Waiver of Pre-existing conditions - 2024 Travel Insurance Buyers Guide - QuoteWright (2024)

Travel Insurance Excludes Pre-existing Conditions, But Offers Waiver

In our article on pre-existing medical conditions we learned how travel insurance companies define pre-existing medical conditions and how far they look back into someone’s medical history in determining whether or not the condition is pre-existing. More importantly, we also learned that pre-existing medical conditions are excluded from nearly all benefits on a travel insurance policy. In this article we are going to look at the best way to get travel insurance that covers pre-existing medical conditions, a benefit that's known as the "Pre-Existing Medical Condition Waiver" or also "Waiver of Pre-Existing Medical Conditions".

What is the Waiver of Pre-Existing Medical Conditions in Travel Insurance?

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 certaincomprehensive package plansthat includetrip cancellation/trip interruption. It's what's known as anextra time sensitive benefit, the waiver of pre-existing medical conditions does not cost anything extra, it's not an option you can add to your policy. It is only available if you qualify for it.

  • Waiver of Pre-Existing Medical Conditions “waives” travel insurance Pre-existing Medical Condition Exclusion- Pre-Existing Medical Conditions would be covered

How Do I Qualify for the Pre-Existing Medical Condition Waiver?

Qualifying for the Waiver of Pre-Existing Medical Conditions varies by plan. Usually there are three key requirements common in most policies. Depending on the plan, some may have additional requirements. It's important to note that the Waiver of Pre-Existing Medical Conditions is an all or nothing benefit. You either meet all of the qualification criteria or you do not.

So what are the qualifications that must met? They are:

  • You must purchase the insurance within a required time following your initial trip payment
  • You must insure for the full pre-paid, non refundable cost of your trip; and
  • You must be medically able to travel at the time you purchase the insurance

In addition, some plans may also require the following:

  • The initial deposit must be the first and only booking for that travel time and destination
  • Trip costs over a certain dollar amount may be ineligible

You can purchase plans that offer a Pre-Existing Medical Condition Waiver but you have to qualify for it with the plans that offer it. Qualifying for it usually requires the plan be purchased within a certain time from the first trip payment, insure to the full trip cost and all travelers being insured have to be medically able to travel at the time of purchase.

You includes you and any family members insured on the same policy.

Purchasing the Travel Insurance Within the Required Time Frame of Your Initial Deposit

With most plans that offer the Waiver of Pre-Existing Medical Conditions, the insurance must be purchased within 15-21 days (varies by plan) of making your initial trip deposit. There are a few plans that require the insurance be purchased prior to, or within 24 hours of making your final payment.

What does this mean? Your initial trip payment or initial deposit is the first time that you have put any sort of money or payment towards any portion of your trip. When you first make a payment towards your trip, the countdown for qualifying for the waiver begins. It is important to understand that while you may think of things like air fare, cruise fare, rentals and the like as being independent from one another, in the eyes of the travel insurance companies- it’s all part of the trip you're going on. Keep this countdown in mind when you make a small deposit on your trip that you may not be paying off for several months to a year to come.

What about the plans that offer the waiver as long as you purchase the travel insurance prior to, or within 24 hours of your final payment? Usually with those policies the final payment is considered a large final final payment.

Insuring For the Full Cost of the Trip

Buying the insurance within the time period required is just one step towards qualifying for the waiver. Most plans also require that you purchase insurance for the full non-refundable cost of your trip as well. What is the full non-refundable cost? It is the monetary amount that you would lose if your trip was to be cancelled. A good rule of thumb is this- if you had to cancel the day you were leaving, what would your losses be? Insure for that amount. For example, if you’re trip was $5,000 and if you had to cancel your trip on the day of your departure and the entire cost was non-refundable, then you would insure for $5,000

Non-refundable cost of your trip is

  • Total of all pre-paid out of pocket non-refundable travel expenses
  • If you had to cancel day of departure, what would your losses be? Insure for that amount

    I should mention here that sometimes there is a temptation to under-insure, especially if the cost of your trip is just over a rate band threshold- don't do it. With many travel insurance companies, rate bands are usually in $500 per person increments ($1-$500 per person, then $501 to $1,000 per person, etc) until you get to around trip costs of $7,000 to $8,000 per person- then some start going in $1,000 per person increments. So a trip that is $2,001 is in the same price category as one that is $2,500. While understandably it's disheartening to find your trip cost just putting you into the next higher rate band category, but if you're trying in qualifying for the waiver, you must insure for the higher amount.

    You Can Modify Your Travel Insurance Policy

    What if you’ve only made a deposit on your trip and the balance isn’t to be paid off until much later? Your travel insurance policy can be modified. You'd insure for what the pre-paid non refundable cost would be at that time and then add to your policy's trip cost as soon as you make more payments. Subsequent payments toward a trip must be added to your policy’s trip cost within 15 to 21 days (varies by policy) of making those additional arrangements. So if your policy required you to purchase the insurance within 21 days of making your initial travel deposit, any further trip costs you incur must be added to the policy within 21 days of doing so. You would just pay the additional premium due. We recommend taking your best guess as to what the total cost of your trip could end up being.

    Being Medically Able to Travel

    Most plans require that you(and other traveling family members) are medically able to travel on the day you purchase the insurance, not at the time of your trip. This is important to understand.

    Additional Requirements

    As mentioned earlier, some plans may have additional requirements. Usually this entails the waiver only applying to trip costs under a certain amount - usually $10,000 per person. Sometimes it can be more. Usually you see this on the more lower priced, economy plans that offer the waiver.

    What about the part that says it must be the first and only booking for that travel period and destination? That’s the travel insurance companies way of not allowing someone to cancel and rebook their trip so that they can be eligible for the waiver.

    Not Meeting the Requirements

    What if you’re within the 15 days of qualifying for the waiver, but you didn’t insure for the full non-refundable cost of your trip? Or what if the trip was fully refundable on the date of departure? Or at the time you bought the insurance you weren’t medically able to travel, but hoping that as you got closer to your departure date that you would be? As mentioned above, with the Waiver of Pre-Existing Medical Conditions you either meet all of the requirements or you don’t. It’s all or nothing.

    A Benefit of Good Faith

    The Waiver of Pre-Existing Medical Conditions is a benefit of good faith. Proof that you met the requirements only occurs in the event of a claim.

    Tips

    As soon as you make any sort of payment towards any portion of your trip, start looking at travel insurance!

    As mentioned above, the Pre-Existing Medical Condition Waiver is a benefit of good faith - proof that you qualified is only required in the event of a claim. We recommend keeping all of your receipts handy - remember the initial deposit is the first time you've made any sort of payment towards any portion of your trip. If you're not certain about whether or not your medically able to travel, you can always talk to your primary doctor and to make sure you're clear to go to get it on record.

    Waiver of Pre-existing conditions - 2024 Travel Insurance Buyers Guide - QuoteWright (2024)

    FAQs

    What is a pre-existing condition waiver for travel insurance? ›

    What is the Waiver of Pre-Existing Medical Conditions in Travel Insurance? Simply put, the Waiver of Pre-Existing Medical Conditions covers, or “waives” the companies right to exclude pre-existing medical conditions from their policy.

    What are the most common pre-existing conditions? ›

    What are some examples of pre-existing health conditions? Chronic illnesses and medical conditions, including many forms of cancer, diabetes, lupus, epilepsy, and depression may be considered pre-existing conditions. Pregnancy before enrollment is also considered pre-existing and chronic.

    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.

    Is high blood pressure a pre-existing medical 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.

    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.

    What conditions are not covered by travel insurance? ›

    Injuries or illnesses which occur during your trip are covered-unless they relate to a pre-existing injury or illness. However, some policies cover some pre-existing injuries or illnesses if you pay a higher premium. There may be exceptions to this such as terminal illnesses, mental disorders and heart conditions.

    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 are serious pre-existing conditions? ›

    A serious pre-existing condition is one that may require intensive medical intervention to treat or manage; or have high risk of future complications or recurrence, and therefore may require prolonged treatment.

    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.

    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.

    How long can an insurer exclude coverage for a pre-existing condition? ›

    Your policy may delay coverage for pre- existing conditions for up to one year after your policy starts. This is called an “exclusion period.” This period is shorter if your previous insurance ended within the last two months.

    What is a 12 month pre-existing condition limitation? ›

    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 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.

    Do I need to declare high cholesterol on travel insurance? ›

    If you're about to sign up for travel insurance, make it clear that you have this condition when you register. If you don't tell your insurer about a pre-existing medical condition (including high cholesterol), you may not be able to claim if something happens as a result of your condition on holiday.

    Does taking blood pressure tablets affect travel insurance? ›

    The quick answer to this question is: yes. You should always tell your insurer about your high blood pressure, even if it's being well-managed through medication.

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

    A pre-existing condition is a short or long term illness or injury you have or have had before you buy travel insurance, whether that's having symptoms, tests, diagnosis or medical treatment. This includes: Urinary tract infections. Cancers. Heart conditions (irregular heartbeat/angina/heart disease)

    What is a travel insurance waiver? ›

    A travel insurance waiver is a document used by travelers to waive the coverage of their travel insurance plan. By signing this waiver, travelers relinquish their right to receive reimbursem*nt from their insurance company if they are injured, become ill, or are robbed while traveling.

    What is the pre-existing look back period for 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 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.

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