Your two steps to purchase insurance online:

1. Carefully complete the application form.

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

You will then receive your cover note immediately. 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 
If applicable company, organization ... 
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 39 years)
Home country 
Duration of the trip and area of validity
Please pay attention to our notes if the start or the end of the journey is not yet known, if the application takes place after the start of the journey or if your journey involves several destinations.
Beginning of the journey  . .  
Inception date  . .  
Insurance expiry  . .  
The maximum duration of insurance is 24 months.
Destination 
Premium and scope of coverage:
  Worldwide excluding USA and Canada Worldwide including USA and Canada
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.com 
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:
 

Notes:

Start of journey not yet known

If you don’t know the exact start date of your journey yet, please enter the estimated start date. Unless you provide us with other information, both insurance and payment of premiums will start at the date you entered. Please notify us if the start date of the journey changes. Where the actual date of entry only differs from the originally planned date of entry by a few days, you only need to call us or send us a short email notification. Where your notification takes place more than 14 days after the originally planned start of the journey, you need to provide us with evidence of the delayed start (passport copy, airline ticket or travel confirmation).

End of journey not yet known

Sometimes the exact return date is not known at the start of the journey. In this case, please apply for the maximum period you plan to stay. Should you return early, please notify us immediately and tell us your departure date.

In this case, you only pay the premiums which arose before the notification. If a direct debit system exists, it will be stopped. Credit will be immediately refunded to your account. No service fee will be charged.

Application after the start of journey

The insurance needs to be purchased prior to departure, or up to 1 month after departure, for the entire duration of the stay abroad or after departure for the remaining period of the stay abroad.

Should the application for insurance be submitted later than one month after border crossing, the waiting period for medical claims will be 14 days from the issue date of the insurance confirmation. The waiting period does not apply in case of an accident or medical help aiming to prevent acute danger to the insured person's life. The waiting period can be waived if the insurance is purchased immediately subsequent to a prior insurance.

In this case, please hand in a copy of your prior insurance.

Several travel destinations

During the entire insurance period, cover is provided for the insured travel destination. In addition, worldwide cover is provided up to six weeks. Should your exchange program take place in several countries, please enter the main country as the travel destination and the other countries (in case you stay there more than six weeks) in the field that says “Special notes”. If you will be travelling countries for which different insurance premiums apply, please insure each stay separately.

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

Phone: +49 (0) 2247 9194 -988

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

Specialist Department
Mon-Fri: 8 am to 6 pm