Students Health Insurance Basic

Start Date of Insurance Period:

You can choose the start date of your insurance (always the 1st of the month).

If you want to be insured immediately, please chose the current month*.

*If this date is in the past the insurance period will start with this date and you have to pay premium for the whole period. Insurance cover (payment for expenses for medical treatment) will not start before we have accepted your application for insurance.

You will be insured instantly after receiving a positive answer that you have been accepted (confirmation e-mail).

Bank Details:

Please enter your Austrian or other European Bank Account.

The payment will be withdrawn from your account automatically.

Payment method – Direct Debit

SEPA-Direct Debit Mandate (Authorization to collect the receivables via SEPA Direct Debit)


I/We allow the named recipient of payments to withdraw payments from my/our bank account via SEPA-Direct Debit.

In addition, I/we authorize my/our credit institution to transfer the claims made by the named recipient of payments from my bank account via SEPA-Direct Debit.

I/We can request within eight weeks from the debit date a refund of the charged amount. The agreed upon with my/our credit institution conditions are valid in this case.


IBAN
Payment recipient:

UNIQA Österreich Versicherungen AG
Creditor-ID: AT10AT00000001017
A-1029 Wien, Untere Donaustraße 21