How To Get Pre-Existing Conditions Covered By Travel Insurance (2024)

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Travel insurance companies may deny medical-related claims if you have a pre-existing condition. But a feature called “pre-existing medical condition exclusion waiver” can ensure you are covered for problems with pre-existing conditions during your trip.

How To Get Pre-Existing Conditions Covered By Travel Insurance (1)

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What Is a Pre-Existing Condition for Travel Insurance?

A pre-existing condition for travel insurance refers to an injury, illness or medical condition that prompted you to seek treatment, experience symptoms or take medication before buying the travel insurance policy, according to Allianz Travel.

Travel insurance companies normally exclude pre-existing conditions from coverage. These conditions rank among the most frequent reasons for denial of travel insurance claims.

A pre-existing condition waiver means a travel insurance company can’t examine your recent medical records when it’s reviewing a medical claim.

To determine what qualifies as a pre-existing condition, a travel insurance company looks back 60 to 180 days before the day the policy was purchased, says Squaremouth, a travel insurance comparison provider. If you had any changes in your medical status during that period, such as a new diagnosis, a decline in health or the addition of new prescription medication, the condition will be considered pre-existing.

Allianz Travel notes that you don’t need an official diagnosis from a health care professional to have something designated a pre-existing condition for travel insurance purposes.

How to Get a Waiver for a Pre-Existing Condition

You can generally get a pre-existing medical condition exclusion waiver only within 14 to 21 days of making your initial deposit for a trip and only if you insure the full nonrefundable costs of the trip. So it’s really best to buy your travel insurance immediately after booking your trip, and sure the policy includes the exclusion waiver. There is typically no extra cost for the waiver.

If you meet the eligibility requirements for a waiver, such as being “medically able” to travel when your policy is purchased, the insurance company won’t charge extra for a waiver. And most travel insurance policies don’t impose an age limit for getting the exclusion waiver.

Common claims tied to pre-existing conditions include emergency medical care, emergency medical evacuation, trip cancellation and trip interruption.

Here are three possible scenarios where a pre-existing condition exclusion waiver could be used:

  1. You have pre-existing arthritis that brings a halt to your trip plans.
  2. You suffer a mild heart attack while on your trip after being diagnosed with coronary artery disease.
  3. You experience a flare-up of pre-existing lupus while you’re on a cruise.

Without a pre-existing condition exclusion waiver, a travel insurance company won’t pay for medical bills or claims related to your recent medical history. With the exclusion waiver, a travel insurance company can’t examine your recent medical records when it’s reviewing a medical-related claim.

Related: Travel Insurance Considerations For Those With Disabilities

What Documents Are Needed for a Pre-Existing Condition Exclusion Waiver?

The specific documents you need may vary by travel insurance company, but you will likely need to provide a letter from your physician saying you’re medically OK to travel to get a waiver. Note that you usually must be OK to travel on the day you purchased your travel insurance policy. For example, a doctor’s note saying you are expected to be well enough to travel by the time of your trip may not qualify.

Pre-Existing Conditions Not Eligible for a Waiver

Even with a waiver, some conditions likely won’t be covered by travel insurance, such as:

  • Alzheimer’s disease
  • Anxiety
  • Complication-free pregnancy or childbirth
  • Dementia
  • Depression
  • Illness or injury related to alcohol or drug abuse

Some high-dollar trips (perhaps $50,000 or more) also may be ineligible for pre-existing condition waivers.

Be sure to carefully read your travel insurance policy to see what’s covered and what’s not when it comes to pre-existing conditions, or ask your travel insurance agent for help. Also, be aware of the policy’s limits for travel medical insurance and medical evacuation coverage, to avoid any surprises.

Qualifying for a Pre-Existing Medical Condition Exclusion Waiver

Travel insurance companies have limitations on what’s covered by pre-existing medical condition exclusion waivers, and you also must meet some criteria to get one.

Amount of Trip Cost You Insure

You usually must insure 100% of your prepaid, nonrefundable trip costs to qualify for a pre-existing medical condition exclusion waiver.

Health

You may not be eligible for a pre-existing medical condition exclusion waiver for travel insurance depending on your health. That may include a severe medical condition that isn’t under control. Travel insurance policies also often exclude coverage for people with Alzheimer’s disease and mental health conditions like bipolar disorder.

Time of Purchase

Travel insurance companies usually require that you buy a travel insurance policy within a certain period after making your first trip deposit in order to qualify for a pre-existing condition exclusion waiver. For example, some travel insurance companies require you to buy a policy within 14 days of making your first deposit if you want the exclusion waiver.

Which Travel Insurance Companies Offer Pre-Existing Medical Condition Waivers?

Many travel insurance companies offer pre-existing medical condition waivers, but not always on every travel insurance policy they sell. A travel insurance agent can help you identify the policies that have the coverage you want and that offer the exclusion waiver.

Travel insurance companies that offer pre-existing medical conditions waivers on some policies include:

  • AIG
  • Allianz Travel
  • AXA Alliance USA
  • Cat 70
  • Generali Global Assistance
  • GeoBlue
  • GoReady
  • HTH Worldwide
  • ITravelInsured
  • Nationwide
  • Seven Corners
  • Tin Leg
  • Travelex Insurance
  • TravelSafe
  • Trawick International
  • USI Affinity
  • World Nomads
  • WorldTrips

Waiver specifics can vary by company, so make sure to dig into the fine print to understand any exclusions and limits.

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How To Get Pre-Existing Conditions Covered By Travel Insurance (2024)

FAQs

How To Get Pre-Existing Conditions Covered By Travel Insurance? ›

If your pre-existing medical condition is not stable, it will not be covered by travel insurance. However, you will still be able to benefit from your travel insurance coverage for all services and care that are not related to your pre-existing non-stable condition.

Will travel insurance cover pre-existing conditions? ›

If your pre-existing medical condition is not stable, it will not be covered by travel insurance. However, you will still be able to benefit from your travel insurance coverage for all services and care that are not related to your pre-existing non-stable condition.

Is it hard to get insurance with a pre-existing condition? ›

This means that individuals cannot be denied insurance coverage due to pre-existing conditions. Under the Affordable Care Act (ACA), guaranteed issue is a fundamental provision that ensures individuals with existing health issues have the same access to insurance as those without such conditions.

How to avoid pre-existing condition exclusion? ›

If your health plan is fully compliant with the ACA and obtained in either the individual/family market or the employer-sponsored market, you no longer need to worry about pre-existing condition exclusion periods.

How do you prove illness for travel insurance? ›

Regardless, if you feel too sick to travel it's important to have your opinion confirmed and your diagnosis documented by a doctor. Medical documentation will be required if you're looking to be reimbursed for your non-refundable trip costs if you have to cancel your trip.

What qualifies as a pre-existing condition? ›

A health problem, like asthma, diabetes, or cancer, you had before the date that new health coverage starts. Insurance companies can't refuse to cover treatment for your pre-existing condition or charge you more.

Can insurance deny coverage for preexisting conditions? ›

If you are enrolled in a plan since 2010, then your insurer can't legally deny you coverage or charge you higher premiums because you have a pre-existing condition. The Affordable Care Act, passed in 2010, made it illegal for insurers to deny you coverage or charge high rates for pre-existing conditions.

What counts as a pre-existing medical condition? ›

A pre-existing medical condition (PEMC) is an illness or injury you had before your policy began or was renewed. Examples of pre-existing medical conditions include, diabetes, asthma, high cholesterol or a long-term back condition.

Is high blood pressure considered a pre-existing condition? ›

In the health insurance world, a pre-existing condition is any injury, sickness or condition that exists before the date an insurance policy takes effect. Examples include asthma, diabetes, anxiety, depression, high blood pressure, high cholesterol and so on.

When did pre-existing conditions end? ›

Before 2014, some insurance policies would not cover expenses due to pre-existing conditions. These exclusions by the insurance industry were meant to cope with adverse selection by potential customers. Such exclusions have been prohibited since January 1, 2014, by the Patient Protection and Affordable Care Act.

How far back is a pre-existing condition? ›

A pre-existing medical condition is a disease, illness or injury for which you have received medication, advice or treatment or had any symptoms (whether the condition has been diagnosed or not) in the five years before your joining date. Health insurance doesn't usually cover 'pre-existing conditions'.

What happens if pre-existing conditions are not covered? ›

Pre-existing Diseases Waiting Period

Most health insurance plans cover pre-existing diseases after a waiting period. During this period, any claim raised for the treatment of a pre-existing disease will be rejected by your insurance provider.

What are the exceptions to pre-existing conditions? ›

The only exception to the pre-existing coverage rule is for grandfathered individual health insurance plans — the kind you buy yourself, not through an employer.

Can travel insurance deny pre-existing conditions? ›

Travel insurance companies can deny medical-related claims if you have a pre-existing condition. But a feature called “pre-existing medical condition exclusion waiver” can ensure you are covered for problems with pre-existing conditions during your trip.

Does travel insurance ever pay out? ›

Offered as an add-on to many insurance policies, this coverage lets you cancel your trip for a reason not covered within a typical trip cancellation benefit. If you need to use this coverage, you'll typically get 50% to 80% of your prepaid travel expenses refunded.

What is a stable pre-existing medical condition? ›

Stable - any medical condition or related condition (including any heart condition or any lung condition) for which there have been: no new treatment, new medical management, or new prescribed medication; and. no change in treatment, change in medical management, or change in medication; and.

What is often not covered in travel insurance? ›

According to Allianz Global Assistance, a travel insurance provider, "Trip cancellations and trip interruptions due to known, foreseeable, or expected events, epidemics, or fear of travel are generally not covered."

What is the time frame for pre-existing conditions? ›

The time period during which a health plan won't pay for care relating to a pre-existing condition. Under a job-based plan, this cannot exceed 12 months for a regular enrollee or 18 months for a late-enrollee.

Can you get travel insurance if you have already left? ›

Can I buy travel insurance when I'm already on holiday? Yes. Some insurance providers offer post-departure insurance – sometimes called 'already travelling insurance'. This is extremely handy if you've forgotten to buy cover or realise your policy has run out.

What is the pre-existing look back period for travel insurance? ›

You can also find travel coverage for trip cancellations and interruptions due to preexisting conditions. Look-back periods are generally between 60 and 180 days.

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