Quick Quote - Quote Details

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We’ll give you a quote for our International Health Plan Standard cover.

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Health Insurance Form

About you

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Date of Birth

Day Month Year

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(inc. country code)

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Which country do you spend most of your time in? What is this?

By clicking on 'Get a quote' you agree that we and other members of the AXA UK group may inform you by letter, telephone, email or mobile message of products and services such as special offers and healthcare information. You may change your mind at any time by contacting us. We may record and/or monitor calls for quality assurance, training and as a record of our conversation.

We have a Data Protection statement which we follow when we process your information.

Our data protection statement

Before you submit this form please show the statement below to anyone over 16 that you wish to cover on this plan, or inform them of its contents.

To set up and manage your plan, we (AXA PPP healthcare Limited) will hold and use information about you and any of your family members. This information may have been supplied by you, those family members, healthcare providers or, if your plan is part of a group scheme, the employer. Please only provide us with sensitive information (such as health information) about family members aged over 16 if you have their consent to do so. If you give us this information we’ll take this as confirmation that you have that consent.

We use other companies to do some of our work for us and to run and improve our computer systems. As well as communicating with your healthcare providers we provide non sensitive information to your intermediary (if you use one) and, if your plan is part of a group scheme, to the employer and the employer’s intermediary (if they use one). We transfer information to countries outside the European Economic Area (EEA) where the laws protecting personal information are not as strong as in the EEA. We take steps to make sure that companies working for us give an appropriate level of protection.

The lead member is the legal owner of the plan. We send most of our written communications about the plan and about claims to the lead member. If any person over 18 that you intend to cover under the plan doesn’t want us to do this that person should apply for their own plan.

By clicking on "Get a Quote" you confirm that:

any family members have agreed that the lead member can act for them to set up this plan
the lead member consents on behalf of those family members and themselves to AXA PPP healthcare Limited using personal information in the ways described above.

We may pass information directly to third parties or by using shared databases. These third parties will include other insurers and law enforcement agencies. This is to prevent or investigate crime, including fraudulent or other improper claims. In some circumstances we must give information about our suspicions of crime to law enforcement agencies. We must let the relevant regulatory body know when we have good reason to question a healthcare provider’s fitness to practice.