We just need a few personal details to help us create your quote.
my contact details
So we can contact you if we need to. (No spam, we promise.)
when are you looking to start?
So we can get you the right price and show you your nearest hospitals on the next step.
any previous conditions?
In the past five years, has anyone to be insured on this plan had, or received treatment for:
- Heart condition or any other heart problem
- Mental Illness including depression
By treatment we mean surgical or medical services (including medication prescribed by a specialist) that are needed to diagnose, relieve or cure a disease, illness or injury.
A specialist is any doctor (including psychiatrists) who is not your GP. This applies whether the treatment was received privately or under the National Health Service.
By clicking on ‘Get a Quote’ you are happy for one of our customer care consultants to ring you to arrange a bespoke quote for your business. You are also agreeing to allow Health-on-Line, and other members of the AXA group, to inform you by letter, telephone, email or mobile message of its products and services. We record all calls. All information you share with us adheres to our Data Protection policy.