Your two steps to purchase insurance online:

1. Fill in the application.

2. Check your entries on page 2 and confirm your application.

You will immediately receive your insurance certificate. In addition, we will send you an email with the certificate to the email address you entered.

Details about the applicant:
Address 
Title 
First name 
Family name 
Company 
Street and house number 
Postal code 
City 
Country 
Email 
Telephone 
Duration of cover:
Insurance and travel start date  . .  
Insurance expiry  . .  
The following persons shall be insured
Different age categories: Within this tariff we distinguish between two contribution levels: persons up to 64 years and persons aged 65 or older. Please conclude a separate contract for each age category.
Address 
First name 
Family name 
Date of birth  . .  
Home country 
 
Several persons who belong to the same age group can be insured with the same insurance policy.
Please indicate the number of additional co-travelers. Additional form fields will then be displayed.
Add additional persons
Premium and scope of coverage:
  Premium for individuals up to 64 years
Up to Travel health insurance Liability and accident insurance Total amount per person
8 days 7,60 € 1,60 € 9,20 €
12 days 11,40 € 2,40 € 13,80 €
16 days 15,20 € 3,20 € 18,40 €
30 days 28,50 € 6,00 € 34,50 €
60 days 57,00 € 12,00 € 69,00 €
90 days 85,50 € 18,00 € 103,50 €
 
  Premium for individuals of 65 years and above
Up to Travel health insurance Liability and accident insurance Total amount per person
8 days 16,00 € 1,60 € 17,60 €
12 days 24,00 € 2,40 € 26,40 €
16 days 32,00 € 3,20 € 35,20 €
30 days 60,00 € 6,00 € 66,00 €
60 days 120,00 € 12,00 € 132,00 €
90 days 180,00 € 18,00 € 198,00 €
Method of payment:
In the following methods of payment the total sum will be debited.
After insurance conclusion you will be redirected to Wirecard AG.
 
Credit card 
PayPal 
Sofort. 
EPS 
iDEAL 
 
Alternatively you can pay by using the SEPA direct debit scheme.
 
Payment by SEPA direct debit 
I hereby authorize DR-WALTER GmbH to collect payments from my / our account by direct debit mandate. I further instruct my bank to pay the direct debits drawn on my / our account by Dr. Walter GmbH.
Payment 
The total amount will be debited in the form of a single payment from the given account.
Account holder 
IBAN 
BIC 
Name and domicile of financial institution 
 
DR-WALTER GmbH, Eisenerzstr. 34, 53819 Neunkirchen-Seelscheid, Germany / Creditor Identifier: DE76ZZZ00000887121 / Mandate Reference: your insurance policy number
Space for special notes:
 

 

Do you require advice?
If you have any questions, please feel free to contact us:

Phone: +49 (0) 2247 9194 -88

Customer Service
Mon-Fri: 8 am to 8 pm
Sat: 9 am to 12 pm

Specialist Department
Mon-Fri: 8 am to 6 pm