Get a Quote and Apply for

Visitors to Canada Insurance Monthly Payment Option


Contact Name   

Section 1 - Get a Quote

Select Option  

Visitors Type        Country of Origin      Province in Canada    

Coverage Type:     Individual Coverage          Coverage for Couple
 Birth Date of Applicant 1    (dd/mmm/yyyy)              Birth Date of Applicant 2    (dd/mmm/yyyy) 
Amount of Coverage (per insured)                    Period of coverage   
Deductibles (per insured): No deductible      $100         $250        $1,000       $5,000        $10,000

      Coverage for  Pre-existing Medical Conditions is required *     
      * Pre-existing  Medical Condition means injury, illness or disease; symptom(s) that exists before the effective date of insurance


Date of Arrival in Canada             (dd/mmm/yyyy)

Policy Effective (Start) Date          (dd/mmm/yyyy)


If you want to get a quote only, please confirm your email address at the bottom of this page and click on Submit.

Your quote will be emailed you within one business day.

Complete Section 2 if you want to apply for this policy.

Section 2 - Apply Now

 First Name

 Last  Name


Applicant 1


Male     Female


Applicant 2

Male     Female

* Applicant must be under 86 years of age on the policy effective date.


               Address in Canada:

Street         Apt.

City          Postal Code     


           Best time to Call    




      Additional Information

Please confirm your E-mail   





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Revised: October 03, 2018