Medipac Travel Insurance Quick Quote

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Province of Residence

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Trip Length Applied for in Days

(184-212 days available for AB, BC, MB, NB, NL, NT, NS, ON, SK, YT)
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Age at Departure

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Deductible

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During the 3 YEARS prior to the date of this application, have you smoked cigarettes?

Yes No
 

What is your discount?

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Help Do you have Superannuate coverage?

Yes No

I am a Superannuate with CDN$500,000 of coverage.

I am a Superannuate with CDN$100,000 of coverage.

 

How did you first hear about us?

 

     

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Add Trip Cancellation Insurance?
(For $15,000 or more, please call us.)

Yes No

Coverage amount before departure:

Trip Length Applied for in Days?

Current age

 Check here to send Travel Insurance Guide, as well.
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