Short Term Cover

Call Back Request

Country Guides

Why do I need Insurance?

Why Choose April Medibroker?

FAQ's

International Medical Insurance - Compare Plans - 4 Easy Steps

To receive a free personalised international medical insurance quotation, please fill out the form below.
 
This should take no more than five minutes and will allow us to research the best solutions for your own personal needs from all of the world's leading providers. Once you have submitted your details we will email your quote to you within one working day.
 
If you are unsure about any aspect of the form, or have any questions please do not hesitate to either call us on +44 (0)191 296 6140 or email us at intquotes@medibroker.com 
 
US Citizens - Please note that we are unable to offer coverage to US citizens permanently resident in the USA (ie living in the USA for more than six months per year).
 
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.

1 - Tell Us About You

Title  * : Mr Mrs Ms Miss Master Other

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  * : Yes No

2 - International Medical Insurance Cover Required

Wherever you are in the world you need to be sure that the plan you buy is going to give you help, quality and peace of mind that you deserve.  What is the difference between a Standard and a Comprehensive international health insurance plan?

Cover Level  * : Standard Plan Comprehensive Plan

Optional Extra's  : None Required Maternity & Dental Maternity Only Dental Only

Length of cover  * : Less than 12 Months 1-2 Years 2-5 Years Indefinitely

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  * : Pounds Sterling US Dollars Euros

Premium frequency  * : Monthly Quartely Annually

Premium payment  * : Myself My Employer

If you have any pre-existing medical conditions or are currently receiving medical treatment, please provide details: If you don't have any pre-existing medical conditions or any medical treatment, please leave it blank.

3 - Additional Services - Life Insurance

As part of our service would you like to include a quote for life insurance in addition to your international medical insurance quotation?

Life Insurance Quote  : Yes No

Primary Type of Work  : Clerical/Office Manual

Amount of Life Cover Required - £/$/€  :

Required Term  : 1 year 1-5 years 5-10 years 10-20 years 20 years+

Please use this box to ask us any questions that you may have or provide any further information regarding life insurance: If you don't have any questions, please leave it blank.

4 - Your Contact Details & Submit

E-mail address  * :

Confirm email address  * :

Alternative E-Mail Address  :

Daytime Telephone Number  * :

Skype Address  :

Post/ Zip code  :

Country  * :

Please use this box to provide any further information or ask any questions that you may have for us: If you don't have any further information or question, please leave it blank.

Your enquiry is important to us we may have to contact you should we need clarification on any point of the information you have supplied, Please let us know your preferred method of contact. Contact options  * : Phone Email Phone & Email

We offer an APRIL Medibroker newsletter by E-mail. Would you like to subscribe?  * : Yes No

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 ?  * : Yes No

Please provide the answer to this question Image verification 9 + 9 =

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.