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

Editorial Note: We earn a commission from partner links on Forbes Advisor. Commissions do not affect our editors' opinions or evaluations.

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)

Compare & Buy Travel Insurance

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.

Featured Travel Insurance Partners

1

AXA Assistance USA

Preferred Plan

Platinum

Covers Covid?

Yes

Medical & evacuation limits per person

$250,000/$1 million

1

AXA Assistance USA

Get A Quote

Via Forbes Advisor's Website

2

Cat 70

Preferred Plan

Travel

Covers Covid?

Yes

Medical & evacuation limits per person

$500,000/$500,000

2

Cat 70

Get A Quote

Via Forbes Advisor's Website

3

GoReady (formerly April)

Preferred Plan

Pandemic Plus

Covers Covid?

Yes

Medical & evacuation limits per person

$50,000/$500,000

3

GoReady (formerly April)

Get A Quote

Via Forbes Advisor's Website

Helping You Make Smart Insurance Decisions

Get Forbes Advisor’s ratings of the best insurance companies and helpful information on how to find the best travel, auto, home, health, life, pet, and small business coverage for your needs.

Thanks & Welcome to the Forbes Advisor Community!

By providing my email I agree to receive Forbes Advisor promotions, offers and additional Forbes Marketplace services. Please see our Privacy Policy for more information and details on how to opt out.

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

FAQs

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

If you have a pre-existing medical condition, it's important to purchase travel insurance shortly after making your initial trip payment. Based on our quote collection process, we found that you usually need to be within 10 to 21 days of your first trip payment to qualify for a pre-existing conditions waiver.

How does travel insurance work for pre-existing conditions? ›

Unless your plan specifically states that it covers such issues, then it's safe to assume that the expenses you incur before or during your trip because of a pre-existing illness or injury are likewise excluded from coverage. Eligible travelers can obtain a pre-existing condition exclusion waiver to trigger coverage.

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 is the look back period for preexisting travel insurance? ›

However, some policies have a look-back period of 60 to 180 days. If the preexisting ailment, injury or illness has changed or worsened in that period, or you've received care for it, an insurer can deny the waiver and won't cover your preexisting condition.

What is a waiver of pre-existing conditions? ›

Simply put, the Waiver of Pre-Existing Medical Conditions covers, or “waives” the companies right to exclude pre-existing medical conditions from their policy. It's a feature only available with certain comprehensive package plans that include trip cancellation/trip interruption.

Can pre-existing conditions be denied? ›

Health insurers can no longer charge more or deny coverage to you or your child because of a pre-existing health condition like asthma, diabetes, or cancer, as well as pregnancy.

How do you 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.

What conditions are not covered by travel insurance? ›

Conditions which may not be covered

Conditions like terminal illness, the need for oxygen, pending surgery, chronic lung disease, cardiovascular disease, specific types of cancer, congestive heart failure, and recurring pain are generally excluded from coverage.

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.

How do insurance companies determine pre-existing conditions? ›

How are pre-existing conditions determined? A pre-existing condition is typically when you have received treatment or diagnosis before you enrolled in a new health plan.

What is a pre-existing medical condition for travel? ›

A pre-existing condition is a medical condition or injury that you've been diagnosed with and are being treated for prior to filling out your travel insurance or health care plan. They typically include things like heart conditions, joint problems and any type of cancer.

How many days before should you buy travel insurance? ›

If you're wondering when you should buy travel insurance, the simple answer is as soon as possible. Ideally, you'll buy coverage no later than 15 days prior to your trip.

Does AARP offer international travel insurance? ›

While there are no travel insurance AARP products or discounts available for seniors, members can use the AARP website for trips and tricks on how to plan for international travel and information regarding how to choose the right insurance plan for older travelers.

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.

What counts as a pre-existing 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.

What is pre-existing condition exclusion for travel insurance? ›

With many travel medical insurance plans, a pre-existing condition is defined as any medical condition, sickness, injury, illness, disease, mental illness or mental or nervous disorder or resulting consequence, regardless of the cause, that existed with reasonable medical certainty during a specified amount of time ...

What is a stable pre-existing condition? ›

The definition of “Stable” can vary from policy to policy, so be sure to check your policy's wording, but “Stable” generally means that the condition has not changed or worsened in any way.

Top Articles
Latest Posts
Article information

Author: Patricia Veum II

Last Updated:

Views: 6469

Rating: 4.3 / 5 (44 voted)

Reviews: 91% of readers found this page helpful

Author information

Name: Patricia Veum II

Birthday: 1994-12-16

Address: 2064 Little Summit, Goldieton, MS 97651-0862

Phone: +6873952696715

Job: Principal Officer

Hobby: Rafting, Cabaret, Candle making, Jigsaw puzzles, Inline skating, Magic, Graffiti

Introduction: My name is Patricia Veum II, I am a vast, combative, smiling, famous, inexpensive, zealous, sparkling person who loves writing and wants to share my knowledge and understanding with you.