• About you

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Get your Personal Health quote in minutes

Private medical facilities are now widely available again and ready to see private patients, which means you will be able to use your plan to access eligible treatment. Due to the current Covid-19 pandemic there may be some local disruption in certain areas, but we continue to work closely with private hospitals to understand the impact for our customers.

About you

We just need a few personal details to help us create your quote.

Personal details

Contact details

You only need to provide one number


Cover start date

So we can get you the right price

Any previous medical conditions?

In the past five years, have you had, or received treatment* for:

  • Heart condition or problem
  • Stroke
  • Cancer
  • Diabetes
  • Mental illness, including depression, that has required referral to a specialist

  • * By treatment, we mean surgical or medical services that are needed to diagnose, relieve or cure a disease, illness or injury, including medication still prescribed by a specialist
  • A specialist is any doctor (including psychiatrists) who is not your GP
  • This applies whether the treatment was received privately or under the NHS
  • If you are unsure of your answers, or if the answers change, please let us know before the policy starts

Are you a tobacco user?

Have you used any tobacco products within the last 12 months?

By ‘tobacco products’ we mean smoking or chewing tobacco – not using e-cigarettes or vaporizers.

If you are adding anyone else to your cover we will ask the same questions about them. Please take care to give accurate and complete answers for all members you have permission to speak to us about and who are to be covered by the plan. Please take care to answer the questions accurately and completely for each person covered as the answers may affect your premium or ability to claim.

We’ll call you to discuss your quote request, but please tick the boxes below to choose how you would like to receive updates from AXA about products and services, promotions, special offers and news

By agreeing, you are giving AXA UK companies, permission to use the information supplied to contact you with relevant information. You can withdraw your consent whenever you want by contacting us. You can view our Privacy policy here.

Once you’ve submitted your quote request, we will contact you to discuss it. If you would prefer to speak to us just call 0800 111 4004 (Mon-Fri 9am-7pm). You can see our privacy policy here.

Speak to us

If you want to have a chat give us a call on

0800 313 4935

Lines open Mon-Fri 9am-7pm. We may record and/ or monitor calls.

Speak to us If you want to have a chat give us a call on 0800 313 4935 Lines open Mon-Fri 9am-7pm. We may record and/ or monitor calls.