B.H. Financial Services Providing Health and Life Cover for Expats Around the World Do you need Cover? Get a FREE Quote Phone Number* Name* Mobile Number* Email Address* Address/Country* Nationality* Date of Birth* Communication Preference? Communication Preference? Phone/Voice WhatsApp Email Do you have KITAS / KITAP (Yes/No)? Do you have KITAS / KITAP (Yes/No)? Yes No What type of VISA do you have? Do you have Indonesian Permit Residence (Yes/No)? Do you have Indonesian Permit Residence (Yes/No)? Yes No Want In-Patient/Out-Patient? Want In-Patient/Out-Patient?In-Patient Only (covered only if you stay in hospital)In-Patient with Out-Patient (covered whether you stay in hospital or not) Do you have existing policy? Do you have existing policy?YesNo What cover do you need? What cover do you need? Medical Cover Life Cover Health cover home country? Health cover home country?Yes, I have health cover at my home countryNo, I don't have health cover at my home country Dependant Coverage? Dependant Coverage?No, I want coverage for myself onlyYes, I want to cover dependant(s) Pre-existing condition? Pre-existing condition?No, I don't have pre-existing or chronic conditionsYes, I have a pre-existing or chronic condition Countries you need coverage? What condition(s)? Name of each dependant DOB of each dependant Nationality of dependants Residence of dependants Dependants' relation to you Smoker or Non-smoker? Smoker or Non-smoker?SmokerNon-Smoker Sum Assured USD ($xxx,xxx) Term Length? Term Length? 5 - 35 Years To age 80 To age 90 To age 99 Dependant Coverage? Dependant Coverage?No, I want coverage for myself onlyYes, I want to cover dependant(s) Name of each dependant DOB of each dependant Nationality of dependants Dependants' relation to you Residence of dependants SUBMIT Need to send money abroad with the best rate? Click here for details
