Get Patriot Exchange Program

The Patriot Exchange Program offers vital medical coverage for individuals participating in educational or cultural exchange programs abroad. Completing the application form online is a straightforward process that ensures you secure the necessary protection during your travels.

Follow the steps to fill out the application form successfully.

1. Click the ‘Get Form’ button to obtain the application form and open it in the editor.
2. Begin by selecting the coverage plan and plan option that best fits your needs. Review the coverage details to make an informed choice.
3. Carefully fill out all personal information requested in the application form. This includes the applicant’s name, date of birth, country of citizenship, and contact information.
4. List the names of individuals to be covered under the plan, their dates of birth, and confirm how long each individual will need coverage.
5. Calculate the premium based on the selected plan and any optional add-ons. Be sure to multiply any optional plan amounts, if selected, as specified in the application.
6. Provide your payment method. If you are paying by credit card, fill in the relevant card information and authorize the charges.
7. Review the acknowledgment section and medical release statements before signing the application. Ensure you understand the terms, especially concerning pre-existing conditions.
8. Once all sections are completed, save your changes. If required, print the application or share it as needed. Be sure to submit the application via your chosen method, ensuring it reaches IMG promptly.

Complete your Patriot Exchange Program application online today to ensure your coverage while traveling abroad.