VHIS - Visitors Health Insurance Scheme

Purchase your Plan

Step 1/2

Step 1 of 2

Visitor Details

Visitor 1

Primary

Personal Information

First Name

Last Name

Date of Birth

Gender

Select gender

Country / Region

Select country or region

Passport Number

Blood Group

Select blood group

Travel Information

Arrival date in Ghana

Departure date from Ghana

Address in Ghana

Contact Information

Please provide your personal contact information as well as the information of your emergency contact in your home country. We also require a second emergency contact in Ghana.

Why do we need this information?

In case of any unfortunate event, the emergency contacts provided below will be contacted and assisted on your purchased insurance and claim process.

Note

Phone numbers must follow the international standard i.e (country code then number)

Phone number

Address in Home Country

Emergency Contact Information

Emergency Contact Info

Given/First Name(s)

Surname/Last Name

Address

Country / Region

Select country

Phone number

Emergency Contact in Ghana

Given/First Name(s)

Surname/Last Name

Phone number

Next of Kin Information

First Name

Last Name

Phone number

Dependants Information

Travelling with your family? You can add on your spouse and children here

Add Dependant

Add another visitor (group visit)

Show Plan Details

summary

Visitor 1

Visitor details

Country / Region

Select Country

Effective Date

Jul 25, 2024

Expiry Date

Jul 25, 2024

Duration

Unspecified days