Purchase Your Policy

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ChoiceAmerica Insurance Application

Please note that :

  • Has to be purchased within one month of arrival in the USA for people above 65 & within 6 months​ of arrival in the USA for people below 65.(Waived if an​ international plan was in effect within last 30 days)
  • 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: Cuba (CUB), Iran (IRN), North Korea (PRK), Syria (SYR), United States (USA) & Venezuela (VEN).
  • Not available for Citizens of: Botswana (BWA), Gambia (GMB), Ghana (GHA), Niger (NER), Nigeria (NGA), Sierra Leone (SLE) & United States (USA).
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.
US green card holder is not eligible for this plan. Here is the list of eligible plans for US green card holder.

(Begins at 12:00 AM EST)

(Ends at 11:59 PM EST)
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.

(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 Choice America due to age restriction.
You are not eligible to purchase Choice America due to restriction of plan.
Where can we email your policy details?
Will be used for communicating policy related notifications.

Price Guaranteed

Insurance rates are regulated by law.
You can't find the same insurance plan for a lower price anywhere else.

CA

ChoiceAmerica

Administrative Company

IMG

Carrier / Underwriter

Sirius International

Payment Options

  • Credit cards accepted:
  • Debit cards with MasterCard or Visa logo are accepted.

Eligibility

  • For Non US citizens and Non US Residents, traveling to the United States, Mexico or Canada.
  • Coverage for minimum 5 days to maximum up to 365 days.

Limited Coverage Plan


Plan provide basic and fixed pre defined dollar amount for covered services, as defined in the policy.

Review Policy document(Description of Coverage), for complete policy details including benefits and exclusions.

Review & Download

Plan Brochure Description of Coverage
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