|
|
| Overseas Travel Health Insurance |
| |
| Policy information of health insurance products for overseas travel health insurance policies including comparison rates, policy language, coverage etc. |
Go to Main Page |
|
| (1) |
Overseas Travel Health Insurance |
|
(2) |
Salient Points Of Overseas Travel Insurance |
| (3) |
Best & Economical Policy for Overseas Travel |
|
(4) |
Selection of Overseas Travel Insurance |
| (5) |
Specimen proposal form of ICICI Lombard |
|
(6) |
Policy wording individual overseas travel insurance (Tata AIG)* |
| (7) |
Policy Wording /Proposal Form/ Brochure |
|
(8) |
Policy wording overseas travel insurance (ICICI Lombard) |
| (9) |
Product details of Various Companies for Overseas Travel Insurance/Policy |
| |
| General/Health Insurance Companies Products |
| |
| Apollo Munich Insurance Company Limited |
| |
 |
Easy Travel - Individual Plan |
| |
|
Easy Travel Family |
| |
|
Easy Travel Senior Citizen |
| |
|
Easy Travel Annual Multi Trip |
| |
|
Easy Travel Plan Comparison |
|
| |
| Bajaj Allianz General Insurance Company Limited |
| |
|
Travel Asia |
| |
|
Travel Assist |
| |
|
Travel Companion |
| |
|
Travel Elite |
|
| |
| Cholamandalam Ms General Insurance Company Ltd. |
| |
|
Short Term Travel |
|
| |
| Future Generali India Insurance Co. Ltd. |
| |
Travel Suraksha |
| |
|
Overseas Travel |
| |
|
Multi Trip |
| |
|
Asia Travel |
| |
|
Superior Care |
|
| |
| HDFC Ergo General Insurance Company Limited |
| |
|
Travel Insurance |
|
| |
| ICICI Lombard General Insurance Company Limited |
| |
|
Annual Multi trip |
| |
|
Senior Citizen Plan |
| |
|
Single Round Trip |
|
|
| |
| IFFCO-Tokio General Insurance Company Limited |
| |
|
Travel Protector |
|
| |
| National Insurance Company Limited |
| |
|
Overseas Mediclaim |
|
| |
| Reliance General Insurance Co. Limited |
| |
|
Reliance Travel Care Insurance Policy – Asia |
| |
|
Reliance Travel Care Insurance Policy – Schengen |
| |
|
Reliance Travel Care Insurance Policy for Individuals and Families |
|
| |
| Royal Sundram Alliance Insurance Company Limited |
| |
|
Travel Shield Online |
|
| |
| Star Health And Allied Insurance Company Limited |
| |
|
Travel Individual |
| |
|
Travel Family |
|
| |
| Tata AIG General Insurance Co. Ltd. |
| |
|
Travel Guard |
| |
|
Asia Travel Guard |
|
| |
| The New India Assurance Co. Ltd. |
| |
|
Overseas Mediclaim Policy |
|
| |
| The Oriental Insurance Company Limited |
| |
|
Overseas Mediclaim Business and Holiday |
|
| |
| United India Insurance Company Limited |
| |
|
Overseas Mediclaim Policy for Business & Holiday |
|
|
|
|
|
|
| 5- Specimen proposal form of ICICI Lombard Students Overseas Mediclaim policy |
|
ICICI LOMBARD GENERAL INSURANCE COMPANY LIMITED
Regd. Office: ICICI Bank Towers, Bandra Kurla Complex, Mumbai - 400
051,Tel: (+91 22) 2653 1414 Fax: (+91 22) 2653 1657
GLOBETROTTER PROPOSAL FORM OVERSEAS INDIVIDUAL TRAVEL INSURANCE 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
|
|
|
|
|
|
|
|
|
|
|
