Health insurance quote request

If you'd like to choose more options and provide more information, and so help us to better help you, please use our detailed form.

When do you want cover to start?
Are you looking for... Local cover International cover including US International cover excluding US	Do you want to... Top up existing cover Cover the bigger bills Cover 'everything'

Title	First name	Last name
E-mail	Phone number

Notes / more persons to be insured / questions

Where did you learn about us?

About Us
Our Services
Our Staff
Terms & Conditions
US Website

Contact Us
Email: crew@navigator-insurance.com
Call: +852 2530 2530
Fax: +852 2530 2535

Address:
Navigator Insurance Brokers Ltd
Unit E, 8/F Golden Sun Centre
No. 59-67 Bonham Strand West
Sheung Wan, Hong Kong

Hospital accommodation Private room Semi-Private room	Maternity coverage Yes No	Evacuation coverage Yes No
Outpatient coverage High coverage Medium coverage Basic coverage No coverage	Dental coverage High coverage Medium coverage Basic coverage No coverage	Routine Check-Ups Yes No

	Date of birth or age	Sex	Country of residence	Nationality
#1		M F
#2		M F
#3		M F
#4		M F
#5		M F
#6		M F
	If there are more people to be insured, please list them below in "notes".

Please list any companies/plans that particularly interest you.	Approximate budget per person pa
	US$1,000-2,000 US$2,000-4,000 US$4,000-6,000 US$6,000-10,000 US$10,000+