Free Annual Review Request - Right to Health

Right to Health is authorised and regulated by the Financial Conduct Authority. Right to Health will make no charge to you whatsoever for this service. There is also no obligation for you to change or take up any advice that we may provide you in the future.

Fields marked * are required in order to conduct your review each year
If possible, please provide a copy of your latest Renewal Certificate
Need assistance? Please call the Review Team directly on 01322 477595

Your personal details
Title*
First name*
Surname*
Email address*
Date of birth*

Day
Month
Year

For example, 12 11 1980
Telephone*
Postcode*
Please add a partner and/or any dependants if required
Full name Date of birth
Do you have an existing health insurance policy?*
About your policy
Insurer*
For example, AVIVA, AXA
Plan type/name*
For example, Healthy Solutions
Renewal date*

Day
Month
Year

For example, 05 06 2020
Excess amount in (£)*
For example, 100.00
Premium amount in (£)*
For example, 100.00
Frequency paid*
If possible, attach a copy of your latest Renewal Certificate
Max. file size: 16 MB.
(Allowed file types: pdf, jpg, gif, png)
Policy features
Outpatient amount*
For example, NIL, £500.00, £1,000.00, FULL
Cancer cover*
For example, NIL, REDUCED, FULL
Psychiatric cover*
For example, NIL, REDUCED, FULL
Therapies*
For example, Physiotherapy (Enter NA if not included)
Optional 4 or 6 week wait plan*
For example, 4 week, 6 week (Enter NA if not included)
This field is hidden when viewing the form
Notes
Additional notes
Please provide any additional details that you think might assist you in providing you with an accurate quote.
This field is hidden when viewing the form
Permissions
*
- I hereby give permission for Right to Health Ltd to review my policy each year (until further notice)
*
- I hereby give permission for Right to Health Ltd to contact me for a free review of the marketplace (until further notice)
At Right to Health we take data protection and your privacy very seriously.
By proceeding you’re agreeing to our Privacy Policy

Free Annual Review

General Information Request Form

Complete this simple form for your free,
no-obligation review of the marketplace each year.

Your personal details

About your policy

Policy features

Notes

Permissions

Full name	Date of birth

Free Annual Review

General Information Request Form

Complete this simple form for your free, no-obligation review of the marketplace each year.

Your personal details

About your policy

Policy features

Notes

Permissions

Complete this simple form for your free,
no-obligation review of the marketplace each year.