Choose the plan by its schedule
The application shows the original benefit schedule for each plan. Check inpatient and outpatient benefits, any maternity options, annual limits and participation amounts in the plan you select. Ask our team to explain an item you are unsure about before you proceed.
What to send with your application
Enter your full name, identity number, date of birth, height, weight and phone number, then select a plan. Review the details before submitting. Your selected plan and contact details accompany your request so our team can follow up.
Check providers, territory and waiting periods
Ask for the current provider network and the areas where the policy applies. Confirm any waiting periods, exclusions, excess or participation amounts and the treatment of existing medical conditions. These must be assessed for the actual policy; they cannot be assumed from the plan name alone.
A reviewed application, followed by a quote
Health applications are reviewed by our team. If a health declaration or another document is needed, we will explain the next step. The form does not issue an immediate automatic health price or begin cover. The final terms, payment and policy start date are confirmed separately.
Questions before you start
How many plans can I review?
The health form presents six plan options with their benefit schedules. Choose the option you want our team to assess.
Does submitting the form mean I am insured?
No. It is a quote request. Acceptance, payment, policy issue and the start date are separate steps.
Is every hospital included?
Check the current provider network, territory and out-of-network conditions for the policy being offered.
Can this policy be used for a residency application?
Tell our team what the policy is needed for before accepting a quote. Eligibility for a particular residency or other official process must be checked separately; this page does not confirm that acceptance.

