Applicant (policyholder, insured person)
You can only apply for this insurance, if you provide an address in Germany.
Title *
Mr.
Ms.
Secure SSL connection
Payment methods
Period of insurance
01. January
01. February
01. March
01. April
01. May
01. June
01. July
01. August
01. September
01. October
01. November
01. December
2023
2024
2025
2026
Period of insurance
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months
16 months
17 months
18 months
19 months
20 months
21 months
22 months
23 months
24 months
25 months
26 months
27 months
28 months
29 months
30 months
31 months
32 months
33 months
34 months
35 months
36 months
37 months
38 months
39 months
40 months
41 months
42 months
43 months
44 months
45 months
46 months
47 months
48 months
49 months
50 months
51 months
52 months
53 months
54 months
55 months
56 months
57 months
58 months
59 months
60 months
Study details insured person
Yes
No
Has the insured person a limited residence permit in Germany*
Study type *
Student (Bachelor, Master, PhD)
University preparatory course (college)
Post-doctoral researcher
Language student
Trainee
Pupil
Work & Travel
Graduate searching for a job in Germany
Accompanying family member
Yes
No
The insured person has a health insurance until the commencement of the new MAWISTA student health insurance (e. g. visa health insurance or health insurance plan)*
Health insurance
MAWISTA Student Classic (excluding liability and accident insurance)
MAWISTA Student Classic Plus (including liability and accident insurance)
MAWISTA Student Comfort (including liability and accident insurance)
Medical questions
Yes
No
Within the last 36 months period, have you been treated or have you sought/received medical advice for a chronic, ongoing medical condition or received repeat medical treatment, or are you taking prescribed drugs on a regular basis (except contraceptive pills etc.)?
Yes
No
Are you awaiting results of tests/investigations or have any medical treatment planned, advised or is pending (including but not limited to hospital admission or surgery)?
Country of origin (last domicile)
The country of the permanent or usual place of residence prior to start of the temporary foreign residence.
Germany
another country (please state which)
Payment method
by SEPA direct debit
by credit card
Declaration of agreement
I have read and hereby accept the
Consumer and Product Information Sheet and the Terms and Conditions of Insurance
.
Yes, I have read the
notification for the disclosure obligation and the consequences of false statements.
My statements are in all truthfullness complete and true.
I consent to MAWISTA GmbH sending me information and offers on other products for advertising purposes by email. I can object to the
use of my data
for advertising purposes at any time, for example by email to
info@mawista.com
Yes, I sufficiently informed myself about the product and I would like to continue without further consultation.
We are legally obligated to inform you that waiving the right to consultation may adversely affect the ability to assert a claim against us due to a breach of obligation of consultation.
I would like a consultation.
We would be happy to advise you by phone: +49 7024 469 51-0