Purchase Your Policy
- TRIP DETAILS
- APPLICANT DETAILS
Patriot International Insurance Application
Please note that :
- If you are purchasing this plan for Schengen visa purposes, please select a zero dollar ($0) deductible.
- Not available to non-US citizens with Maryland (MD) address.
- Not Available for Addresses from the Following U.S. States/Territories: Maryland (MD) & New York (NY).
- Not available if Home Country/Country of Residences are: Botswana (BWA), Cuba (CUB), Gambia (GMB), Ghana (GHA), Iran (IRN), Kosovo (XKX), Niger (NER), Nigeria (NGA), North Korea (PRK), Sierra Leone (SLE), Syria (SYR) & Venezuela (VEN).
- Not available for Citizens of: Botswana (BWA), Gambia (GMB), Ghana (GHA), Niger (NER), Nigeria (NGA) & Sierra Leone (SLE).
- Not Available for the following Destination Countries: United States (USA).
Insurance rates are regulated by law.
You can't find the same insurance plan for a lower price anywhere else.
Carrier / UnderwriterSirius Specialty Insurance Corporation
- Credit cards accepted:
- Debit cards with MasterCard or Visa logo are accepted.
- For US and Non US citizens traveling outside the USA.
- Coverage for minimum 5 days to maximum up to 365 days in a policy period.
- Renewal option available up to a maximum of 2 years.
Comprehensive Coverage Plan
Inside US and Canada
In-Network : After the deductible, plan pays 100% up to chosen medical maximum.
Out of Network : After the deductible, plan pays 80% of first $5,000; then 100% up to chosen medical maximum.
Outside US and Canada
After the deductible, 100% up to the chosen medical maximum.
Review Policy document(Description of Coverage) ,for complete policy details including benefits and exclusions.
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