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*Restored Beauty Getaways
Perth, Western Australia, Australia
Email: info@restoredbeautygetaways.com / Website: www.restoredbeautygetaways.com
Phone: 1300-472-428 (Australia only)   

International Medical Travel Services and Benefits - Enrollment Application

Thank you for your interest in Soter World Services (Guernsey) Trust (SWS), providing services and benefits designed to meet the needs of the medical traveler / medical tourist to include their traveling companions. Complete the below to get pricing and enrollment instructions for travel accident and medical complication benefits specifically designed for those who are undergoing elective medical or dental procedure(s) outside of their country of residence.
Frequently Asked Questions

Medical Traveler Information
Age limits for benefits and services is age 70 or younger
Travel Dates
Travel companion coverage is available at a reasonable additional cost.
Please choose the number of travel companions (same travel dates as enrollee) that require this additional coverage.
Agency / Medical Travel Facilitator

If you have a Case Manager or Facilitator that is assisting in arranging your travel and medical needs, please name the Company in the below space. Otherwise, if you are not using a provider of such services, please type "None" in the below space.
Hospital

HOSPITAL NAME

International Society for Quality in Health Care (ISQua)

Is the Hospital / Facility Eligible?

A qualifying medical facility: means a hospital, clinic or place for medical, surgical or dental treatment duly qualified by the jurisdiction where the facility is located, and/or possessing an international accreditation from an ISQua member organization or other recognized international accreditation body.

Covid Coverage

Covid coverage is available at an additional cost. Click here to see the included benefits and requirements of coverage.
However, if your destination country requires higher limits, you can increase the limit up to $100,000. Higher limits WILL NOT be applicable unless the host country requires higher limits. Please check the requirements of the country before choosing a higher limit. Otherwise, the limit for COVID will be subject to a maximum of $25,000 no matter which limit you have chosen or what amount has been paid.
Enrollees who elect COVID coverage must obtain a negative COVID test result within 96 hours of their departure to be eligible for COVID benefits. Proof shall be provided in the event of a COVID related claim.

Do not include COVID Coverage.
Standard Coverage: $25,000 - Included for participant and companion(s)

Choose only if destination country requires higher limits
Increase to $50,000 - for each participant and companion(s)
Increase to $75,000 - for each participant and companion(s)
Increase to $100,000 - for each participant and companion(s)

Procedure Options

If the applicant is having a procedure not listed or is having more than one procedure, please choose "Other/Multiple" from the drop down list and the enrollment will provide you a field to write in the details. You must list ALL of the procedures/treatments that are scheduled and are likely to occur on the specific procedure date entered above.
PLEASE NOTE: FAILURE TO DISCLOSE ALL PROCEDURE/TREATMENT PROTOCOLS MAY RESULT IN A CLAIM BEING INVALID.

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