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Step 1/4 - Trip Details

1
TRIP DETAILS

2
COVERAGE

3
APPLICANT DETAILS

4
PAYMENT

VisitorSecure Insurance Application

Please note that :

For individuals coming to the US who are over age 65, coverage must be effective within 30 days of arrival
VisitorSecure is not available to individuals who are physically located in the state of New York (NY), Maryland (MD) and Washington (WA) at time of purchase.
VisitorSecure is not available to individuals who are physically located in Canada or Australia at the time of purchase.
Not Available for Addresses from the Following US States: Maryland (MD), New York (NY) & Washington (WA).
Not available if Home Country/Country of Residences are: Cuba (CUB), Iran (IRN), North Korea (PRK) & Syria (SYR).
Not available for Citizens of: Cuba (CUB), Iran (IRN) & North Korea (PRK).
Not Available for the following Destination Countries: Cuba (CUB), Iran (IRN) & North Korea (PRK).

All fields are required fields unless stated as optional

Citizenship

Residence / Home Country

Where are you traveling to?

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.

Sorry, we don't have an online application for your country at this time. Please contact support@visitorscoverage.com for more infomation.

Are you a US green card holder ?

US green card holder is not eligible for this plan. Here is the list of eligible plans for US green card holder.

Will your trip include the US or US territories?

Date of arrival

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

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

Coverage Area

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

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.

VisitorSecure

Administrative Company

HCC MIS

Carrier / Underwriter

Lloyd's of London

Eligibility

For international travelers traveling anywhere outside their home country including USA.
Coverage for minimum 5 days to maximum up to 364 days in a policy period.

Limited Coverage Plan

Plan pays fixed amount per incident up to the policy maximum, as defined in the policy.

Review the policy document for complete policy details including benefits and exclusions and an important notice regarding Affordable Care Act requirements.

Review & Download

Plan Brochure Description of Coverage Insurance Product Information Document