Private Health Insurance - MAWISTA Student

Are you a student or a vocational trainee?

Title

Mr.

First Name(s) (including middle names)

Family Name / Last Name

Do you have a different maiden name?

Nationality

German

Place of Birth (City)

Country of Birth

Germany

Date of Birth

Passport number

Street

No.

Postal Code

District Name

Town/City

Additional Address Information

Country

Germany

If you do not have a German address, please enter your study or workplace address instead.

Street

No.

Postal Code

District Name

Town/City

Additional Address Information

Phone Country Code

Phone Number (without country code)

E-Mail

The country in which you have lived and had your center of life for the last two years before the start of the trip is considered to be your place of residence before the start of the trip.

Which country are you relocating from?

Vietnam

I'm already in Germany.

Which authority is/will be handling your visa application?

HCMC Consulates

MAWISTA Student Classic (excluding liability and accident insurance)

5 to 17 years: 35 €
18 to 29 years: 25 €

MAWISTA Student Classic Plus (including liability and accident insurance)

5 to 17 years: 47 €
18 to 29 years: 34 €

MAWISTA Student Comfort (including liability and accident insurance)

5 to 17 years: 83 €
18 to 29 years: 60 €

Select your plan

Extension: Application at any time before the expiration. Termination: At the end of each month via e-mail, chat or app.

Start of Insurance

Year

Period of insurance

Account holder name

IBAN

Bank Identifier Code (BIC)

Have you been treated or sought/received medical advice for a chronic, ongoing medical condition within the last 36 months, or have you received repeat medical treatment, or are you taking prescribed drugs on a regular basis? (except contraceptive pills etc.)

YesNo

Are you awaiting results of tests/investigations, or do you have any medical treatment planned, advised, or pending (including, but not limited to, hospitalization or surgery)?

YesNo

Please confirm our terms & conditions.

I confirm and read the Terms & Conditions of EDUBAO.

I confirm and read the Data Protection and Privacy Policy of EDUBAO.

I have read and hereby accept the Consumer and Product Information Sheet and the Terms and Conditions of Insurance