contact@iqmed.ro
www.iqmed.ro
GlobeHopper® Multi-Trip
View Plan Details

Please complete the following form in order to begin your GlobeHopper® Multi-Trip application.

If you would like to save your application and complete it at a later time, simply click on the "Save For Later" button at the bottom of any page of the application after selecting a premium amount and before submitting your credit card information. If you have the authorisation number and password from a previous application that was not completed, click here to continue with the previous application.

*Denotes a required field.

International Medical Group Limited ("IMGL") is authorised and regulated by the Financial Conduct Authority (FCA No: 311496). IMGL is part of the IMG Group of Companies and trades under various trading names including IMG Europe. Please refer to the financial services register to see all our trading names. IMGL is authorised and registered in England (No: 4163178) with registered office at 254 Upper Shoreham Road, Shoreham-By-Sea, West Sussex, BN43 6BF.

Please read the Insurance Product Information Document for the insurance plan you wish to purchase before proceeding.

Insurance Product Information Document

Product Information

Primary Insured's Age or Date of Birth is required.

At time of coverage start date
Monthselect
-
Dayselect
-
Yearselect
--- Select Gender ---select

At time of coverage start date
Monthselect
-
Dayselect
-
Yearselect
--- Select Gender ---select

(Period of Cover is 12 months)
--- Select a Country ---select


--- Select a Country ---select

Multiple trips must be outside your Country of Habitual Residence
--- Select a Country ---select
--- Select an Area of Coverage ---select
--- Select a Currency ---select