or a year, your cultural exchange experience should be an enjoyable one.  Don't let your medical coverage be an uncertainty, you have enough to worry about when you are travelling.

 

IMG (International Medical Group) have developed two plans to provide you and your legal dependents travelling with you "Coverage Without Boundries" Each Plan offers a complete package of international benefits available 24 hours a day.

 

  • Standard Short-Term Travel Plan

The Standard Short-term Travel Plan is designed to meet the U.S. visa travel insurance requirements for a student studying abroad or a participant of a cultural exchange program.

 

  • Basic Short-Term Travel Plan

The basic Short-term Travel Plan is an econmical plan designed for a student studying abroad or a participant of a cultral exchange program.

 

Both plans may be purchased in monthly increments and can include coverage for the student or participant, his or her spouse and unmarried dependent children travelling with them.

General Information: Patriot Exchange Plan

 

IMG Patriot Exchange Plan provide two levels of cover depending on the amount of protection You require. These are the "Standard Short Term Travel Plan" and “Basic Short term Travel Plan”.

 

To receive a free, no obligation tailored quotation for the IMG Global Patriot Exchange Plan 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 international 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 - International Student Cover Required

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 - 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.

 

You can keep abreast of what's going on at April Medibroker by subscribing to our Expatriate Health insurance Newsletter or following us on:

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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.