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(866) 467-8289
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    (866) INSUBUY467-82898 AM - 9 PM CTSeven Days a Week

    Patriot America® Short-term travel medical insurance for individuals and families.

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

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    Insureds' Age(s)

    Primary

    Primary Age is required.

    Spouse
    Child {{form.travelerInfos[1] && form.travelerInfos[1].travelerType === 'spouse' ? index-1 : index}}

    Dependents must be under 18 years old.Dependents must be under 19 years old.

    Add Child

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

    Eligibility

    Country of Citizenship is required.

    Country of Residence is required.Home Country is required.

    Primary Destination Country is required.

    Residence Country and Primary Destination Country cannot be the same.

    Destination Country cannot be US or US territory if Country of Residence is US or US territory.

    You answered that your Primary Destination Country is the United States or one of its territories.

    You answered that your Primary Destination Country is the United States or one of its territories. The maximum allowable coverage duration is 60 days, provided eligibility is met.

    You answered that your Primary Destination Country is the same as your Country of Citizenship. Coverage may be conditionally available based on questions below:

    Are you currently residing in your primary destination country?

    Yes No

    Have you been in the U.S. or one of its Territories for more than {{computeMaxMonths}} month(s)?

    Yes No

    Have you resided outside the U.S. continuously for the past 6 months?

    Yes No

    Do you have a current health plan in force?

    Yes No

    Do you now or have you held an international plan in the last 30 days that you are replacing?

    Yes No

    Ineligible for this plan. Please choose an alternate plan on this website or contact us for further assistance.

    Question response is required.

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