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Where do you live?
Within IndiaOutside India but family lives in IndiaOutside India
Who do you want to include in your plan?
Just myselfMyself and familyMyself, Family and People I want to help
Just myselfMyself and family
Are you or any of your loved one coping with a cancer diagnosis ?
YesNo
Age group of members
1 to 18 years19 to 25 years36 to 50 years51 and above
Financial Information
Do you have health insurance coverage?
Yes, but some members of my family are not coveredYes, all members of my family are coveredNo
Are you covered by any government schemes?
Will you be paying for your treatment out of pocket (Self-funded)?
Which of our services are you most interested in (check all that is applicable)?
I need an Expert Second Opinion (within India).I need an Expert Second Opinion (outside India).I need to find the right hospital for my procedure/treatment.I need to find better rates for my care.I need to find a hospital network close to me.
Please note that the data that you are filling will be confidential and will be only used to help us suggest a plan that would suit you the best.
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