India Network Visitor Health Insurance, Pre-existing condition coverage

Phone 407-243-8760 | 408-850-2154 | 800-490-9678

Abuse of the quote system is strictly forbidden and quote form access logged India Network Health Plan Premium Quote for New Insurance Renewal of Insurance
Name of the Person Requesting Quote
Email Address
Phone Number
Coverage Start Date (MM/DD/YYYY)	(ex. October 25, 2009 enter as 10/25/2009
Applicant Age Group	(Select age group from pull down menu)
Coverage class - one person, couple etc.	(Select from pull down menu)
Maximum Coverage Requested*	($50K or $100K for 70 Plus)
Pre-existing Conditions Coverage Rider
Deductible Desired	[Select $250 or $500 deductible for 70 plus]
Coverage Duration in Months	(1 Month is considered as 30 days)
+ Coverage Duration in Days	and Single Days
NOTE: If couple falls into two different age groups, you have to file two insurance forms

Pre-existing Coverage Rider is available to all AGES and Require minimum 3 months coverage. Doctor consultation for any reason is available to all policy holder at nominal fee . If you need insurance for less than 3 months with some pre-existing condition coverage for below 70 years old visitor, you may consider Multinational Atlas Program - Note that the coverage provided by Atlas Program is very different from India Network Plan. READ ENTIRE DOCUMENT BEFORE YOU SIGNON