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Please apply separately for individuals age 70 and above.
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You must be under 80 years old as of the Effective Date to be eligible for the USA plan.
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The maximum period of insurance is 364 days.
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Children 18 and above must apply separately.
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You must indicate if your trip will include USA or not.
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Will your trip include USA?
Yes
No
Required Field
Country of Residence?
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire / St-Eustatius / Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr
Brunei Darussalam
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Burkina Faso
Burundi
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Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Rep
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvina
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
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Guinea
Guinea-Bissau
Guyana
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Honduras
Hong Kong
Hungary
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India
Indonesia
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
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Jordan
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Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic R
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Nigeria
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Palestinian Territory, Oc
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Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
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Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia and the Sou
South Korea
Spain
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Sweden
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Taiwan
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Tanzania, United Republic
Thailand
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Tonga
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Turkey
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Ukraine
United Arab Emirates
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United States
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Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Yemen
Zambia
Zimbabwe
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Departure
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