Detailed Quotation Form

Anderson Health will provide you with a detailed quotation from a number of leading international healthcare companies and carefully advise you as to the most suitable policy for your needs. In order to assess the correct policy we need certain basic information on all individuals who are to be covered on the policy. Please fill in the form below and we will get back to you within one working day.

Please fill in as much detail as possible.

Full Name
Date of Birth
Medical Conditions

Your Name

Company Name (if applicable)

Your Email (required)

Anticipated length of stay

Futher details about any medical conditions noted above

Is cover required for pregnancy

Do you require medical cover in the USA or Canada?

Is travel insurance required?

Is life insurance cover required?

Is cover also required in your home country?