Long term Visa Compliant

Students Visa, Investment visa, Non Lucrative Visa, NIE Card etc.

24x7 Call & Email Support

Access our cashless services through insurer mobile apps and many more.

Operates in Spain Nationwide

Access to the best medical centers; 200+ customer service points; Over 40k healthcare professionals

Comprehensive coverage

Unlimited financial coverage, No copayment & no deductibles, Repatriation, waiting period flexibility.

Trip Details
1
Price Card
2
Travelers Info
3
Review & Pay
4

Trip Details

Countries

When ?

Start Date:

End Date:

Cover starts from 1st of the month selected as start month

Traveler's Date of Birth

Email *

Phone*

Premium Value

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Traveller's Information

Traveller 1

Salutation *

First Name *

Last Name *

Upload Passport *

DOB *

Country of Residence *

Email *

Company Name *

Address*

Postal Code *

City *

Phone*

Traveller 2

Salutation*

First Name *

Last Name *

Upload Passport *

DOB *

Homeland*

Country *

Email *

Company Name *

Street and House Number *

Postal Code *

Location *

Phone*

Traveller 3

Salutation *

First Name *

Last Name *

Upload Passport *

DOB *

Homeland*

Country *

Email *

Company Name *

Street and House Number*

Postal Code *

Location *

Phone*

Traveller 4

Salutation *

First Name *

Last Name *

Upload Passport *

DOB *

Homeland*

Country *

Email *

Company Name *

Street and House Number*

Postal Code *

Location *

Phone*

Review & Pay

Departure:

Trip Type:

Start Date:

End Date:

Mobile Number:

Traveler 1 Details

Title:

First Name:

Last Name:

Number:

DOB:

Email:

Gender:

Nominee:

Relationship:

Country of Residence:

Passport Issue Country:

City:

Postal Code:

Address:

Company Name:

Traveler 2 Details

Title:

First Name:

Last Name:

Number:

DOB:

Email:

Gender:

Nominee:

Relationship:

Country of Residence:

Passport Issue Country:

City:

Postal Code:

Address:

Passport No:

Company Name:

Traveler 3 Details

Title:

First Name:

Last Name:

Number:

DOB:

Email:

Gender:

Nominee:

Relationship:

Country of Residence:

Passport Issue Country:

City:

Postal Code:

Address:

Passport No:

Company Name:

Traveler 4 Details

Title:

First Name:

Last Name:

Number:

DOB:

Email:

Gender:

Nominee:

Relationship:

Country of Residence:

Passport Issue Country:

City:

Postal Code:

Address:

Passport No:

Company Name:

Plan:

Edit

I have read and understood the 'general terms and conditions' and understand that I am making only part payment.
The balance (insurance) payment I shall make upon acceptance of my proposal form.

Part Payment :

By proceeding with the payment, I acknowledge and affirm that I have thoroughly read and fully accept the terms and conditions of this health insurance policy.
I understand that upon completion of the payment, a proposal form will be sent to my email address, which I am obligated to complete, sign, and return along
with any pertinent medical reports.
I recognize that the insurer will review the submitted information and typically provide confirmation of acceptance of the proposal within 2 to 5 business days.
Following acceptance, I need to pay insurance premium directly to the insurer/ licensed distributor. Upon successful payment, the insurance certificate will be issued.
Should the insurer propose revised terms based on the information provided, or if I choose not to proceed with the insurance, I will be entitled to a full refund
of the advance paid, excluding any payment gateway charges and admin charges as per terms and conditions.
I hereby consent to the processing of all data shared in accordance with GDPR regulations. Such data will only be accessible to the insurer and their licensed distributors
for the sole purpose of processing this application. iAssist serves exclusively as a facilitator in this transaction; no personal data will be stored by iAssist.
For further details regarding data handling practices, I am encouraged to refer to the Privacy Policy section or contact customer support for any inquiries.
By proceeding, I confirm my understanding that this agreement constitutes a binding contract.

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Important Notice

Long term Visa Compliant

24x7 Call & Email Support

Operates in Spain Nationwide

Comprehensive coverage

Trip Details

Premium Value

Traveller's Information