Health Insurance Application | Money Saving Advisors

Who is the cover for? *

Myself Myself & Partner My Family Other

Do you have an existing health insurance policy? *

Either privately or through your employer

Yes No

Would you like to include full cancer cover? *

For fast help if you have a sign of cancer, with access to leading treatments.

Yes No

We need the following information to provide you with an accurate quote

Do you smoke or vape? *

Some insurers will require a medical check, so its important to be honest

Yes No

Do you have any pre-existing medical conditions? *

For example like high blood pressure or diabetes

Yes No

Are you currently undergoing any medical investigation? *

For example, are you awaiting consultation or diagnosis for a new medical condition?

Yes No

Great! Just a few final details so we can put you in touch with a Money Saving Advisor

First Name *

Last Name *

Year of Birth *

Insurers use this to calculate your insurance quote

Zip Code *

Insurers use this to check living conditions in your area

Email *

Phone *

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Call 0333 222 4342

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