Globality yougenio

Your application for perfect health insurance

The online application for your personal Globality YouGenio insurance is quick, simple and straightforward. As soon as the application has been successfully reviewed, you will receive instant acceptance by e-mail, together with all the necessary documents. Just complete the application form.

 

 
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Required information for this online application:

  • Data concerning the applicant and insured person as well as all other co-insured persons
  • Date on which insurance cover commences
  • Desired plan level and deductible
  • Credit card information (VISA, MasterCard, American Express)
Start online application
 
 
Download application form as PDF

Before filling in, please save the form to your local storage device!

Click below to download the application form as a PDF file. Take all the time you need to check that all the required information is available before you complete the online form. For security reasons, all data entered into the online application form will be cancelled if no further entries are made within 30 minutes or if the window is exited. It goes without saying that you can exercise your right of cancellation within 14 days of receiving the documents.

 
 

Consultation

Contact Form

+352 270 444 22 -

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