Deluxe travel health with coronavirus coverage

Trip details

Emergency travel health coverage for your trip.
All fields are required unless otherwise noted.
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Coverage must be applied for prior to date of departure and for the entire duration of the trip outside of Manitoba/Canada.

Jan 4 2025

Applicant

Medical section (conditional)

Persons age 55 to 74 on date of departure must complete the medical questionnaire when purchasing Deluxe Travel Health coverage to determine the best possible plan rate.
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IMPORTANT: Eligibility and the appropriate rate for your travel health coverage may depend on whether you or any dependent(s) to be covered have a relevant pre-existing medical condition. To determine that, we rely on you to provide complete and accurate information in this questionnaire and to update that information if your answers change for any reason prior to travel.

Failure to provide, and to update, complete and accurate information could result in loss of coverage and claims not being paid.

If in doubt whether or not information is relevant, please contact us. If you are unsure how to answer a question or want help, please contact us.

Qualification requirements

Medical questionnaire

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Treatment: means a medical, therapeutic or diagnostic procedure prescribed, performed or recommended by a physician or health care practitioner, including but not limited to prescribed medication, investigative testing or surgery. Treatment includes a change in prescribed medication but does not include the unaltered use of prescribed medication for a medical condition that has been stable or a medical examination in which a physician observes no change in a previously identified condition during the pre-existing stability period.

Add cancellation (optional)

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Coverage must be purchased within 72 hours of the date of full payment or deposit on the airfare, or prior to any cancellation or penalty period

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Extensions are not available for refund.

Payment details

Purchased on: --

Effective on: --

Ends on: --

Number of persons: --

Discount name
-$--
Total amount due
$ --
*Retail sales tax is applicable

Persons covered

First name
Last name
Birth date

Payment summary

Total

Previously paid

Amount due

$--

($--)

$--

Address information

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Your credit card information will be collected in the next step.

Manitoba Blue Cross does not store your credit card information

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Please do not navigate away from this page or refresh while your payment is processing.

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Having problems using this service? Contact us at 204.775.0151 or toll-free 1.888.596.1032