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Overseas Travel Health Insurance Policies from India |
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Go to Main Page |
(1) |
Overseas Travel Health Insurance |
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(2) |
Salient Points of Overseas Travel Insurance |
(3) |
Best & Economical Policy for Overseas Travel |
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(4) |
Selection of Overseas Travel Insurance |
(5) |
Specimen proposal form of ICICI Lombard |
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(6) |
Policy wording individual overseas travel insurance (Tata AIG)* |
(7) |
Policy Wording/ Proposal Form/ Brochure |
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(8) |
Policy wording overseas travel insurance (ICICI Lombard) |
(9) |
Product details of Various Companies for Overseas Travel Insurance/Policy |
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General/ Health Insurance Companies Products |
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Apollo Munich Insurance Company Limited |
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Easy Travel - Individual Plan |
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Easy Travel Family |
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Easy Travel Senior Citizen |
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Easy Travel Annual Multi Trip |
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Easy Travel Plan Comparison |
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Bajaj Allianz General Insurance Company Limited |
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Travel Asia |
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Travel Assist |
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Travel Companion |
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Travel Elite |
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Cholamandalam Ms General Insurance Company Ltd. |
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Short Term Travel |
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Future Generali India Insurance Co. Ltd. |
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Travel Suraksha |
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Overseas Travel |
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Multi Trip |
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Asia Travel |
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Superior Care |
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HDFC Ergo General Insurance Company Limited |
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Travel Insurance |
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ICICI Lombard General Insurance Company Limited |
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Annual Multi trip |
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Senior Citizen Plan |
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Single Round Trip |
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IFFCO-Tokio General Insurance Company Limited |
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Travel Protector |
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National Insurance Company Limited |
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Overseas Mediclaim |
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Reliance General Insurance Co. Limited |
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Reliance Travel Care Insurance Policy – Asia |
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Reliance Travel Care Insurance Policy – Schengen |
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Reliance Travel Care Insurance Policy for Individuals and Families |
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Royal Sundram Alliance Insurance Company Limited |
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Travel Shield Online |
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Star Health And Allied Insurance Company Limited |
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Travel Individual |
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Travel Family |
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Tata AIG General Insurance Co. Ltd. |
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Travel Guard |
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Asia Travel Guard |
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The New India Assurance Co. Ltd. |
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Overseas Mediclaim Policy |
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The Oriental Insurance Company Limited |
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Overseas Mediclaim Business and Holiday |
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United India Insurance Company Limited |
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Overseas Mediclaim Policy for Business & Holiday |
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5- Specimen proposal form of ICICI Lombard Students Overseas Mediclaim policy |
- Details of Family Physician
- Name
- Regis. No
- Address
- Tel. No
I declare that all the particulars, information, declarations and confirmations given in this form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects and I have not withheld any information. I further agree and undertake to provide any further information that ICICI Lombard General Insurance Company may require in relation to the said details. I further declare and confirm and undertake that I will not be travelling against the advice of my family physician; that I am not on the waiting list for any medical treatment and/ or that I will not be travelling for the purpose of obtaining medical treatment/. I further affirm that I have not received a terminal prognosis for a medical condition before this day.
Signature of Proposer :
Date :
DOCTOR'S STATEMENT(To be completed by the doctor with minimum M.D. qualifications( registration stamp required ) conducting the tests, unless otherwise required/specified below) History of the Proposer
- Any past history of disease, operation, accidents, investigation etc.
- General Examination
- Systematic Examination
Electrocardiography
- Does the attached electrocardiogram in your professional opinion show any
abnormalities? If so, please describe
- Does the abnormality represent a current illness or disease that may possibly
require medical treatment during the proposer's forthcoming trip?
- Does the proposer now or did he/she in the past, require medication for this
abnormality?
- Please describe any treatment taken by the proposer in the past or being
taken at present
- Does the urine strip test show any sugar?
- Do you consider that the proposer is fit to travel anywhere abroad, due
account being taken of the stress of air travel adversely affecting his/ her
health/ medical condition?
I declare that all the particulars and information given in this form (and all documents referred or provided therewith) are true, correct, complete and up-to-date in all respects and I have not withheld any information. I further agree and undertake to provide any further information that ICICI Lombard General Insurance Company may require in relation to the said details.
Signature of the Doctor
- Date
- Name of the Doctor
- Qualification
- Telephone Number
- Address
Please also append the following test reports to the doctor's certificate:
- ECG Printout with report (ECG to be carried out by cardiologists)
- Fasting and blood sugar and urine sugar or urine strip test report etc
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