Choose your plan  

Choose the plan that best suits your needs (level of cover, area of cover) and select your optional covers if you would like to include additional benefits.

Complete your application

Complete the application form with your personal details and the number of people you wish to cover and fill-in all other documents below.

• Application form
• Medical questionnaire *

Sign and send your application back to Vanbreda International

Sign and date all documents and send your application to Vanbreda International.

• fax: +32 3 663 73 14
• postal: