Travel Medical Insurance

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Need Help?
Call
1-888-939-0001

Email
rcl@medipac.com

Mail
180 Lesmill Rd.
Toronto, Ontario
M3B 2T5

Fax
416-441-7030





Medipac Travel Insurance
Online Application


Welcome to Medipac's NEW online travel insurance application - the industry's first travel insurance application for snowbirds and other travellers that can be fully completed, paid for, and issued online.

How does the application work?
The new Medipac online travel insurance application is similar to previous editions in that you can still use the online application to help you systematically complete the answers of the Medipac Travel Insurance Application. In order to process the application you would then have to print the completed application and mail it to our office along with payment, prior to your Departure Date from Canada. This option is still available.

What's new is that you now have the OPTION to pay online using Medipac's secure credit card payment function. After payment is confirmed, your Medipac Policy and Identification Card will be displayed.

NOTE: Any Medipac Travel Insurance Policy issued online is issued on the basis that the questions and information you provide throughout the application process are true to the best of your knowledge - CAREFULLY ANSWER ALL QUESTIONS. Applications with incorrect answers or statements may be deemed NULL and VOID.

What do you need to complete the online application?
In short, you need:

  1. a printer
  2. Acrobat Reader (free software program)
  3. a Visa or Master Card
  4. and, an email address
The new Medipac online travel insurance application is systematic and easy to use. The only technical requirement is that you have Acrobat Reader so that you may view, save and print PDF files.

Click Here to test if you have Acrobat Reader installed on your system.

If you do not have Acrobat Reader, you can download the FREE and SAFE program from the following link: http://www.adobe.com/products/acrobat/readstep2.html. Acrobat Reader is the internet's leading software to view documents in their original format. If you do not already have this installed, you should download it now.

The only other requirements to complete the Medipac online travel insurance application are that you have a printer (if completing the traditional method), and a credit card (if choosing to purchase online). Note, it is also suggested that you have a printer if purchasing online, but not required.

What happens next?
After you have purchased online your Medipac Travel Insurance Policy and payment has been received, the last page of the process will display 4 buttons:

  1. Application
  2. Cards, Tax Receipt and Transaction Record
  3. Confirmation Letter
  4. Policy
You MUST select each of these buttons to display the content of the respective button. When each button is selected an email containing a copy of the respective PDF document will be sent to you, as well. An original tax receipt will also be mailed to you.

WARNING!
The Medipac Travel Insurance Application must be completed within Canada and all applicants must be present during the application process; personal signatures will be required from each applicant, otherwise your policy may be NULL and VOID. Online applications cannot be completed under a Power of Attorney.

Before you start
Read the Policy Text for more information on the program's benefits, What is Not Covered, Pre-existing Conditions, and General Exclusions.

Remember, if your health changes at any time between the date of your application and your Effective Date of Insurance, you must contact Medipac to determine whether you are still eligible for coverage and, if eligible, at what rate.

If you are not certain of the answers to any of the medical questions on the application, we strongly suggest that you consult your doctor.

When using the application:

  • Do not use the "Enter" key to navigate through the application. Use either the Tab key or the mouse to navigate between fields.
  • All Medical Questions and any fields indicated by a "*" MUST be completed.
  • All dates must be entered in the format DD/MM/YYYY.
Click here to begin



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Quick Quote


Legion Annual Plan

Applicant 1  



Applicant 2  



Add LegionPLUS
$34 Single,
$59 Couple

Total  




Family Plan*

Oldest Applicant 


Add LegionPLUS
Family Package $68



Total  





*Family Plan includes 2
adults and up to 4 children
or grandchildren under age
19, and that are dependent
and travelling with you.

Medipac Travel Insurance

Province of Residence:


Trip Length Applied for in Days:


Plan Type:
Medical questions required.


Deductible:


Age at Departure:


Include 23 Day Annual Plan

Have you smoked cigarettes in the past 3 years?
Yes   No

Subtract Discount:
See Discounts page for details.



Total Premium: