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Enrollment form for Fordham University's Medical Evacuation, Repatriation, and International Travel Assistance for students opting out of the International Student Accident and Sickness Insurance
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How to fill out medical evacuation repatriation and

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How to fill out Medical Evacuation, Repatriation and International Travel Assistance Enrollment Form

01
Obtain the Medical Evacuation, Repatriation and International Travel Assistance Enrollment Form from your provider or website.
02
Carefully read the instructions and all relevant information provided with the form.
03
Fill out your personal details in the designated sections, including your full name, address, and contact information.
04
Provide travel details such as your destination, travel dates, and purpose of travel.
05
Indicate any pre-existing medical conditions or concerns that may affect your travel.
06
Complete the emergency contact information section, providing details of someone who can be reached in case of an emergency.
07
Sign and date the form where indicated, confirming that all information provided is accurate to the best of your knowledge.
08
Submit the completed form as instructed, ensuring that you keep a copy for your records.

Who needs Medical Evacuation, Repatriation and International Travel Assistance Enrollment Form?

01
Individuals planning to travel internationally, especially those with medical conditions or concerns.
02
Travelers who want to ensure they have coverage for emergency medical evacuations or repatriation.
03
Anyone participating in adventure travel or activities that carry higher risks of injury.
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People Also Ask about

With AllClear's Travel Insurance, you're covered for medical emergencies and repatriation should you need to come home. You're also protected if your luggage is lost or if you need to cancel your trip for specific reasons.
Most travel insurance plans cover two key scenarios: Emergency medical evacuation: Transporting a traveler to the nearest medical facility. Repatriation of remains: Returning a traveler's remains home in the event of death.
What Does Travel Insurance NOT cover? Reasonably foreseeable events. Known storms, epidemics, acts of war. Travel restrictions imposed by government authorities. Pre-existing conditions, unless the Premium plan is bought within the window for coverage. Dangerous activities.
Medical Evacuation & Repatriation covers the cost to medically transport you to the nearest adequate medical facility, or back to your home country, in the event you sustain a serious or life-threatening injury or illness while traveling.
Fortunately, most travel insurance policies include repatriation cover as a standard part of medical treatment insurance, so you won't need to worry - just be sure you have enough cover in place.
Repatriation coverage is a service that ensures travelers are safely transported home in the event of a medical emergency or death while abroad.
An annual medical evacuation plan will cost a traveler around $200.00 and cover all the trips taken during the year. A single-trip medevac plan will cost a traveler between $45 and $68 (depending on the factors above).
Evacuation typically refers to the services needed to transport a patient in an emergency, while repatriation typically refers to transportation back home for recovery or rehab after emergency services have been done in another country or state.

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The Medical Evacuation, Repatriation and International Travel Assistance Enrollment Form is a document that allows individuals to enroll in services that provide emergency medical transportation, repatriation of remains, and other travel assistance in the event of a medical emergency while traveling internationally.
Typically, individuals traveling internationally who want to ensure coverage for medical evacuation and assistance are required to file this form. This may include travelers, expatriates, employees on overseas assignments, and students studying abroad.
To fill out the form, individuals should provide personal information such as name, contact details, travel dates, and details about the destination. Additionally, they may need to disclose any pre-existing medical conditions and indicate emergency contacts.
The purpose of the form is to ensure that individuals have access to necessary medical services while traveling internationally, including transportation to medical facilities, repatriation in case of death, and assistance with travel-related emergencies.
The form typically requires personal identification information, travel itinerary, emergency contacts, medical history, and any specific needs or preferences for medical transport during an emergency.
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