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International Student Health Insurance
We hope you are safe and healthy - we want you to stay that way.
It is very important to have a health insurance especially during this time!
Thank you for filling the Health Insurance Information form.
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* Indicates required question
Do you currently have health insurance?
*
Yes, I do
No, I do not
What is your health insurance company? Include the company name or "None"
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Your answer
How satisfied are you with your current insurance company?
1
2
3
4
5
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Do you think your insurance covers what you need - based on the information on our webpage
https://www.montgomerycollege.edu/international-and-esl-students/international/resources-and-support/health-care-and-required-medical-insurance.html
?
Yes
No
I am not sure
Clear selection
Full Name
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Your answer
Email Address
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Your answer
M Number (8-digit number starting with "M")
*
Your answer
Your International Coordinators Office
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