Online conclusion in 2 steps:

1. Carefully complete the application form.

2. On page two double-check your indications and confirm the application.

You will immediately receive your cover note. Shortly after, we will send an e-mail confirmation to the address indicated by you.

Details about the applicant:
Address 
Title 
First name 
Family name 
Company 
Street and house number 
Postal code 
City 
Country 
Email 
Telephone 
Data of the person to be insured:
Address 
First name 
Family name 
Date of birth  . .  
(Maximum age 69 years)
Home country 
Duration of cover:
Date of arrival  . .  
Inception date  . .  
Insurance expiry  . .  
The maximum duration of insurance is one year. If the policy is purchased within one month after entry, the contract can be concluded for a maximum period of two years.
Premium and scope of coverage:
Monthly premiums Individuals up to 29 years Individuals up to 69 years
Conclusion before or within one month after entry 38,50 € 64,00 €
Conclusion within one year after entry 54,00 € 85,00 €
Premiums from the 13th month 58,50 € 111,00 €
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 monthly or in one sum 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 
Please choose between single premium or monthly premium. (Monthly payment is only possible with a bank account in Germany or Austria.)
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 -981

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

Specialist Department
Mon-Fri: 8 am to 6 pm