Al Koot Insurance & Reinsurance - Individual Health Insurance

Enter general information

Your travel destination is set to Qatar
Enter other details to avail the insurance coverage as you explore The State of Qatar.

"Please note that only credit cards are accepted for payment"

Email Address Please enter correct email address Please enter main applicant’s email address

Email needs to be verified to continue with the process

How many people are visiting Qatar? (max. 50 travellers)

“For purchasing group policies above 50 travelers please contact us on +974 4040 2000 or customercare@alkoot-medical.com”

Please enter a number from 1 to 50 Please enter the total number of travellers

What are the expected travel dates?

Start date Please enter a travel start date

End date Please enter a travel end date

The start date must be less than end date

Please enter main applicant’s date of birth

Are the travellers citizens/residents of State of Qatar or tourists/visitors?

Tourist/Visitor

Qatari Resident

Qatari Citizen

Please select main applicant’s type of residency

Insurance Plan Selection

Please select required Insurance Plan

30 days cover - 50 QAR per traveller

60 days cover - 100 QAR per traveller

90 days cover - 150 QAR per traveller

180 days cover - 300 QAR per traveller

Please select required Insurance Plan

30 days cover - 50 QAR per traveller

Accidents and Emergency + COVID19 cover

Total: QAR 50

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60 days cover - 100 QAR per traveller

Accidents and Emergency + COVID19

Total: QAR 100

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90 days cover - 150 QAR per traveller

Accidents and Emergency + COVID19 cover

Total: QAR 150

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180 days cover - 300 QAR per traveller

Accidents and Emergency + COVID19 cover

Total: QAR 300

Read more details

Enter traveller information

Please enter main applicant’s personal information Please enter a name with minimum 3 characters (only alphabets allowed) Please enter main applicant’s full name Gender

Male

Female

Please select main applicant’s gender

Please select main applicant’s nationality

Please enter main applicant’s contact information Please enter a valid mobile number in the format 00(countrycode)(phonenumber) without any special characters or spaces. For example, a number in Qatar would be 00974XXXXXXXX Please enter main applicant’s mobile number

Main applicant’s details Please enter main applicant’s passport number Please enter valid passport number (should not include spaces or special characters) Please select main applicant’s passport issuing country

Please enter main applicant’s passport expiry date

The passport expiry date should be greater than travel start date

Please select main applicant’s source of fund/wealth Please specify source of fund/wealth

View your quotation

Your visitor insurance is taken for

visitor(s)

for an amount of

QAR

Policy Period

Details of prime traveller

Name

Passport number

Email address

Phone number

I, the undersigned, hereby confirm that the information provided by me herein is accurate, correct and complete and that the documents I have submitted along with this application form are genuine. I understand that If the information and/or any of the documents I have provided is found to be false, fake, inaccurate or incomplete, AlKoot Insurance and Reinsurance may, at its sole discretion, cancel my application and if there is any amount of money to be refunded to me, any bank or other charges incurred in the refund will be deducted from that amount.

I undertake to inform AlKoot Insurance and Reinsurance immediately of any changes to the information or in the documents I have provided.