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This form is for extended health care, dental and hospital coverage. If you are interested in the standalone travel coverage, please follow the application information for the travel plan.
What you need to apply
- Your PGA membership number
- Your health card and the health card for your spouse and any dependents, if applicable
- Current insurance information, if applicable
- A cheque for reference for bank deductions and direct deposit for claim payments
If you have questions or need help completing the form, please contact our team.