Fill out the basic information
Health Statement Declaration
Step 1: Fill out the basic information
Step 2: Health Statement Declaration
Step 3: Confirmation
CareMore – Refundable Critical Illness Insurance Plan
Please confirm the information below:
Date of Birth
Premium Payment Term
Q1. Height & Weight
Q2. Have you ever had cancer or carcinoma-in situ, heart disease, stroke or mini-stroke, diabetes, Hepatitis C, HIV or AIDS?
Q3. In the last 5 years have you had any condition affecting your arteries, brain, blood, lungs, kidney, liver or pancreas?
Q4a. Have you had a tumour, lump, nodule, polyp or cyst, OR in the last 5 years have you undergone investigations to screen cancer which showed abnormal results?
Q6a. Have any of your parents, brothers or sisters suffered from cancer before age 50?