Thank you for choosing the VDAW Medical Insurance plan in association with HealthCare International

On the following pages, we will be asking you to complete all of the fields as accurately as possible, and where you have any doubt, we have left room in section K at the very end of the application for any information you feel we should know or you would like taken into account.

There is no underwriting, so the process will not take too long. The whole process, from start to finish, should only take approximately 10 minutes to complete, depending on the connection between your computer and our server.

VDAW Schedule of Benefits PDF

I would also like to remind you that the information you supply via the web, is through our secure server at all times, any personal and financial information is encrypted for your security.

During the course of completing the application form, should you make a mistake or wish to change any answers, you can always go back and amend the answer without losing the information already completed.

Alternatively, you can print the application form below at the link, send it by Fax or Post or scan and send. Which every way you send the application, we will process it as quickly as we can.

Application Form PDF for applying offline

Once you have answered all of the questions, you will then be given several options in the way that you can proceed.

You will have several payment options.

(Please remember that whichever payment option you make, we will require the original signed application form before any claims can be made).

AgeMonthly PaymentsAnnual Payment
0 - 18€ 68,00€ 816,00
19 - 35€ 137,00€ 1.644,00
36 - 60€ 158,00€ 1.896,00
61 - 75€ 516,00€ 6.192,00
Apply Online     Review your Online Application Form