Purchase Your Policy
- TRIP DETAILS
- APPLICANT DETAILS
Patriot Exchange Insurance Application
Please note that :
- If initially purchased for a minimum of one month or more, coverage may be renewed.
- 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), Kosovo (XKX), Niger (NER), Nigeria (NGA) & Sierra Leone (SLE).
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 international travelers on a J1/J2, M, F, or A visa.
- For those ages 64 and below.
- Coverage for a minimum 5 days up to a maxiumum of 48 continious months.
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