geo-blue.com Open in urlscan Pro
68.168.86.224  Public Scan

Form analysis
2 forms found in the DOM

Name: login — POST /login/login_action.cfm

<form class="login" method="post" name="login" action="/login/login_action.cfm">
  <input type="text" name="username" placeholder="User Name" autocomplete="off">
  <input name="password" type="password" placeholder="Password" autocomplete="off">
  <div class="flButton"><input class="button3" type="submit" value="Go" title="Homepage - Login"></div>
  <div style="display:inline-block;"><a href="/login/help_step1.cfm" title="Forgot Password">Forgot Password?</a></div>
  <input type="hidden" name="script_name" value="/membersHub/memberhub.cfm">
</form>

Name: quoteForm — POST /group_quote/group_quote_action.cfm

<form method="post" name="quoteForm" action="/group_quote/group_quote_action.cfm" id="quoteForm" autocomplete="off">
  <input type="Hidden" name="encryptedCount" value="44C3A8E5BDC37150C59264F8EFB0FB20F797A399">
  <div class="colOne topDiv">
    <select name="tripType" id="tripType" class="required" aria-label="Select Type of travel">
      <option value="Long Term Travel">Long Term Travel</option>
      <option value="Short Term Travel">Short Term Travel</option>
      <option value="Long &amp; Short Term Travel">Long &amp; Short Term Travel</option>
    </select>
  </div>
  <div class="colTwo topDiv">
    <select name="groupSize" id="groupSize" class="required notSelected" aria-label="Number of Employees Travelling">
      <option value="" selected="selected"># of Employees Traveling</option>
      <option value="1">1</option>
      <option value="2-50">2-50</option>
      <option value="51-150">51-150</option>
      <option value="151-250">151-250</option>
      <option value="551-500">251-500</option>
      <option value="500+">500+</option>
    </select>
  </div>
  <div style="clear:both"></div>
  <input type="text" name="name" placeholder="Your Name" id="yourName" class="required">
  <input type="text" name="company" placeholder="Company Name" id="compName" class="required">
  <input type="text" name="emailAddress" data-requiredtype="email" id="contactTypeEmailInput" placeholder="Email" class="required">
  <div style="float: right; width:1px; height:1px; overflow: hidden;">
    <input type="password" name="confirmEmailAddress" id="confirmEmailAddress" value="" autocomplete="new-password" tabindex="-1" style="padding: 4px" aria-label="Confirm Email Address">
  </div>
  <div class="colOne">
    <input type="text" name="phoneNumber" id="contactTypePhoneInput" placeholder="Phone Number" class="columnInput">
  </div>
  <div class="colTwo">
    <input type="text" name="zipcode" placeholder="Zip Code" class="columnInput required" id="zipCode" maxlength="5" aria-label="zip code">
  </div>
  <div class="clear"></div>
  <input type="text" id="abc" name="formValidation" value="" tabindex="-1" aria-label="Enter Notes">
  <textarea rows="6" cols="1" placeholder="Notes" name="notes" class="notes" id="notes" aria-label="Notes Text area"></textarea>
  <div class="g-recaptcha" data-sitekey="6LexAhsUAAAAAPGXKeZDk9SvhDEU_lWgBC-i4Nd2" data-callback="callBack">
    <div style="width: 304px; height: 78px;">
      <div><iframe title="reCAPTCHA"
          src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LexAhsUAAAAAPGXKeZDk9SvhDEU_lWgBC-i4Nd2&amp;co=aHR0cHM6Ly9nZW8tYmx1ZS5jb206NDQz&amp;hl=de&amp;v=Nh10qRQB5k2ucc5SCBLAQ4nA&amp;size=normal&amp;cb=xmnpdz893rrz" width="304"
          height="78" role="presentation" name="a-jm7lpjt74lwm" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div>
      <textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
    </div><iframe style="display: none;"></iframe>
  </div>
  <a id="closeForm" class="closeForm btn" title="Close Quote Form" tabindex="0" role="button">
					<div class="button3 colOne closeFormButtonDiv" title="Close Quote Form">Close Form</div>
				</a>
  <div id="submit" class="colTwo submitButtonDiv">
    <input type="submit" name="submitButton" class="button3 disabled" value="Submit Request" id="quoteFormSubmit" disabled="">
  </div>
  <div class="clear"></div>
</form>

Text Content

GeoBlue | International Health Insurance
 


 

 * Products
 * Why GeoBlue?
 * Destination Dashboard
   
   
   DESTINATION DASHBOARD
   
   The GeoBlue Destination Dashboard is a navigation tool for world travelers
   seeking to manage medical conditions and health and safety risks in hundreds
   of important destinations.

 * Wellness
 * Tools & Services
 * Brokers
 * Member Hub

 

Member Support

While you may be struggling to cope with a new way of life, GeoBlue remains here
to provide the same personalized care and high-touch support we always have. Log
in to Member Services to access health and wellness tools available to you.

COVID-19 information regarding provider availability, claims processing and FAQs
is available here.

 

Welcome to GeoBlue

GeoBlue is a leader and innovator in international healthcare. Our group health
plans combine unsurpassed service and mobile technology to help our members
access trusted doctors and hospitals all around the globe.

 

Wellness

GeoBlue has created a comprehensive wellness and assistance program to provide
the tools and support necessary to help members adopt a healthy international
lifestyle.

 

Global Employee Assistance Program (EAP)

GeoBlue offers confidential counseling and support services to provide members
with worldwide access to information, resources, and counseling on any personal
or family related issue.

 

GeoBlue Members

Register today to access important plan information; access your electronic ID
card, locate preferred physicians and facilities, submit and track claims, and
more!


« »



ACCOUNT LOGIN

Forgot Password?
Product Disclosures
Register
Request a Quote
Contact Emergency Services
 * +1.610.254.8771
 * For 24/7 Medical Assistance Including Evacuation.

Contact Customer Service
 * 1.888.412.6403 (U.S.)
 * +1.610.254.5830 (collect outside the U.S.)


COMFORT IN A CHANGING WORLD

GeoBlue helps make the world feel a little safer, a little friendlier and a lot
more familiar.



COMPREHENSIVE SOLUTIONS FOR MULTINATIONAL EMPLOYERS

GeoBlue offers long and short term corporate group products under the Blue Cross
Blue Shield Global brand with the Blue Cross Blue Shield Association and Bupa
Global. This allows us to extend our global reach and enhances our ability to
offer comprehensive and compliant international healthcare solutions for
employees and their dependents, giving them confidence that the care they need
is available when and where they need it. Learn More »





REQUEST A GROUP QUOTE

This form can only be used for group requests.
If you need a travel medical insurance plan for a single person, please visit
www.geobluetravelinsurance.com


Long Term Travel Short Term Travel Long & Short Term Travel
# of Employees Traveling 1 2-50 51-150 151-250 251-500 500+






Close Form




 

©2023 GeoBlue. All Rights reserved.
GeoBlue is the trade name of Worldwide Insurance Services, LLC (Worldwide
Services Insurance Agency, LLC in California and New York), an independent
licensee of the Blue Cross and Blue Shield Association: made available in
cooperation with Blue Cross and Blue Shield companies in select service areas.
Coverage is provided under insurance policies underwritten by 4 Ever Life
Insurance Company, Oakbrook Terrace, Illinois.


 * About
 * FAQ
 * Login
 * Privacy
 * Terms
 * Copyright
 * Contact
 * Mobile Site
 * Careers
 * Product Disclosures
 * California Privacy Rights
 * EU GDPR Privacy Policy
 * Accessibility
 * Transparency in Coverage

Follow GeoBlue

 * 
 * 
 * 

 

loading