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Student Health Advantage - Standard Insurance Application

Please note that :

  • Premiums for this plan are charged per 30 days of coverage and do not work on a prorated basis. Please note that coverage is valid only for the specific travel dates selected.
  • Not Available for Addresses from the Following US States: Maryland (MD).
  • Not available for Citizens of: Botswana (BWA), Gambia (GMB), Ghana (GHA), Niger (NER), Nigeria (NGA) & Sierra Leone (SLE).
All fields are required fields unless stated as optional
Sorry, we don't have an online application for your country at this time. Please contact support@visitorscoverage.com for more infomation.
Traveling to Multiple Countries? : If any part of your trip includes the United States, please select United States as your Destination Country. Other countries except Home Country on your trip is automatically covered.

(Begins at 12:00 AM EST)

(Ends at 11:59 PM EST)

(17 years and under)
Dependent Child: Children 17 years and under of the primary insured on this policy. Grandchildren, nieces, nephews etc. are not considered as dependent children. Please fill a separate application in such cases or for older children.
You are not eligible to purchase Student Health Advantage - Standard due to restriction of plan. You may be eligible to purchase Global Medical Insurance.
Where can we email your policy details?
SHA-S

Administrative Company

IMG

Carrier / Underwriter

Sirius International

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