All fields with RED * need to be filled.

YOUR AREA OF EXPATRIATION

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    This is the country where you are expatriated or live most of the time. If your family lives in another country, you can make 2 different covers: one for you and one for your family in case you do not live in the same area of cover:
    AREA 1: (USA, Canada not for the beginning), Switzerland, Israel, Japan, Iraq, Afghanistan & AREA 2
    AREA 2: Europe (not Switzerland), Australia, New Zealand, American continent(not USA and Canada), China, Hong Kong, Macau, Singapore, Taiwan & AREA 3
    AREA 3: Africa, Asia (not China, Hong-Kong, Japan, Macau, Singapore, Taiwan), Middle East (not Israel), other countries
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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YOUR DATE OF BIRTH *

Years (Max Age 110)

CHILD ONLY POLICIES ARE NOT ACCEPTED, AT LEAST ONE PARENT MUST ALSO BE COVERED WITH THE KIDS AND MAY HAVE SEPARATE CONTRACTS, HOWEVER THE LEVEL OF COVERAGE AND MODULES MUST BE THE SAME FOR THE WHOLE FAMILY.

ARE YOU INDIVIDUAL, COUPLE, ADULT & CHILD OR FAMILY

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    No need to be married. You can cover the kids of your companion, even if they are not your own kids.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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MEMBER 2 : WIFE, HUSBAND, PARTNER OR CHILD < 22 *

   Years

MEMBER 3 : CHILD < 22 *

   Years
MEMBER 4 : CHILD < 22 : YES ?

MEMBER 5 AND MORE : CHILD

FREE

ONLY COMPLEMENT TO SOCIAL SECURITY (CFE, OSSOM, ETC)

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    The cover can be, if you wish so, only a complementary to the French Caisse des Français de l’Etranger or the Belgium OSSOM, which new name is ORPSS.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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OBLIGATORY: HOSPITALIZATION, BIG RISKS, CANCER

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    This part is the cover for big risks only. This is the most important one. For most cases, this is enough and you can save money by taking this part only. It covers you if: 1) You sleep in the hospital (Inpatient). 2) Or you have a small visit without sleeping in the hospital (Outpatient) but including a small surgery or including a total anaesthesia. This is also called “Day care”. 3) Or you have cancer treatment (In and Outpatient). 4) Or you have a follow up Outpatient connected to an Inpatient.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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$

MEMBER 2 : WIFE, HUSBAND, PARTNER OR CHILD

$

MEMBER 3 : CHILD < 22

$

MEMBER 4 : CHILD < 22

$

MEMBER 5 AND MORE : CHILD

FREE

INPATIENT

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    This is for the major risks. Most of the time you just need this cover. It covers you when you sleep in the hospital, or when you have an outpatient visit (you do not sleep in the hospital) but an outpatient with a small surgery or a total anesthesia. Indeed cancer if fully covered even if you not sleep in the hospital.

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OUTPATIENT
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    This part is the cover for small risks only. You can save money by not taking it. It covers you for short visits to your family doctor without sleeping in the hospital.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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DENTAL OPTICAL
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    This covers you for dental care, prostheses, glasses, lenses, laser surgery for the Elite Plan.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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ASSISTANCE EVACUATION REPATRIATION
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    The repatriation is possible to place of residence (which is your place of expatriation) or your place of origin or place of birth. If you live in a big city with all the modern hospitals, you can save money without taking this cover. If the place you live does not have good hospitals and the good ones are far, then we advise to take this cover.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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If not all the members of the contract take the assistance evacuation, but only part of the family, the main insured must contact the company to tell which person is covered by the assistance evacuation.

ADJUST GLOBAL LIMIT (FROM $1000 UP TO $2000000)

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    The customers chooses the maximum amount that can be paid per person and per year.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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ADJUST DEDUCTIBLE PER HOSPITALIZATION CLAIM (FROM $0 TO $5000)

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    For example, if you choose a 500 USD deductible, the OBLIGATORY COVER (HOSPITALIZATION, BIG RISKS, CANCER) will refund 100% less 500 USD for each claim.
    IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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Plan: Local Plan