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What type of travel insurance do you need?

Please choose your travel insurance type:
Step 2 of 9

Where will your travel take you?

Please tell us where you're going:
Step 2 of 9

Where will your travel take you?

Please choose a region:
@MT - This area must appear dynamically if according to the scheme, an option chosen above excludes some countries of travel. Please note: This option does not cover travel to the following countries; [Country1], [Country2], [Country3], if you need travel insurance for these countries please choose the 'Worldwide' cover option.
Step 3 of 9

Please tell me your travel dates

Step 3 of 9

When would you like your policy to start?

Step 4 of 9

Who is travelling?

Travelling group size:
Step 5 of 9

Who is travelling?

Date of birth:
Remove traveller:
Add traveller:
Step 6 of 9

Please slide the toggle to 'yes' if any of the travellers:

Have any existing medical conditions
Are currently waiting for any results of tests/investigations or awaiting consultations/referrals or on any waiting lists
Are travelling intending to receive medical treatment
Are travelling against advice of a medical practitioner or would be travelling against advice if they asked for it
Step 2 of 9

Unfortunately, we're unable to provide cover for you at this time.

Step 6 of 9

In the last twelve months, have any of the travellers suffered from:

a cardiovascular or heart-related condition such as a heart attack, angina, chest pain or hypertension?
a lung or respiratory-related condition (not including stable, well-controlled asthma if there is no other medical condition)?
any form of cancer whether in remission or not?
a cerebro-vascular condition such as a stroke or T.I.A. (transient ischaemic attack)?
a renal condition or diabetes?
Step 6 of 9

In the last twelve months, have any of the travellers suffered from a medical condition or which they:

are currently being prescribed medication, or are on regular medication, or;
are receiving treatment of any kind, or;
have required an organ transplant or required dialysis?
Step 2 of 9

Please add any medical conditions for [traveller1] below.

[traveller1] medical conditions:
Step 7 of 9

Your personal travel insurance quote is:

£00.00
Incl. IPT

1. Choose Your Cancellation Cover

Please use the slider to tell me how much cancellation cover you would need per person (or enter an amount up to £0,000 in the box below).
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£500
£6,000

2. Choose Your Baggage Cover

Please use the slider to tell me how much baggage cover you will need per person (or enter an amount up to £0,000 in the box below).
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£500
£6,000

3. Choose Your Excess

Please use the slider to tell me the Excess you would be happy to pay per person in the event of a claim (or enter an amount up to £000 in the box below.
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£0
£1,500
Step 8 of 9

Your travel insurance quote, including your chosen excess of £XXX and any optional extras is £00.00

£00.00
Incl. IPT
Here are your optional extras @MT - Appearance of all optional extras (below) should be controlled at scheme level.
Excess Waiver
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Add for £00.00
Gadget Cover
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Add for £00.00
Winter Sports Cover
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Add for £00.00
Activities Cover
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Add for £00.00
Trip Extension Cover
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Add for £00.00
Trip Disruption Cover
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Add for £00.00
Airline Failure Cover
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Add for £00.00
Cruise Cover
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Add for £00.00
Step 1 of 9

Are you planning any more adventures in the next twelve months?

Save on your travel insurance for the whole year by upgrading to an Annual Multi-Trip Policy.
Optional, your Annual Multi-Trip upgrade region options:
@MT - This area must appear dynamically if according to the scheme, an option chosen above excludes some countries of travel. Please note: This option does not cover travel to the following countries; [Country1], [Country2], [Country3], if you need travel insurance for these countries please choose the 'Worldwide' cover option.
Step 9 of 9

Your Quote Summary

Overview:

Quote Reference:
[PV00012345]
Policy Type:
[Annual Multi-Trip]
Policy Start Date:
[00 / 00 / 00]
No. of Persons:
[1]
Destination:
[Worldwide excl. USA]
Cancellation Cover:
[£0,000]
Baggage Cover:
[£0,000]
Excess:
[£150]

Covered Person/s:

Date of Birth:
[00 / 00 / 00]
Declared Medical Conditions
[condition1], [condition2], [condition3]
Edit medical conditions:
Remove traveller:

Date of Birth:
[00 / 00 / 00]
Declared Medical Conditions
[condition1], [condition2], [condition3]
Edit medical conditions:
Remove traveller:

Added Optional Extras:

[Optional Extra]
Remove Extra:

More information:

[Cover detail line]
[£0,000]
[Cover detail line]
[£0,000]

Included as standard:

[benefit1]
[benefit2]
[benefit3]

Policy Documents

Policy Wording (PDF)
IPID (Insurance Product Information Document)

Important Information

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Step 9 of 9

Please confirm who the lead traveller will be.

Marketing Consent
Chase Heptons would love to keep you up-to-date with our offers, discounts, products and services for its brand ‘Cover2Me’. Our Privacy Policy informs you about how Chase Heptons uses your personal details and what to do if you change your mind. You can opt out of further marketing communications at any time.
Your Travel Insurance Quote Guide
"@MT - These messages should be able to be set for each form step at scheme level. Need to bring in content via variable."