Health Insurance Requirement and Card

If you are preparing to attend NU-Q and you possess a Qatar identification card, you are responsible for obtaining and renewing your own State of Qatar national health insurance card.  If you do not have a national health insurance card, you can apply for it by completing the health card application.  Once you have completed the application, you may submit the signed document and any other required documents to the nearest primary health care center. If you already have a national health insurance card, please make sure it is valid. You can check the validity and renew your card, if necessary, online by visiting http://portal.www.gov.qa/. Click on “More” under “For Citizens and Residents” and then choose “Health Card."

Special instructions

• Fill in “Mother’s Name” with your mother’s full name (first, middle, last) (this is in upper right corner of form)
• Fill in the “Electricity #” the number printed on the metal plate over the front door of your home
• Leave blank numbers 1-3
• Complete numbers 4-15 and 17, as appropriate
• Complete number 16, “ID Number” with your Qatar ID number.
• Sign your name by “Applicant’s Signature”

As a benefit of being a student at NU-Q and a resident of the State of Qatar, all students will be given the Qatar National Health coverage as well as required to purchase supplementary private insurance.

Download the application »

Instructions:

Policy details

This information is completed and no response from you is required.

Your details

• Fill in your “first name”
• Fill in your “middle name”, please include all middle names
• Fill in your “last name”, which is your family name or surname
• Fill in your “date of birth” in the format of the date/month/year in 4 digits (i.e., 03/05/1995), and tick the box next to “date of birth” if you are under 18 on August 1st 2013
• Tick the box indicating your gender as “male” or “female”
• Fill in your “Home Country” with the name of the country in which you normally live, which you consider to be your home. 
• Fill in your “nationality/citizenship with the names of all the countries for which you hold a passport.

School and country of study

This information is completed and no response from you is required. 

Acknowledgements

Please read this section and refer to the “policy wording” document to support your understanding of this section.

Declaration

Please read this section and provide your signature in the “signature of applicant” box. If you are under 18 on August 1st 2013, please have your legal guardian sign. 
 
Once you have completed and signed the application, attach a front/back copy of your Qatar national health insurance card and a front/back copy of any other insurance certificates  (e.g. parent’s health insurance).  Students coming to NU-Q from outside of Qatar will not have a Qatar national health insurance card to submit at the time of this application and it is appropriate for these students to submit just the National Health Card application along with the Application for Insurance NUQ StudentCare Plus Plan. 

Submit these documents to the Counseling and Wellness Office located in the NUQ Student Affairs suite, of the Carnegie Mellon Building, room 3088 on or before the first day of the second week of class for the fall semester. You may also submit your documentation via email as an attachment to patricia.collins@northwestern.edu.  Please be aware that email is not completely secure. Once you are enrolled in the StudentCare Plus Insurance Plan, all communication from StudentCare will come directly to you via email (set email filter settings to allow receipt of StudentCare emails) or regular mail in care of the NU-Q Department of Student Affairs. 

Need more help completing the application?

Any and all correspondence, including questions about your application, policy benefits, claims and requirements must be directed to StudentCare.
tel.  0064 9309 2119
fax.  0064 9309 4119
email.  claims@studentcareinsurance.com
web.  www.studentcareinsurance.com