"*" indicates required fields
Step 1 of 5
ProductSelection
PersonalDetails
MedicalDetails
Declaration
Payment
Finish
You will not be entitled to claim a benefit for a period of 12 months from the start date of your policy in respect of a medical condition for which in the 12 months preceding the start date of your policy medical advice, diagnosis, care or treatment was received or would reasonably have been recommended.
If you fall pregnant before the start date of your policy this will be regarded as a pre-existing condition and any pregnancy and birth-related claims will be excluded for a period of 12 months from the start date of your policy.
I, {Full names:13} {Surname:14}, {ID Number:17}, hereby acknowledge that:
The above premium includes:
Δ
