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Please be aware that, due to the private hospital networks working alongside the NHS in response to the current coronavirus crisis, it does mean that, if you purchase a policy from us now, you may experience delays and restrictions in accessing private treatment for other conditions and elective surgery.

In response to the current situation, we’ve launched some services, including our new Clinical Support Centre, to help our members get the support and care they need and we’re still pre-authorising eligible claims so our members can have private treatment as soon as it becomes available again.

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.

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.

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

01202 057519

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

If you want to have a chat give us a call on 01202 057519 Lines open Mon-Fri 9am-7pm. We may record and/ or monitor calls.