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

  • Quote
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  • Coverage
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  • Applicant Details
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  • Review
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  • Payment
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  • Insurance Confirmation
    6

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We have pre-filled relevant information from your previous application for your convenience. Review all the information carefully to make sure it is still accurate.

Please enter the information in English only.

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

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

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

Eligibility

Country of Citizenship is required.

Country of Residence 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.

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