Safe Travels Elite International Travel Medical Insurance

  • Quote
    1
  • Coverage
    2
  • Applicant Details
    3
  • Review
    4
  • Payment
    5
  • Insurance Confirmation
    6

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Please enter the information in English only.

Travel Dates (mm/dd/yyyy)

Coverage Dates (mm/dd/yyyy)

All fields are required unless stated as: (Optional)

Departure Date is required. Start Date is required. Cannot contain special characters. Cannot contain letters. Please enter the Start Date in the specified date format. Please enter the Departure Date in the specified date format.

Return Date is required. End Date is required. Cannot contain letters. Cannot contain special characters. Please enter the End Date in the specified date format. Please enter the Return Date in the specified date format. End Date cannot be before Start Date. Return Date cannot be before Departure Date.

Is your Citizenship or Home Country the U.S. or a U.S. territory?

Please select an option to move forward.

Applicants listing Citizenship or Home Country as 'United States of America' are limited to 364 days of coverage per the United States Patient Protection and Affordable Care Act (PPACA). Please adjust the Coverage End Date, choose an alternate plan on this website, or contact us for further assistance.

Initial Trip Deposit Date & Destination Country

Initial Trip Deposit Date & Residence State

Initial Trip Deposit Date

Initial Trip Deposit Date is required. Cannot contain special characters. Please enter the Start Date in the specified date format. Initial Trip Deposit Date cannot be in future.

Destination Country is required.

Residence State is required.

Please review specific Geographic Restrictions.

Attention:

      

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Travelers Age(s) & Trip Cost

Insureds' Age(s)

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Traveler {{numOfTraveler+1}} age is required.

Traveler {{numOfTraveler+1}} Trip Cost is required.

Minimum Age must be at least 0.

Trip Cost must be a number.

Trip cost cannot be 0.

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Insured {{numOfTraveler+1}} Age is required.

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Spouse must be at least 18 years old.

Insured {{numOfTraveler+1}} Age is required.

Child {{numOfTraveler-1}} must be under 18 years old.

Minimum Age must be at least 0.

Add TravelerAdd Insured
Add TravelerAdd Insured

Please enter the age(s) of the insured(s).

Please enter the trip cost for the insured(s).

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