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TRIP DETAILS
COVERAGE
APPLICANT DETAILS
PAYMENT

Student Health Advantage - Platinum 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) & New York (NY).
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

Citizenship

Residence / Home Country

Where are you traveling to?

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.

Date of arrival

Coverage Start Date
(Begins at 12:00 AM EST)

Coverage End Date
(Ends at 11:59 PM EST)

Coverage Area

Please use the date of birth that appears in your travel documents, for e.g passport. A request to correct date of birth after the policy is purchased may result in changes to policy premium and benefits.

Applicant Date of Birth

Spouse Coverage Needed

Spouse Date of Birth

Child Coverage Needed
(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.

+ Add Child

You are not eligible to purchase Student Health Advantage - Platinum due to restriction of plan. You may be eligible to purchase Global Medical Insurance.

Where can we email your policy details?

Email Address

This email address will be used to communicate the policy related information and the status of the policy application.

SHA-P

Student Health Advantage - Platinum

Administrative Company

IMG

Carrier / Underwriter

Sirius International

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Plan Brochure

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Purchase Your Policy

Student Health Advantage - Platinum Insurance Application

Please note that :

Price Guaranteed

Student Health Advantage - Platinum

Administrative Company

Carrier / Underwriter

Review & Download