Backcountry Lodges of British Columbia – Get a Quote

Please note there may be restrictions on coverage for COVID-19. These will be detailed when your quote is returned to you.

Our quote is designed to offer the best coverage available for your adventure at the lowest cost. Submission of this form will result in a no obligation quote sent to your email address within a business day (quotes may sometimes filter to spam or junk folder so check there to avoid delays). Your quote will include the premium amount and the insurance policy wording. A secure online option to submit your payment details will be provided.  You can reach us at 250 542 8577 or email: [email protected]

    About You

    Birth Date

    Contact Information

    Trip Details

    Number of Travellers

     

    Destination

    Your travel destination, name the province or Country

    Tour Operator

    Name of your travel provider or lodge/resort

    Trip Start Date

    This is the date you leave your home province, start your trip or enter Canada. These are required on the policy in case you experience a disruption in travel en route to your destination. Do not just provide your activity days. Incorrect dates will delay your quote and could void your policy.

    Trip End Date

    This is the departure date back to your home province or country. Do not just provide your activity days. Incorrect dates will delay your quote and could void your policy.

    Date Trip Booked

    The day you booked and / or paid for your trip
     

    Amount Paid in Canadian Dollars (Identify the sum per person)

    Purchased, prepaid and non-refundable travel arrangements include flights, tour cost, accommodations etc.

    DepositFull Payment

    Activity

    Please identify the sport you are participating in. Some activities require additional coverage such as alpine touring, downhill mountain biking and mountaineering. So tell us about your adventure:

    Is your activity guided?

    YesNo

    Are you a professional or do you receive financial compensation for this activity / sport ?

    YesNo

    Visitors to Canada

    Are you a visitor to Canada ?
    YesNo

    Verify eligibility

    You are eligible for Medical Coverage if:

    1. You know of no reason for which you may seek medical attention.
    2. You are a visitor to Canada.
    3. You are not travelling against a physician or other registered medical practitioner’s advice.
    4. You have not been diagnosed with a terminal condition.
    5. You are not receiving palliative care or palliative care has not been recommended.
    6. You do not have Chronic Obstructive Pulmonary Disease (COPD), including emphysema, requiring home oxygen.
    7. You do not have pancreatic cancer, liver cancer or any type of cancer that has metastasized or that required a bone marrow transplant.
    8. You do not have kidney disease requiring dialysis.
    9. You have not had or are not waiting for an organ transplant.
    10. You have not been diagnosed with congestive heart failure also known as pulmonary edema.

     

    Confirm Eligibility

    YesNo

     

    If you are a Visitor to Canada and are 60 years of age or older please complete these questions and your answer will determine the premium (cost) of your Emergency Medical Insurance.

    It’s important to answer the Medical Questionnaire correctly. If you qualify for the insurance but you inaccurately answer any of the Rate Qualification questions, a $15,000 CAD deductible applies to any incident claimed.

    Have you had any of the following in the last 12 months?

    Have you had any of these conditions in the last 12 months?

    Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.

    In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?

    YesNo

    Additional Travellers

    The trip dates must coincide with the primary traveler indicated in section 1. The trip amount for additional travellers may vary based on the individual package cost.

    Additional Traveller 1

    Birth Date

    Amount Paid in Canadian Dollars (Identify the sum per person)

    Purchased, prepaid and non-refundable travel arrangements include flights, tour cost, accommodations etc.

    DepositFull Payment

    Is this traveller a visitor to Canada ?

    YesNo

    Verify eligibility

    You are eligible for Medical Coverage if:

    1. You know of no reason for which you may seek medical attention.
    2. You are a visitor to Canada.
    3. You are not travelling against a physician or other registered medical practitioner’s advice.
    4. You have not been diagnosed with a terminal condition.
    5. You are not receiving palliative care or palliative care has not been recommended.
    6. You do not have Chronic Obstructive Pulmonary Disease (COPD), including emphysema, requiring home oxygen.
    7. You do not have pancreatic cancer, liver cancer or any type of cancer that has metastasized or that required a bone marrow transplant.
    8. You do not have kidney disease requiring dialysis.
    9. You have not had or are not waiting for an organ transplant.
    10. You have not been diagnosed with congestive heart failure also known as pulmonary edema.

     

    Confirm Eligibility

    YesNo

     

    If you are a Visitor to Canada and are 60 years of age or older please complete these questions and your answer will determine the premium (cost) of your Emergency Medical Insurance.

    It’s important to answer the Medical Questionnaire correctly. If you qualify for the insurance but you inaccurately answer any of the Rate Qualification questions, a $15,000 CAD deductible applies to any incident claimed.

    Have you had any of the following in the last 12 months?

    Have you had any of these conditions in the last 12 months?

    Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.

    In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?

    YesNo

    Additional Traveller 2

    Birth Date

    Amount Paid in Canadian Dollars (Identify the sum per person)

    Purchased, prepaid and non-refundable travel arrangements include flights, tour cost, accommodations etc.

    DepositFull Payment

    Is this traveller a visitor to Canada ?

    YesNo

    Verify eligibility

    You are eligible for Medical Coverage if:

    1. You know of no reason for which you may seek medical attention.
    2. You are a visitor to Canada.
    3. You are not travelling against a physician or other registered medical practitioner’s advice.
    4. You have not been diagnosed with a terminal condition.
    5. You are not receiving palliative care or palliative care has not been recommended.
    6. You do not have Chronic Obstructive Pulmonary Disease (COPD), including emphysema, requiring home oxygen.
    7. You do not have pancreatic cancer, liver cancer or any type of cancer that has metastasized or that required a bone marrow transplant.
    8. You do not have kidney disease requiring dialysis.
    9. You have not had or are not waiting for an organ transplant.
    10. You have not been diagnosed with congestive heart failure also known as pulmonary edema.

     

    Confirm Eligibility

    YesNo

     

    If you are a Visitor to Canada and are 60 years of age or older please complete these questions and your answer will determine the premium (cost) of your Emergency Medical Insurance.

    It’s important to answer the Medical Questionnaire correctly. If you qualify for the insurance but you inaccurately answer any of the Rate Qualification questions, a $15,000 CAD deductible applies to any incident claimed.

    Have you had any of the following in the last 12 months?

    Have you had any of these conditions in the last 12 months?

    Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.

    In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?

    YesNo

    Additional Traveller 3

    Birth Date

    Amount Paid in Canadian Dollars (Identify the sum per person)

    Purchased, prepaid and non-refundable travel arrangements include flights, tour cost, accommodations etc.

    DepositFull Payment

    Is this traveller a visitor to Canada ?

    YesNo

    Verify eligibility

    You are eligible for Medical Coverage if:

    1. You know of no reason for which you may seek medical attention.
    2. You are a visitor to Canada.
    3. You are not travelling against a physician or other registered medical practitioner’s advice.
    4. You have not been diagnosed with a terminal condition.
    5. You are not receiving palliative care or palliative care has not been recommended.
    6. You do not have Chronic Obstructive Pulmonary Disease (COPD), including emphysema, requiring home oxygen.
    7. You do not have pancreatic cancer, liver cancer or any type of cancer that has metastasized or that required a bone marrow transplant.
    8. You do not have kidney disease requiring dialysis.
    9. You have not had or are not waiting for an organ transplant.
    10. You have not been diagnosed with congestive heart failure also known as pulmonary edema.

     

    Confirm Eligibility

    YesNo

     

    If you are a Visitor to Canada and are 60 years of age or older please complete these questions and your answer will determine the premium (cost) of your Emergency Medical Insurance.

    It’s important to answer the Medical Questionnaire correctly. If you qualify for the insurance but you inaccurately answer any of the Rate Qualification questions, a $15,000 CAD deductible applies to any incident claimed.

    Have you had any of the following in the last 12 months?

    Have you had any of these conditions in the last 12 months?

    Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.

    In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?

    YesNo

    Additional Traveller 4

    Birth Date

    Amount Paid in Canadian Dollars (Identify the sum per person)

    Purchased, prepaid and non-refundable travel arrangements include flights, tour cost, accommodations etc.

    DepositFull Payment

    Is this traveller a visitor to Canada ?

    YesNo

    Verify eligibility

    You are eligible for Medical Coverage if:

    1. You know of no reason for which you may seek medical attention.
    2. You are a visitor to Canada.
    3. You are not travelling against a physician or other registered medical practitioner’s advice.
    4. You have not been diagnosed with a terminal condition.
    5. You are not receiving palliative care or palliative care has not been recommended.
    6. You do not have Chronic Obstructive Pulmonary Disease (COPD), including emphysema, requiring home oxygen.
    7. You do not have pancreatic cancer, liver cancer or any type of cancer that has metastasized or that required a bone marrow transplant.
    8. You do not have kidney disease requiring dialysis.
    9. You have not had or are not waiting for an organ transplant.
    10. You have not been diagnosed with congestive heart failure also known as pulmonary edema.

     

    Confirm Eligibility

    YesNo

     

    If you are a Visitor to Canada and are 60 years of age or older please complete these questions and your answer will determine the premium (cost) of your Emergency Medical Insurance.

    It’s important to answer the Medical Questionnaire correctly. If you qualify for the insurance but you inaccurately answer any of the Rate Qualification questions, a $15,000 CAD deductible applies to any incident claimed.

    Have you had any of the following in the last 12 months?

    Have you had any of these conditions in the last 12 months?

    Choose a condition if, in the specified timeframe, you had the condition, whether or not you received any medical care for it. This includes conditions controlled or managed by medication, a medical device, diet or exercise.

    In the last 12 months, have you smoked any tobacco products, or vaped any nicotine products (including e-cigarettes)?

    YesNo

    Comments / Additional Information

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