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Personal Retail Health Insurance – Post an Inquiry.
Welcome to Medimanage’s Personal Health Insurance Services
This is an inquiry form for customers who want to have their own personal insurance different from their employer sponsored/enable one. If you are looking for a employer sponsored/enabled one, request you to please login through the button in the top right.
Please fill the details below, and we will jump to action.
Fields marked with * are mandatory
Information about you
*Name
Company
Location
Select
Bangalore
Chennai
Mumbai
*Mobile No.
Landline No.
*Email id
Information about people to be covered
Name
Date of Birth
Relation
Coverage
Health History
Medical Test
Remove
*Name of the person to be covered
*Date of Birth
*Relationship
with you
Select
Self
Father
Mother
Husband
Wife
Son
Daughter
Father-in-Law
Mother-in-Law
Sister
Brother
Sister-in-Law
Brother-in-Law
*Coverage
Select
100000
200000
300000
400000
500000
600000
700000
800000
900000
1000000
*Any Illness/Adverse Health History
*Is a Medical Test Convenient
Select
Yes
No
Do you prefer
Individual
Floater
Anything else you want us to know:
[Any Special Requests, Budget, Any particular Company you want/or don’t want in the comparison]
Form is incomplete.
FAQ
Is Medimanage an Insurance Company?
What is the process once, I have submitted the form here?
How will the Claims be paid?
more...
Did you know?
Medimanage is the only Dedicated Health Insurance Broker in India.
Medimanage has managed more than 25000 claims end-to-end.
Medimanage insures more than 2 Lakh lives every year.
Testimonials
I wanted to thank the whole medimanage team & the HR team who helped me get my claim settled on time. I really appreciate the way they all handled this case.Thank You so much.
Bhavna Sharma
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