Atlas America - Visitors insurance for visitors to USA

Coverage Dates (mm/dd/yyyy)

Start Date is required.

Cannot contain letters.

Cannot contain special characters.

Please enter the Start Date in the specified date format.

End Date is required.

Cannot contain letters.

Cannot contain special characters.

Please enter the End Date in the specified date format.

End Date cannot be before Start Date.

Is your Home Country US or US territories?

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Please select an option to move forward.

Applicants listing 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.

Insureds' Age(s)

PrimarySpouseChild {{numOfTraveler-1}}

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

Spouse must be at least 18 years old.

Dependents must be under 18 years old.

Age is required for each proposed insured.

Add ChildAdd Insured

Please enter the age(s) of child(ren).

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

Atlas America^® Non-U.S. citizens traveling to the U.S.

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Coverage Dates (mm/dd/yyyy)

Insureds' Age(s)

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Atlas America® Non-U.S. citizens traveling to the U.S.

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Coverage

Applicant Details

Review

Payment

Insurance Confirmation

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There was a problem, please make the requested changes and submit again:

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Coverage Dates (mm/dd/yyyy)

Insureds' Age(s)

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Atlas America^® Non-U.S. citizens traveling to the U.S.