Purchase Your Policy
- TRIP DETAILS
- APPLICANT DETAILS
Patriot Platinum Insurance Application
Please note that :
- 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), U.S Virgin Islands (VIR), United States (USA) & 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 non US residents traveling outside their home country.
- Coverage for minimum 5 days to maximum up to 365 days in a policy period.
- Renewal option available up to a maximum of 3 years.
Comprehensive Coverage Plan
The comprehensive plan provides percentage of eligible expenses, up to the policy maximum.
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 90% of first $5,000; then 100% up to chosen medical maximum.
Outside US and CanadaAfter 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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