Home About Us Products Quotation Resources Support Insurers Contact Us
 
 
 
 
   
Teaching overseas? click here for best value plans
 
 

 

Quotation
Individual Plans / International Health Insurance

To get Professional Advice and Free Quotations please complete this short form. All information provided will remain strictly confidential. An advisor will contact you within 24 hours.
If you prefer please call us on (+852) 3113 1881.

Enter You Personal Details (* fields required):
Title *
First Name *
Last Name *
Your nationality as on your passport*
Country where you now live*
Country in which you require coverage*
Length of coverage*

 

Enter your contact information:
Daytime telephone number *
Mobile phone number
E-mail address *

Enter dates of birth and gender for persons to be covered :
 
mm/dd/yyyy
Gender
Occupation
Self *
Spouse
Child 1
Child 2
Child 3
Child 4

Choose options:
I only require hospitalization benefits, no outpatient benefits
I require hospitalization benefits as well as outpatient benefits
I require dental coverage
I require maternity coverage
Questions or Comments? Please share with us any information which might help your Advisor determine which plans best suit your needs.

 

 

 
Contact Us | Site Map | Copyright 2005 Globalsurance all rights reserved _

Individual International Medical Insurance | Group International Health Insurance | Travel Health Insurance | Teacher Health Insurance

All insurance is arranged by Pacific Prime Insurance Broker
PPIB is a registered member of Professional Insurance Brokers Association Limited of Hong Kong
GlobalSurance is wholly operated and owned by PPIB