Step 1 - Details Step 2 - Confirm Step 3 - Purchase

Cover Single Trip

Details

Ireland / UK
Departure Date
Return Date   OR  Days
Please select return date or period by clicking on the option button beside the desired entry

No of People

Yes
No
( We offer preferential rates to VHI/Quinn/Hibernian Aviva health care members. All Insured travelling must hold Private Medical Insurance to avail of discount. Please Note: We can not include Quinn Healthcare Health Manager Starter and VHI Plan P as they do not provide medical cover abroad. )
( 0 - 1 )
( 2 - 18 )
( 19 - 69 )
( 70 - 75 )
( 76 - 79 )
( 0 - 1 )

Optional Additional Covers

(For Lead Person only)
(For Lead Person only)
(For Lead Person only)
(For Lead Person only)
(Applies to all on policy)

Hazardous Activities

Hazardous Activity Grade Grade 1 ( if you wish to increase hazardous activities from grade 1 to a higher grade please contact the issuing agent )

Health Warranty

1) Do you know if any travellers or persons to whom travel depends are suffering or have suffered from a medical condition for which medication, advice or treatment has been received prior to taking out the insurance or is travelling for the purpose of obtaining medical treatment?

Yes
No

2) Have you ever received treatment for a heart/circulatory related condition (e.g. Angina, Hypertension and Stroke), a Lung/breathing condition (e.g.. Asthma), any form of cancer.

Yes
No

3) Are you any traveller or persons to whom travel depends awaiting any test results, medical test or investigations, have been given a terminal prognosis or on a hospital waiting list?

Yes
No

4) Have you been resident outside Ireland for the past six months or more ?

Yes
No


  Please note your insurance must start and end in Ireland, this insurance does not cover you if you are already abroad nor will it cover you if you have selected the insurance to begin when you are in another country other than Ireland. Please tick to confirm that you have read and understand this notice.