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Patriot Platinum International Insurance Application

Please note that :

  • Not available to individuals who are physically located in follow U.S. states: New York (NY).
  • Not available if Home Country/Country of Residences are: Botswana (BWA), Cuba (CUB), Gambia (GMB), Ghana (GHA), Iran (IRN), Kosovo (XKX), Niger (NER), Nigeria (NGA), North Korea (PRK), Sierra Leone (SLE), Syria (SYR) & Venezuela (VEN).
  • Not available for Citizens of: Botswana (BWA), Gambia (GMB), Ghana (GHA), Kosovo (XKX), Niger (NER), Nigeria (NGA) & Sierra Leone (SLE).
  • Not Available for the following Destination Countries: Belarus (BLR), Congo, The Democratic Republic of (COD), Kosovo (XKX), Northern Mariana Islands (MNP), Palestinian Terr. (PSE), Puerto Rico (PRI), Russia (RUS), South Sudan (SSD), Uganda (UGA), Ukraine (UKR), United States (USA) & Virgin Islands (USA) (VIR).
All fields are required fields unless stated as optional
Sorry, we don't have an online application for your country at this time. Please contact [email protected] for more infomation.
Traveling to Multiple Countries? : If any part of your trip includes the United States, please select United States as your Destination Country. Other countries except Home Country on your trip is automatically covered.
Confirm your eligibility

(Begins at 12:00 AM EST)

(Ends at 11:59 PM EST)
Please use the date of birth that appears in your travel documents, for e.g passport. A request to correct date of birth after the policy is purchased may result in changes to policy premium and benefits.
More than one traveler? Enter the oldest person as the Primary Applicant.

(Oldest Traveler)

(17 years and under)
Dependent Child: Children 17 years and under of the primary insured on this policy. Grandchildren, nieces, nephews etc. are not considered as dependent children. Please fill a separate application in such cases or for older children.
You are not eligible to purchase Patriot Platinum International due to restriction of plan.

Price Guaranteed

lowest price

Insurance rates are regulated by law.
You can't find the same insurance plan for a lower price anywhere else.

PPI

Patriot Platinum International

Administrative Company

IMG

Carrier / Underwriter

SiriusPoint Speciality

Payment Options

  • Credit cards accepted:
  • Debit cards with MasterCard or Visa logo are accepted.
The comprehensive plan provides a percentage of eligible expenses, up to the policy maximum.

Review the policy documents for complete policy details including benefits and exclusions.

Review & Download

Plan Brochure Description of Coverage
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