Purchase Your Policy

  •  TRIP DETAILS
  •  COVERAGE
  •  APPLICANT DETAILS
  •  PAYMENT

Travel Medical USA Visitor Choice Insurance Application

Please note that :

  • Not available if Home Country/Country of Residences are: Australia (AUS), Cuba (CUB), Gambia (GMB), Ghana (GHA), Iran (IRN), Nigeria (NGA), North Korea (PRK), Sierra Leone (SLE), Syria (SYR), United States (USA) & Virgin Islands (USA) (VIR).
  • Not Available for the following Destination Countries: Bahrain (BHR), Burkina Faso (BFA), Central African Republic (CAF), Congo, The Democratic Republic of (COD), Cyprus (CYP), Jordan (JOR), Kuwait (KWT), Oman (OMN), Pakistan (PAK), Qatar (QAT), Saudi Arabia (SAU), Somalia (SOM) & United Arab Emirates (ARE).
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.

(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)

(18 years and under)
Dependent Child: Children 18 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.

Price Guaranteed

lowest price

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

SCTMUVC

Administrative Company

Seven Corners

Carrier / Underwriter

C&F Cayman

Payment Options

  • Credit cards accepted:
  • Debit cards are accepted.
The limited plan provides basic and fixed pre-defined dollar amounts for covered services, as defined in the policy documents.

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