Understanding pre-existing conditions and travel insurance

Choosing the right insurance policy for pre-existing conditions, purchasing travel insurance with pre-existing conditions, pre-existing conditions and travel insurance faq, how to get travel insurance with pre-existing condition coverage.

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  • Most travel insurance companies offer waivers for pre-existing stable medical conditions.
  • To qualify for a pre-existing condition waiver, you must buy insurance within a certain timeframe.
  • Keep in mind that not all policies cover pre-existing conditions, so always double-check your policy.
  • Compare travel insurance coverage options and rates with SquareMouth . 

Medical travel insurance is a great way to protect your health and finances when traveling. If you have a pre-existing medical condition, you might assume you can't get coverage. Luckily, many travel insurance companies offer pre-existing condition coverage in the form of a pre-existing condition waiver.

Here's everything you need to know about pre-existing conditions and travel insurance, including how to find coverage options if you have a pre-existing condition.

Even many of the best travel insurance companies define pre-existing conditions as a change in your medical record that includes tests, examinations, treatment, or changes in medication. The changes in your medical record usually result in a diagnosis, which becomes a pre-existing condition. But you do not have to receive a formal diagnosis for it to be considered a pre-existing condition.

Travel insurance companies consider medical conditions within a specified look-back period, or length of time. The medical condition must be stable to qualify for a claim. Conditions are stable if you do not need additional treatment, medication, or diagnoses.

But even if your medical condition is stable, you likely need a pre-existing condition waiver to get coverage if it suddenly worsens while you're traveling. 

Travel insurance look-back periods for pre-existing conditions

If you file a claim, the insurance company has a right to review your medical record and ensure that you did not have a condition related to the claim. This process is known as a "look-back" period since the insurance looks back through your records. 

The look-back period usually includes 60 to 180 days before you buy the policy. Before approving your claim, the insurance company wants to determine if the condition already existed.

The insurance company may approve or deny your claim based on what it discovers. To avoid dealing with the risk of denial, you can qualify for a pre-existing condition waiver instead. 

Many travel insurance companies offer coverage for travelers with pre-existing conditions. For example, Tin Leg Travel insurance , listed in our guide on the best travel insurance for best pre-existing conditions coverage, offers pre-existing condition waivers for all its plans except Tin Leg Economy. 

While there are many options for pre-existing condition coverage, the challenge is finding the right one for you. 

Comparing policy terms and benefits

When comparing insurance policies, you should pay attention to the coverage limits for emergency medical and acute onset of a pre-existing condition. You should also assess the time window in which you must purchase insurance to receive coverage for pre-existing conditions. If you've already waited a week before purchasing, you may already be ineligible for a waiver with certain companies. 

You can contact individual companies for quotes or work with a travel insurance comparison site like TravelInsurance.com, SquareMouth, or InsureMyTrip . Comparison sites allow you to review multiple quotes at once. You can usually filter results based on companies that offer pre-existing medical condition waivers. 

Regardless of which company you choose, it's important to understand the policies regarding pre-existing conditions and adhere to the requirements.

With a pre-existing medical condition waiver, you disclose your medical conditions to your insurance provider and ensure that the condition does not impact your ability to file a claim. If you have a waiver, you can even bypass the look-back period.

The waivers are set up through the travel insurance company and should not impact the cost of your policy.

Application process and documentation

You must meet the following criteria to qualify for a pre-existing medical condition waiver:

  • Stable medical condition: Conditions are stable if you do not need additional treatment, medication, or diagnoses. You also need a letter from your doctor to confirm that you are medically fit to travel on the day of your trip.
  • Get coverage within a certain timeframe: You typically need to establish coverage shortly after you make your first payment towards the trip, but timelines vary by provider. 
  • Coverage must equal nonrefundable costs: If there are nonrefundable parts of your trip, your travel insurance coverage must equal or exceed that amount. 

For example, if you were diagnosed with high blood pressure a few years ago, but the condition has been stable since — your medication manages the symptoms, and you have not needed additional medical support — then you likely qualify for a pre-existing condition waiver. 

Some companies do not provide coverage if you have certain health conditions, such as depression, dementia, or Alzheimer's disease, but it varies based on the provider. The coverage details of your policy depend on the plan you select. But comprehensive travel insurance usually covers baggage delays, trip cancellations, and emergency medical care. 

No, many of the best travel insurance companies offer pre-existing condition waivers, so you can get coverage with a pre-existing condition as long as you buy ahead of time. 

A company can deny your travel insurance claim based on what it discovers in the look-back period if you do not have a pre-existing condition waiver.

Obtaining travel insurance for a pre-existing condition at the last minute is unlikely, as most insurers require purchasing the policy within a set time frame from your initial trip deposit.

Disclose your pre-existing condition during the application process by providing detailed and accurate medical information as required by the insurer.

annual travel insurance for pre existing conditions

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Does Travel Insurance Cover Pre-Existing Conditions? (2024)

If you have certain types of pre-existing medical conditions and need travel insurance, you may still be able to get coverage. but first, you’ll have to qualify for a waiver..

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annual travel insurance for pre existing conditions

Table of contents

  • What’s covered
  • Eligibility for waiver
  • Insurance companies
  • How to buy insurance

If you’re planning to take a trip, you need to plan for every eventuality, especially because your health insurance likely won’t cover illness, injury, or emergency medical transport when you’re abroad. [1]

Fortunately, purchasing travel medical and medical evacuation insurance policies can help you (and your traveling companions) get the care you need if you get sick or hurt or experience other types of medical emergencies while traveling.

However, it’s important to note that if you have a pre-existing medical condition, you could be denied coverage unless you qualify for a pre-existing condition waiver. Here’s what you need to know about travel insurance with pre-existing conditions.

Does travel insurance cover pre-existing conditions?

The Centers for Disease Control and Prevention (CDC) recommends that people with pre-existing health conditions get travel medical insurance if they plan to travel abroad, live overseas for more than six months, or participate in dangerous activities, like scuba diving. [2]

However, getting travel medical insurance with a pre-existing medical condition can be tricky. Insurance companies may be more reluctant to offer you coverage since your risk of getting sick or having a flare-up overseas may be higher.

If you have a pre-existing condition and need travel insurance, it’s important to understand what types of coverage may be available and what special terms, if any, may apply. While some plans make exceptions for certain types of pre-existing conditions, you may have to first qualify for a special waiver.

Pre-existing conditions explained

When it comes to travel medical insurance, a pre-existing condition may be defined as an existing health issue or diagnosis, which can include a recent injury or illness or a long-term disease for which you’re receiving medical treatment. [3] It may also be defined as a long-term condition, such as high blood pressure, dementia, or even pregnancy.

In the U.S., under the Affordable Care Act, people with pre-existing conditions can’t be excluded from most types of standard health coverage. However, these same rules don’t apply to travel insurance. [4]

Factors that determine your eligibility for a pre-existing condition waiver

If you have a pre-existing condition, you can benefit from travel medical insurance in the event of an emergency, but you must obtain a pre-existing conditions medical waiver in advance. Without a waiver in place, any claim you file for medical coverage could be denied. This would put you on the hook for costly medical care, treatments, and expenses.

To get a waiver for a pre-existing condition, you’ll need to meet certain eligibility requirements, including:

Being medically cleared to travel

Most travel insurers that offer exclusion waivers require you to be physically able to travel, with no changes to your medical condition for a set amount of time (usually 60 to 180 days). Some travel insurance policies may require medical records, copies of your medical history, or a sign-off by a physician.

Buying your policy within a specific time frame

You must purchase a pre-existing condition waiver within a certain window (typically 14 to 21 days after you’ve made an initial trip deposit or first payment on your trip). Most waivers are good only for the first — and only for one — booking, meaning you can’t reschedule the trip.

Insuring the full cost of your trip

You’ll also likely need to purchase an amount of coverage that’s equivalent to 100% of the non-refundable cost of your trip, including airfare, hotels, and other travel arrangements.

Covered pre-existing conditions

Travel insurance doesn’t typically cover medical treatment for pre-existing conditions without a waiver. But if you qualify for a waiver, any illnesses or injuries that occur during your trip will likely be covered. However, since policies can vary on a case-by-case basis and between travel insurance companies, it’s a good idea to check the fine print of your plan before your trip.

Pre-existing conditions that aren’t typically covered

While many types of pre-existing conditions are eligible for a waiver, most travel insurance companies won’t cover certain medical conditions, including:

Alzheimer’s disease and dementia

Anxiety and depression

Normal pregnancy and childbirth

Conditions related to alcohol and drug abuse

In addition, other circumstances may not be covered, even if they’re medical in nature. For example, a pre-existing medical condition exclusion waiver may not cover a situation such as an accident or illness caused by risky activities, like extreme sports. You also may not be able to get a pre-existing exclusion waiver for trips that are deemed expensive.

Waivers are also only typically available as single-trip policies — meaning you can’t purchase annual travel insurance coverage or multi-trip plans. Your coverage may also have limits. When in doubt, be sure to check with your travel insurance company and review your trip insurance policy’s fine print.

Travel insurance companies that offer pre-existing medical condition waivers

If you have a pre-existing medical condition and need travel insurance, you may be able to qualify for a pre-existing waiver. When comparing options, check the fine print about each travel insurance plan’s waiver requirements, as they can vary widely between companies.

While not all travel insurance companies offer pre-existing medical condition waivers, here are a few to consider:

Seven Corners

Travel Guard by AIG

How to buy travel insurance with a pre-existing condition

If you have a pre-existing condition, here’s how to buy travel insurance:

Gather your options. Shopping around is important. You can check insurance companies’ websites directly or consider using an insurance comparison site to make searching easier.

Review your policy options. Compare each policy’s requirements for waiver eligibility information to find the best travel insurance plan for your needs.

Compare costs from top insurers. Costs can vary between travel insurance plans, so carefully consider the best plan for your budget.

Buy your coverage. Once you find a travel insurance policy that’s a good fit for your pre-existing condition, budget, and travel plans, you’ll need to buy your policy. Most waivers require plans to be purchased within a specific time frame to ensure coverage, so be sure to read the fine print.

Travel insurance pre-existing conditions FAQS

If you have a pre-existing condition, getting travel insurance is still possible. Here are answers to some of the most commonly asked questions that can help guide you in your search for the best travel policy when you have a pre-existing medical condition.

Can you get travel insurance with pre-existing conditions?

Yes. You can get travel insurance with pre-existing conditions. But you may be required to get a special waiver, and some exclusions and special conditions may apply. That’s why it’s important to check the fine print before purchasing a travel policy to ensure coverage.

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

Pre-existing look-back periods are the length of time a travel insurance company may require you to have your pre-existing condition treated or controlled before your travel medical insurance plan’s effective date. Look-back periods are typically about 60 to 180 days, depending on the travel insurance plan.

Does it cost more to purchase travel insurance with pre-existing coverage?

No. Generally, purchasing travel insurance with pre-existing coverage has no extra cost. But to get a pre-existing medical condition waiver, you may have to purchase insurance that covers 100% of your trip.

How do travel insurance companies determine what qualifies as a pre-existing condition?

Travel insurance companies may have different criteria for determining what qualifies as a pre-existing condition, and it’s generally tied to how long you’ve been sick or injured with a condition. But some conditions are generally never exempt, even with a waiver, such as depression or complication-free pregnancies.

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  • Department of Health and Human Services . " Can I get coverage if I have a pre-existing condition? ."

Sarah Archambault

Sarah Archambault enjoys helping people figure out smarter ways to use their money. She covers auto financing, banking, credit cards, credit health, insurance, and personal loans. She’s created and edited content for Credit Karma, Experian and Sound Dollar, along with banks, financial institutions, and insurance companies.

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How to Buy Travel Insurance When You Have a Pre-Existing Condition

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A nationally recognized reporter, writer, and consumer advocate, Ed Perkins focuses on how travelers can find the best deals and avoid scams.

He is the author of "Online Travel" (2000) and "Business Travel: When It's Your Money" (2004), the first step-by-step guide specifically written for small business and self-employed professional travelers. He was also the co-author of the annual "Best Travel Deals" series from Consumers Union.

Perkins' advice for business travelers is featured on MyBusinessTravel.com , a website devoted to helping small business and self-employed professional travelers find the best value for their travel dollars.

Perkins was founding editor of Consumer Reports Travel Letter, one of the country's most influential travel publications, from which he retired in 1998. He has also written for Business Traveller magazine (London).

Perkins' travel expertise has led to frequent television appearances, including ABC's "Good Morning America" and "This Week with David Brinkley," "The CBS Evening News with Dan Rather," CNN, and numerous local TV and radio stations.

Before editing Consumer Reports Travel Letter, Perkins spent 25 years in travel research and consulting with assignments ranging from national tourism development strategies to the design of computer-based tourism models.

Born in Evanston, Illinois, Perkins lives in Ashland, Oregon with his wife.

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Whether—and how—travel insurance covers pre-existing medical conditions remains a source of uncertainty among many travelers. This question I once received from a reader is a case in point:

“My husband and I will fly to Venice on October 6, where we will stay two weeks. I bought our airline tickets last February. My husband is diabetic, managing it with medication, and he just had surgery, after which he is doing well. Can we still purchase trip-cancellation insurance including medical evacuation?”

The short answer: You can buy TCI and medical evacuation (medevac) insurance that will cover cancellation or an evacuation required by your husband’s diabetes—as long as you can show it was totally controlled up to the time of departure. But probably not for potential complications following the surgery. It would cover both of you for any other health problems that arise during your trip.

Sound confusing? The jargon around travel insurance for pre-existing medical conditions is. Here are the pertinent details that travelers with one should know about buying travel health insurance, up to and including medevac insurance.

What Is a “Pre-Existing Condition”?

Most travel insurance, including medical evacuation and trip cancellation, excludes pre-existing medical conditions as a “covered reason” for paying on a claim. Here’s how one insurance company defines that exclusion:

“‘Pre-existing condition’ means any injury, sickness or condition for which medical advice, diagnosis, care or treatment was recommended or received within the 180-day period ending on your date of departure. Conditions are not considered pre-existing if the condition for which prescribed drugs or medicine is taken remains controlled without any change in the required prescription.”

Another company says it this way:

“An illness or injury that you, a traveling companion or family member were seeking or receiving treatment for or had symptoms of on the day you purchased your plan, or at any time in the 120 days before you purchased it. You, a traveling companion or family member are considered to have an existing medical condition if you, a traveling companion or family member:

  • Saw or were advised to see a doctor
  • Had symptoms that would cause a prudent person to see a doctor
  • Were taking prescribed medication for the condition or the symptoms, unless the condition or symptoms are effectively controlled by the prescription, and the prescription hasn’t changed.”

Some policies do not even include the allowance for conditions controlled by medication, but many do. The typical exclusion period ranges from 90 days to 180 days. In my reader’s case, as I noted, a typical policy would cover her husband’s controlled diabetes but not complications from his recent surgery.

Insurance companies are serious about the definition of the “medical advice, diagnosis, care, or treatment” limitation. If you so much as called a doctor about a possible problem, the insurance bean counters could deny a claim.

Waiving Pre-Existing Conditions

The good news about exceptions for pre-existing conditions is that many travel insurance companies waive that exception if you buy the insurance shortly after making your initial travel arrangements. Here’s how one company puts it:

“If your plan includes this coverage, you, a traveling companion or family member can have an existing medical condition and you will still be eligible for all coverage and assistance services, as long as:

  • You purchased your plan within 14 days of making your first trip payment or first trip deposit
  • You purchased trip cancellation coverage that covers the full cost of all your nonrefundable trip arrangements
  • You were a U.S. resident and medically able to travel on the day you purchased the plan, and
  • The total cost of your trip is $20,000 per person or less.”

Depending on the company, the purchase deadline for buying the insurance ranges from seven to 14 days. As far as I can tell, you don’t have to pay anything extra to get pre-existing conditions waived: Just buy the insurance on time.

Health Problems Must Be Unforeseen

Even when they waive the exception for pre-existing medical conditions, almost all policies limit coverage to “unforeseen” medical problems. If you can foresee a problem at the time of buying, insurance is void. As a corollary, you must be fully capable of traveling at the time you buy the insurance.

Buyer’s Guide

Pre-existing conditions are apparently the biggest source of problems between insurance companies and travelers. Given how easy it is to have the whole problem waived, it seems to me to be a no-brainer that anyone interested in medevac or trip-cancellation insurance should buy the insurance within the specified seven- or 14-day period after making the first trip payment.

Beyond that, I continue to recommend that travelers check one or more of these travel insurance agencies’ comparison sites, enter their trip details and coverage requirements, and select the least expensive policy that meets their needs:

  • SquareMouth
  • Global Travel Insurance
  • QuoteWright
  • InsureMyTrip.com
  • TravelersMed.com

These independent agencies sell policies written by all the major insurance underwriters. Price comparison and policy selection is a snap: The site displays a long list of policies and their detailed terms.

More from SmarterTravel:

  • How Annual Travel Insurance Could Save You Money
  • The 8 Worst Travel Decisions You Can Make on Vacation
  • Cruise Insurance: Everything You Need to Know

Consumer advocate Ed Perkins has been writing about travel for more than three decades. The founding editor of the Consumer Reports Travel Letter, he continues to inform travelers and fight consumer abuse every day at SmarterTravel.

Editor’s note: This story was originally published in 2009. It has been updated to reflect the most current information.

We hand-pick everything we recommend and select items through testing and reviews. Some products are sent to us free of charge with no incentive to offer a favorable review. We offer our unbiased opinions and do not accept compensation to review products. All items are in stock and prices are accurate at the time of publication. If you buy something through our links, we may earn a commission.

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Travel Insurance Guide For Pre-Existing Condition Medical Coverage (2024)

Planning to travel but have a pre-existing condition? Get travel medical coverage with a top provider below.

in under 2 minutes

with our comparison partner, Squaremouth

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Sarah Horvath is a finance writer and researcher based in New York City. She specializes in writing about home warranties, insurance and home financial protection.

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Traveling with a pre-existing medical condition can add stress to the trip-planning process, especially if you suffer from a chronic condition that affects your daily life or have symptoms that can influence your plans. While most travel insurance policies exclude pre-existing conditions from medical expenses and evacuation coverage, you may be able to obtain coverage with a pre-existing conditions waiver.

A pre-existing conditions waiver extends your travel medical insurance to include conditions and illnesses present when you enrolled in coverage. This type of coverage is a bit more expensive but can provide you with peace of mind when traveling. Read on to learn more about pre-existing medical conditions travel insurance and which top providers offer coverage.

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What Is a Pre-Existing Condition for Travel Insurance?

Although each travel insurance company has its own definition, a pre-existing condition refers to a medical condition you have before leaving for a trip. Your malady may not have to be formally diagnosed to qualify as pre-existing. You may have a pre-existing condition if you’ve sought treatment, had symptoms or taken medication within a few months before your trip for an injury, illness or medical situation.

For example, say you see your doctor for an annual physical two months before your trip to Spain . At your appointment, the doctor checks your blood pressure and diagnoses you with hypertension. Your doctor prescribes medication to lower your blood pressure. Most travel medical insurance companies consider high blood pressure a pre-existing condition.

Other common pre-existing conditions include:

  • Heart disease
  • High blood pressure
  • Chronic illnesses, such as lupus

Medical travel insurance can be an important protection if you or a loved one plan to travel with one of these conditions — or some other pre-existing medical condition. A pre-existing condition could put you at higher risk of other medical issues. For example, if you have an autoimmune disorder, you’re likely at higher risk of contracting diseases while traveling.

How To Get a Waiver for Pre-Existing Conditions

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. If you buy your travel insurance after this point, you usually will not qualify for pre-existing conditions coverage.

Depending on the insurance provider, you may need to meet additional conditions beyond your purchase date for pre-existing medical conditions coverage. Additional stipulations you may need to meet include:

  • Trip coverage: In most cases, you’ll need to insure 100% of your trip cost and add medical coverage to your policy to receive a pre-existing condition waiver. This means that policies that offer pre-existing conditions waivers are usually more expensive. However, these policies also include more extensive coverage, which can be helpful in the event of an emergency.
  • Health status: While most travel insurance companies do not require you to undergo a medical exam before buying coverage like with life insurance, your health condition can still play a role in your ability to qualify for a waiver. You might need to answer a health questionnaire before purchasing coverage, or you may need to list any medical diagnoses within the previous 60 to 90 days. If you have a major medical condition with active symptoms, like cancer or Alzheimer’s disease, you may be denied coverage.

If you qualify for coverage, your insurance provider will include the waiver with your coverage at no additional cost. Be sure to review the details of your coverage after you’re approved so you fully understand the terms and conditions.

How To Qualify for a Pre-Existing Medical Condition Exclusion Waiver

To qualify to get a pre-existing conditions waiver, you’ll need to meet a few conditions related to the policy-buying process and determine the right coverage for your health.

You cannot purchase travel insurance that covers pre-existing conditions at any time — most policy providers require you to be within 14 to 21 days of your initial trip deposit to qualify. For this reason, we suggest you consider travel insurance as you’re comparing other travel bookings like hotels, airfare and event tickets. This will allow you to purchase insurance shortly after booking, giving you access to more policies with coverage for pre-existing conditions.

Choose the Right Plan

Next, compare the coverages included with each policy offered by your preferred travel insurance provider and identify those that include pre-existing conditions waivers. Most travel insurance companies limit waivers to policies with more inclusive coverage terms and 100% cancellation insurance. If a provider does not offer pre-existing conditions coverage, request quotes from a different company.

Review Coverage Limitations

If you qualify for a pre-existing conditions waiver, your insurance provider will include it under your coverage terms. Review your coverage and any excluded conditions. Contact a representative from the insurance company if you have questions about coverages and limitations.

Documentation Needed for a Pre-Existing Conditions Waiver

Depending on your coverage provider, you may need to submit a letter from your doctor confirming you’re medically fit to travel. This is especially true if you need coverage for a chronic condition under control by medication or if you’ve recently had corrective surgery. Documentation requirements vary by provider, so be sure to review your specific coverage terms to learn more.

Travel Insurance Companies That Cover Pre-Existing Medical Conditions

Not every travel insurance provider offers pre-existing conditions waivers and those that do have varying policies regarding the timeline for enrollment in order to qualify. The following are a few of our recommended travel insurance providers covering pre-existing conditions and how you can qualify for coverage.

  • Nationwide: Nationwide offers customers an option to qualify for pre-existing conditions coverage across multiple plans. While many insurance providers limit pre-existing conditions waivers to only the most expensive policy, Nationwide allows you to qualify for pre-existing conditions coverage 10 days from your initial purchase with the Essential Policy. You may also qualify up to 21 days after your initial trip payment with the Prime Plan. Read our full review of Nationwide travel insurance .
  • Trawick: Trawick offers six unique policies with the option to include coverage for pre-existing conditions, which is more than most other providers. This range of options can make Trawick a strong choice for customers looking to customize their coverage. You must add coverage no more than 14 to 21 days after your initial trip payment, depending on your selected plan. Read our full review of Trawick travel insurance. 
  • Seven Corners: To qualify for pre-existing coverage with Seven Corners, you’ll need to opt for the Trip Protection Choice, which includes benefits like 150% trip interruption coverag e and up to $2,000 in trip delay benefits. You must buy this coverage no less than 20 days after your initial trip payment. Read our full review of Seven Corners travel insurance .
  • Generali Travel Insurance: While Generali does not offer the longest purchase period for pre-existing conditions, travelers looking for concierge-level benefits may want to consider the company. To qualify for a pre-existing condition waiver, you must be within 24 hours of your initial trip payment, which means most shoppers will need to consider insurance as they’re actively planning a vacation to qualify. Read our full review of Generali travel insurance .

Types of Travel Insurance for Pre-Existing Conditions

There are four main types of travel insurance:

  • Trip cancellation
  • Baggage coverage
  • Medical travel insurance
  • Cancel for any reason (CFAR) coverage

Trip Cancellation Insurance

Trip cancellation insurance is a type of travel insurance that helps cover nonrefundable costs if your trip gets canceled due to an unexpected or uncontrollable event. For example, a trip cancellation policy might cover nonrefundable costs if you find out right before your trip you’ve been summoned for jury duty. Or, say you have to cancel a trip due to an unexpected storm that interrupts your flight. Travel insurance will reimburse you for the flight and any corresponding lodging costs.

Trip cancellation insurance usually does not cover changes in pre-existing medical conditions. If your arthritic knees cause pain that makes you cancel your trip two weeks out, the insurance company may deny your claim. However, you may qualify for a pre-existing condition waiver to use for trip cancellation coverage.

Baggage Coverage

Baggage insurance generally covers the loss, theft, delay, or damage to baggage and personal belongings while traveling. For instance, your luggage is stolen from your hotel room while you’re at dinner. Depending on your policy, your baggage insurance could help pay to replace necessary items, like clothing and shoes. Other policies will ensure the full value of items in your bags, with certain restrictions.

Baggage insurance can offer peace of mind that you can replace your belongings if they’re lost, stolen, or damaged. Pre-existing conditions don’t affect baggage insurance coverage.

Medical Travel Insurance

Medical travel insurance is one of the most common types of travel insurance. A medical travel policy helps pay for emergency medical care when traveling. Say you fall ill with a fever and need to go to the emergency room while abroad. Your medical travel insurance generally covers the cost of treatment up to your plan’s limits.

If you’re considering travel health insurance plans and have a pre-existing condition, you’ll want to carefully read the fine print of your policy. In most cases, you’ll need to obtain a pre-existing conditions waiver before traveling. Without a waiver, your policy may not cover medical expenses you incur while traveling.

Cancel for Any Reason Insurance (CFAR) Coverage

With a few exceptions, CFAR travel insurance lets you cancel a trip for a partial refund of prepaid, nonrefundable expenses outside the reasons listed in your policy. Common reasons to use a CFAR policy include a family member getting sick, fear of illness at your destination or your new passport doesn’t arrive in time to travel. Unlike regular trip cancellation or medical travel insurance, CFAR coverage does not require a pre-existing conditions waiver for coverage. That means if your chronic condition flares up before your trip and you decide to cancel within the effective date of coverage, you could get a partial refund (typically between 50%-75%) of your nonrefundable trip expenses.

Although CFAR coverage is a good way to secure pre-existing medical insurance for travel cancellation or interruption, it’s not usually offered as a stand-alone policy. You typically have to add CFAR coverage to your standard travel insurance policy for an extra cost.

How Much Does Travel Insurance for Pre-Existing Conditions Cost?

Generally, adding pre-existing conditions coverage will not increase your policy cost if you qualify for a waiver. Based on our research, a travel insurance policy costs between $160 to $300 , depending on your chosen coverage and provider. In our review, we found that the average couple will pay about $221 for a travel insurance policy from one of our recommended travel insurance providers.

How To File a Pre-Existing Medical Condition Travel Insurance Claim

If you have to file a travel insurance claim for a pre-existing condition that your policy covers, you can improve your chances for reimbursement with strong documentation. Whether you must cancel your trip at the last minute or you need coverage for an emergency room visit while on vacation, the process of filing a travel insurance claim is generally the same. The claims process typically looks like this:

  • File your claims form, which will commonly ask for your name, policy number, the reason for the claim and other important details.
  • Submit your claims form with all necessary documentation, such as a doctor’s note, flight delay or baggage notices, police reports, and any other related documents.
  • Your travel insurance company reviews your claim and supporting documentation. The insurance company may request more details or documents supporting your claim.
  • If the company approves your claim, you’ll receive reimbursement, up to your policy limits.

The claims process is straightforward, but missing documents or lack of evidence could lead to the insurer denying your claim. Having the right documentation is more important if you’re filing a medical claim and have a pre-existing condition. The insurance company will want to confirm you have a pre-existing condition waiver on file before approving a claim. The company likely will ask for specific written documentation relating to your claim from a doctor.

For example, say you have a respiratory disorder managed by daily medication and receive a pre-existing condition waiver for a trip. While traveling, you get into an accident requiring emergency medical care. When you file a claim for medical travel insurance, you’ll want to make sure you have the right documents, including:

  • Proof of your trip and insurance
  • Written documentation from your attending physician
  • Copies of your medical file and bill from the emergency care

Frequently Asked Questions About Travel Insurance for Pre-Existing Conditions

Can you get travel insurance with pre-existing conditions.

Yes, you can get travel insurance with pre-existing conditions. The key to getting travel insurance coverage with a pre-existing condition is to apply for a pre-existing conditions waiver or exclusion waiver. This waiver includes notice from your doctor that you’re fit to travel and prevents the travel insurance company from using your pre-existing condition to exclude you from coverage.

What is a waiver of lookback in travel insurance?

A waiver of lookback is another name for a pre-existing conditions waiver for travel insurance. The lookback period of a travel insurance policy refers to the time before the trip in which the insurance company might look back at your medical history if you file a claim.

For example, say you have an unexpected medical condition that forces you to cancel your trip. You file a claim for trip cancellation insurance and your insurance company can review your past medical records (usually up to 60 to 180 days, depending on the policy). If the company finds a record of your pre-existing condition, such as a doctor’s visit to change medications, it could deny your claim. A waiver of lookback prevents the insurance company from doing this.

What counts as a pre-existing condition?

Every travel insurance company defines pre-existing conditions differently, but there are a few common factors. A pre-existing condition for travel insurance usually refers to any medical condition, illness or injury that you have before your trip. You may not have to be diagnosed for the condition for it to be considered pre-existing. But if you seek treatment for a condition, take medications or suffer symptoms, then it’s usually considered pre-existing.

What is the difference between a pre-existing condition and a chronic condition?

Pre-existing conditions are any injury, illness, or medical condition that existed before you sought insurance. A chronic condition is different. Chronic conditions are ongoing health conditions or illnesses that are long-term. Doctors manage chronic conditions with medication or regular treatments, but these conditions aren’t curable. For travel insurance, almost all chronic conditions are considered pre-existing conditions.

If you have feedback or questions about this article, please email the MarketWatch Guides team at  editors@marketwatchguides. com .

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11 Best Travel Insurance Companies in July 2024

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Many, or all, of the products featured on this page are from our advertising partners who compensate us when you take certain actions on our website or click to take an action on their website. However, this does not influence our evaluations. Our opinions are our own. Here is a list of our partners and here's how we make money .

If the past few years have shown us anything, it’s that travelers need to be prepared for the unexpected — from a pandemic to flight troubles to the crowded airport terminals so many of us have encountered.

If you don't have sufficient travel insurance coverage via your credit card , you can supplement your policies with third-party plans.

Whether you’re looking for an international travel insurance plan, emergency medical care or a policy that includes extreme sports, these are the best travel insurance providers to get you covered.

How we found the best travel insurance

We looked at quotes from various companies for a 10-day trip to Mexico in September 2024. The traveler was a 55-year-old woman from Florida who spent $3,000 total on the trip, including airfare.

On average, the price of each company’s most basic coverage plan was $126.53. The costs displayed below do not include optional add-ons, such as Cancel For Any Reason coverage or pre-existing medical condition coverage.

Read our full analysis about the average cost of travel insurance so you can budget better for your next trip.

However, depending on the plan, you may be able to customize at an added cost.

As we continue to evaluate more travel insurance companies and receive fresh market data, this collection of best travel insurance companies is likely to change. See our full methodology for more details.

Best insurance companies

Types of travel insurance

What does travel insurance cover, what’s not covered, how much does it cost, do i need travel insurance, how to choose the best travel insurance policy, what are the top travel destinations in 2024, more resources for travel insurance shoppers.

Top credit cards with travel insurance

Methodology

Best travel insurance overall: berkshire hathaway travel protection.

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Berkshire Hathaway Travel Protection

  • ExactCare Value (basic) plan is among the least expensive we surveyed.
  • Speciality plans available for road trips, luxury travel, adventure activities, flights and cruises.
  • Company may reimburse claimants faster than average, including possible same-day compensation.
  • Multiple "Trip Delay" coverage types might make claims confusing.
  • Cheapest plan only includes fixed amounts for its coverage.

Under the direction of chair and CEO Warren Buffett, Berkshire Hathaway Travel Protection has been around since 2014. Its plans provide numerous opportunities for travelers to customize coverage to their needs.

At $135 for our sample trip, the ExactCare Value (basic) plan from Berkshire Hathaway Travel Protection offers protection roughly $10 above the average price.

Want something cheaper? Air travelers looking for inexpensive, less comprehensive protections might opt for a basic AirCare plan that includes fixed amounts for its coverage .

Read our full review of Berkshire Hathaway .

What else makes Berkshire Hathaway Travel Protection great:

Pre-existing medical condition exclusion waivers available at nearly all plan levels. 

Plans available for travelers going on a cruise, participating in extreme sports or taking a luxury trip.

ExactCare Value (basic) plan was among the least expensive we surveyed.

Best for emergency medical coverage: Allianz Global Assistance

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Annual or single-trip policies are available.

  • Multiple types of insurance available.
  • All plans include access to a 24/7 assistance hotline.
  • More expensive than average.
  • CFAR upgrades are not available.
  • Rental car protection is only available by adding the One Trip Rental Car protector to your plan or by purchasing a standalone rental car plan.

Allianz Global Assistance is a reputable travel insurance company offering plans for over 25 years. Customers can choose from a variety of single and annual policies to fit their needs. On top of comprehensive coverage, some travelers might opt for the more affordable OneTrip Cancellation Plus, which is geared toward domestic travelers looking for trip protections but don’t need post-departure benefits like emergency medical or baggage lost.

For our test trip, Allianz Global Assistance’s basic coverage cost $149, about $22 above average.

What else makes Allianz Global Assistance great:

Annual and single-trip plans.

Plans are available for international and domestic trips.

Stand-alone and add-on rental car damage product available.

Read our full review of Allianz Global Assistance .

Best for travelers with pre-existing medical conditions: Travel Guard by AIG

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Travel Guard by AIG

  • Offers last-minute coverage.
  • Pre-Existing Medical Conditions Exclusion Waiver available at all plan levels.
  • Plan available for business travelers.
  • Cancel For Any reason coverage only available for higher-level plans, and only reimburses up to 50% of the trip cost.
  • Trip interruption coverage doesn't apply to trips paid for with points and miles.

Travel Guard by AIG offers a variety of plans and coverages to fit travelers’ needs. On top of more standard trip protections like trip cancellation, interruption, baggage and medical coverage, the Cancel For Any Reason upgrade is available on certain Travel Guard plans, which allows you to cancel a trip for any reason and get 50% of your nonrefundable deposit back as long as the trip is canceled at least two days before the scheduled departure date.

At $107 for our sample trip, the Essential plan was below average, saving roughly $20.

What else makes Travel Guard by AIG great:

Three comprehensive plans and a Pack N' Go plan for last-minute travelers who don't need cancellation benefits.

Flight protection, car rental, and medical evacuation coverage, as well as annual plans available.

Pre-existing medical conditions exclusion waiver available on all plan levels, as long as it's purchased within 15 days.

Read our full review of Travel Guard by AIG .

Best for those who pack expensive equipment: Travel Insured International

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Travel Insured International

  • Higher-level plan include optional add-ons for event tickets and for electronic equipment
  • Rental car protection add-on for just $8 per day, even on lower-level plan.
  • Many of the customizations are only available on the higher-tier plan.
  • Coverage cost comes in above average in our latest analysis.

Travel Insured International offers several customization options. For instance, those going to see a show may want to add on event ticket registration fee protection. Traveling with expensive gear?Consider adding on coverage for electronic equipment for up to $2,000 in coverage.

Be sure to check which policies are available in your state. You will need to input your destination, residence, trip dates and the number of travelers to get a quote and see coverages.

What else makes Travel Insured International great:

Comprehensive plans include medical expense reimbursement accidents, sickness, evacuation and pre-existing conditions, depending on the plan.

Flight plans include coverage for missed and canceled flights and lost or stolen baggage.

Read our full review of Travel Insured International .

Best for adventurous travelers: World Nomads

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World Nomads

  • Travelers can extend coverage mid-trip.
  • The standard plan covers up to $300,000 in emergency evacuation costs.
  • Plans automatically cover 200+ adventurous activities.
  • No Cancel For Any Reason upgrades are available.
  • No pre-existing medical condition waivers are available.

Many travel insurance plans contain exclusions for adventure sports activities. If you plan to ski, bungee jump, windsurf or parasail, this might be a plan to consider.

Note that the Standard plan ($72 for our sample trip), while the most affordable, provides less coverage than other plans. But it can be a good choice for travelers who are satisfied with trip cancellation and interruption coverage of $2,500 or less, do not need rental car damage protection, find the limits to be sufficient and do not need coverage for certain more adventurous activities.

What else makes World Nomads great:

Comprehensive international travel insurance plans.

Coverage available for adventure activities, such as trekking, mountain biking and scuba diving.

Read our full review of World Nomads .

Best for medical coverage: Travelex Insurance Services

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Travelex Insurance Services

  • Top-tier plan doesn’t break the bank and provides more customization opportunities.
  • Offers a plan specifically for domestic travel.
  • Sells a post-departure medical coverage plan.
  • Fewer customization opportunities on the Basic plan.
  • Though perhaps a plus for domestic travelers, keep in mind the Travel America plan only covers domestic trips.

For starters, basic coverage from Travelex Insurance Services came in at $125, almost exactly average for our sample trip.

Travelex’s plans focus heavily on providing protections that are personalized to your travel style and trip type.

While the company does offer comprehensive plans that include medical benefits, you can also choose between cheaper plans that don’t provide cancellation coverage but do offer protections during your travels.

Read our full review of Travelex Insurance Services .

What else makes Travelex Insurance Services great:

Three comprehensive plans available, two of which cover international trips.

Offers a post-departure plan geared exclusively toward disruptions after you leave home.

Two flight insurance plans available.

Best if you have travel credit card coverage: Seven Corners

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Seven Corners

  • Annual, medical-only and backpacker plans are available.
  • Cancel For Any Reason upgrade is available for the cheapest plan.
  • Cheapest plan also features a much less costly Interruption for Any Reason add-on.
  • Offers only one annual policy option.

Each Seven Corners plan offers several optional add-ons. Among the more unique is a Trip Interruption for Any Reason, which allows you to interrupt a trip 48 hours after the scheduled departure date (for any reason) and receive a refund of up to 75% of your unused nonrefundable deposits.

» Jump to the best cards with travel insurance

The basic coverage plan for our trip to Mexico costs $124 — right around the average.

What else makes Seven Corners great:

Comprehensive plans for U.S. residents and foreigners, including travelers visiting the U.S.

Cheap add-ons for rental car damage, sporting equipment rental or trip interruption for any reason.

Read our full review of Seven Corners .

Best for long-term travelers: IMG

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  • Coverage available for adventure travelers.
  • Offers direct billing.
  • Claim approval can be lengthy.

While some travel insurance companies offer just a handful of plans, with IMG, you’ll really have your pick. Though this requires a bit more research, it allows you to search for coverage that fits your travel needs.

However, travelers will want to be aware that IMG’s iTravelInsured Travel Lite is expensive. Coming in at $149.85, it’s the costliest plan on our list.

Read our full review of IMG .

What else makes IMG great:

More affordable than average.

Many plans to choose from to fit your needs.

Best for travelers with unpredictable work demands: Tin Leg

insurance-product-card-logo

  • In addition Cancel For Any Reason, some plans offer cancel for work reason coverage.
  • Adventure sports-specific coverage is available.
  • Plans have overlap that can be hard to distinguish.
  • Only one plan includes Rental Car Damage coverage available as an add-on.

Tin Leg’s Basic plan came in at $134 for our sample trip, adding about $8 onto the average basic policy cost. Note that you’ll pay a lot more if you shop for the most comprehensive coverage, and there are eight plans to choose from for trips abroad.

The multitude of plans can help you find coverage that fits your needs, but with so many to choose from, deciding can be daunting.

The only real way to figure out your ideal plan is to compare them all, look at the plan details and decide which features and coverage suit you and your travel style best.

Read our full Tin Leg review .

Best for booking travel with points and miles: TravelSafe

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  • Covers up to $300 redepositing points and miles on eligible canceled award flights.
  • Optional add-on protection for business equipment or sports rentals.
  • Multi-trip or year-long plans aren’t available.

Selecting your travel insurance plan with TravelSafe is a fairly straightforward process. The company’s website also makes it easy to visualize how optional add-on elements influence the total cost, displaying the final price as soon as you click the coverage.

However, at $136, the Basic plan was among the more expensive for our trip to Mexico.

What else makes TravelSafe great:

Rental car damage coverage add-on is available on both plans.

Cancel For Any Reason coverage available on the TravelSafe Classic plan.

Read our full TravelSafe review .

Best for group travel insurance: HTH Insurance

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HTH Travel Insurance

  • Covers travelers up to 95 years old.
  • Includes direct pay option so members can avoid having to pay up front for services.
  • A 24-hour delay is required for baggage delay coverage on the TripProtector Economy plan.
  • No waivers for pre-existing conditions on the lower-level plan.

HTH offers single-trip and multitrip medical insurance coverage as well as trip protection plans.

At around $125, the Trip Protector Economy policy is at the average mark for plans we reviewed.

You can choose to insure group trips for educators, crew, religious missionaries and corporate travelers.

What else makes HTH Insurance great:

Medical-only coverage and trip protection coverage.

Lots of options for group travelers.

Read our full review of HTH Insurance .

As you shop for travel insurance, you’ll find many of the same coverage categories across numerous plans.

Trip cancellation

This covers the prepaid costs you make for your trip in cases when you need to cancel for a covered reason. This coverage helps you recoup upfront costs paid for flights and nonrefundable hotel reservations.

Trip interruption

Trip interruption benefits generally involve disruptions after you depart. It helps reimburse costs incurred for flight delays, cancellations and plenty of other covered disruptions you might encounter during your travels.

This coverage can cover the costs for you to return home or reimburse unexpected expenses like an extra hotel stay, meals and ground transportation.

Trip delay coverage helps cover unexpected costs when your trip is delayed. This is another coverage that helps offset the costs of flight trouble or other travel disruptions.

Note that many policies have a total amount a traveler can claim, with caps on per diem benefits, too.

Cancel For Any Reason

Cancel For Any Reason coverage allows you to recoup some of the upfront costs you paid for a trip even if you’re canceling for a reason not otherwise covered by your standard travel insurance policy.

Typically, adding this protection to your plan costs extra.

Baggage delay

This coverage helps cover the costs of essential items you might need when your luggage is delayed. Think toiletries, clothing and other immediate items you might need if your luggage didn’t make it on your flight.

Many travel insurance plans with baggage delay protection will specify how long (six, 12, 24 hours, etc.) your luggage must be delayed before you can make a claim.

Lost baggage

Used for travelers whose luggage is lost or stolen, this helps recoup the lost value of the items in your bag.

You’ll want to make sure you closely follow the correct procedures for your plan. Many plans include a maximum total amount you can claim under this coverage and a per-item cap.

Travel medical insurance

This covers out-of-pocket medical costs when travelers run into an emergency.

Because many travelers’ health insurance plans don’t cover medical care overseas, travel medical insurance can help offset out-of-pocket health care costs.

In addition to emergency medical coverage, many plans have medical evacuation or repatriation coverage for costs incurred when you must be taken to a hospital or return to your home country because of a medical situation.

Most travel insurance plans cover many trip protections that can help you be prepared for unexpected travel disruptions and expenses.

These coverages are generally aimed at protecting the money you put into your trip, expenses you incur because of travel trouble and costs incurred if you have a medical emergency overseas.

On top of core coverages like trip cancellation and interruption and travel medical coverage, some plans offer add-on options like waivers for pre-existing conditions, rental car collision damage waivers or adventure sports riders. These usually cost extra or must be added within a specified timeframe.

Typical travel insurance policies offer coverage for many unforeseen events, but as you research to select a plan, consider your needs. Though every plan differs, there are some commonly excluded coverages.

For instance, you typically can’t get coverage for a named storm if you bought the coverage after the storm was named. In other words, if you have a trip to the Caribbean booked for Sept. 25 and on Sept. 20 a hurricane develops and is named, you generally won’t be able to buy a travel insurance plan Sept. 21 in hopes of getting your money back.

Many plans also don’t cover activities performed under the influence of drugs or alcohol or any extreme sports. If the latter applies to you, you might want to consider a plan with specific coverages for adventure-seekers.

For numerous plans, a few other situations don’t qualify as an acceptable reason to cancel and make a claim, such as fear of travel, medical tourism or pregnancies (unless you booked a trip and bought insurance before you became pregnant or there are complications with the pregnancy). This is where a Cancel For Any Reason add-on to your coverage can be helpful.

You can also run into trouble if you give up on a trip too soon: a minor (or even multihour) flight delay likely isn’t sufficient to cancel your entire trip and get reimbursed through your plan. Be sure to review what requirements your specific plan has when it comes to canceling a trip, claiming trip interruption, etc.

Travel insurance costs vary widely. The final price of your plan will fluctuate based on your age, length of trip and destination.

It will also depend on how much coverage you need, whether you add on specialized policies (like Cancel For Any Reason or pre-existing conditions coverage), whether you plan to participate in extreme sports and other factors.

In our examples above, for instance, the 35-year-old traveler taking a $2,000 trip to Italy would have spent an average $76 for a basic plan to get coverage for things like trip cancellation and interruption, baggage protection, etc. That’s a little less than 4% of the total trip cost — lower than average.

If there were multiple members in a traveling party or if they were going on, say, a rock-climbing or bungee-jumping excursion, the costs would go up.

On average, travel insurance comes to about 5% to 10% of the trip cost. However, considering many of the plans reimburse up to 100% of the trip cost (or more) for disruptions like trip cancellation or interruption, it can be a worthwhile expense if something goes wrong.

It depends. Consider the following factors that might affect your decision: You’re young and healthy, all your bookings are refundable or cancelable without a penalty, your flights are nonstop, you’re not checking bags and a credit card you carry offers some travel protections . In that case, travel insurance might not be necessary.

On the other hand, if you prepaid a large chunk of money for a nonrefundable African safari, you’re going on a Caribbean cruise in the middle of a hurricane season or you’re going somewhere where the cost of health care is high, it’s not a bad idea to buy a travel insurance plan. Here’s how to find the best travel insurance coverage for you.

If you’re thinking of booking a trip and not planning to buy travel insurance, you may want to consider at least booking refundable airfare and not prepaying for hotel, rental car and activity reservations. That way, if something goes wrong, you can cancel without losing any money.

Selecting the best travel insurance policy comes down to your needs, concerns, preferences and budget.

As you book, take a few minutes to consider what most concerns you. Is it getting stranded because of flight trouble? Having the ability to cancel for any reason you see fit without losing money? Getting sick or injured right before departure and needing to postpone the trip? Injuring yourself or falling ill while overseas?

Ultimately, you want a plan that protects you, your money and the large investment in your trip — but doesn’t cost too much, either.

Medical coverage. If your priority is having adequate medical coverage abroad, you might want to look for plans with high limits for medical emergencies and medical evacuation.

Complex travel itinerary. If your itinerary has lots of flight connections, prepaid hotels and deposits for activities you can’t get back, prioritizing a plan with the best coverage for trip cancellations or interruptions may land at the top of your list.

Travel uncertainty. If you’re on the fence about a trip and have nonrefundable reservations, you may want to select a plan with a Cancel For Any Reason coverage option, which can help you recoup about 50% to 75% of the costs. This helps provide peace of mind, placing the decision on whether to travel entirely in your hands.

Car rentals. If you’re renting a car, a collision damage waiver is often worth looking into.

The following destinations are the top insured destinations in 2024, according to Squaremouth (a NerdWallet partner).

The Bahamas.

Costa Rica.

Antarctica.

In 2022, travelers spent about 25.53% more on trips than they did before the pandemic.

As of December, NerdWallet analysis determined travel prices are 10% higher than pre-pandemic. Each statistic makes a strong case for protecting your travel investment as you plan your next trip.

Bookmark these resources to help you make smart money moves as you shop for travel insurance.

What is travel insurance?

CFAR explained.

Is travel insurance worth getting?

10 credit cards that provide travel insurance.

We used the following factors to choose insurance providers to highlight:

Breadth of coverage: We looked at how many plans each company offered plus the range of their standard plans. 

Depth of coverage: We considered two data points to get a sense of how much each company pays out for common travel issues — the maximum caps for trip cancellation and trip interruption claims.

Cost: By looking at the costs for basic coverage across multiple companies, we determined an average cost for shoppers to benchmark plan prices against.

Customizability: While standard plans can cover a lot of ground, sometimes you need something a little more personal.

Customer satisfaction. Using data from Squaremouth when available, and Google Reviews as a backup, we can give kudos to companies with better track records from their clients.

No, it doesn’t necessarily get more expensive the longer you wait to purchase. However, as you put off buying insurance, you may lose access to potential plans and coverage options.

In general, buying travel insurance within a few days to two weeks of prepaying or making an initial deposit for your trip is your best bet. Assuming you’re not booking last-minute, this will provide you with access to the widest possible range of coverage options. It also helps prevent any medical conditions or storms that pop up between booking and buying a plan from ending up as excluded situations, which won’t be covered by your plan.

But, generally, many plans do allow you to buy coverage quite close to your departure date.

To get the most out of your travel insurance plan, buy it soon after making your initial prepayment or deposit to ensure you have access to the biggest menu of plans possible.

Select a plan that’s comprehensive enough to cover the travel scenarios you’re most concerned about or likely to encounter but not too expensive or laden with protections you’d never likely need.

Whatever your coverage, thoroughly review the plan so you understand what’s covered and what’s not, plus how to adhere to the plan’s rules for making a claim.

Travelers frequently use phrases like “trip insurance” and “travel insurance,” as well as “trip protection,” interchangeably, but they do mean different things, according to Stan Sandberg, founder of insurance comparison site TravelInsurance.com.

Trip insurance, or trip protection, generally refers to predeparture (or preevent) coverage if you need to cancel. You may see these plans sold by airlines, online travel agencies or even ticketed event sellers.

“You could refer to it as the portion that protects the investment in the trip,” Sandberg says.

A travel insurance plan typically includes that — plus more comprehensive benefits to protect you during your trip, from medical coverage to trip delay and lost baggage protections, and many more elements, depending on the plan.

Though travel insurance is typically not required for international trips, your personal circumstances will play a key role in whether it’s a good investment.

For instance, young, healthy travelers with few prepaid trip expenses embarking on a relatively risk-free trip may not see a need to buy a plan.

Older travelers with complicated itineraries who are visiting destinations where they could potentially fall ill or get injured — or who could encounter bad weather or some other disrupting factor along the way — may want to buy coverage.

Consider a few key questions:

How well would your health insurance plan cover you if you needed to visit a hospital overseas?

How much did you prepay for a hotel or rental car?

How much money would you be out if weather or some other flight issue derailed your itinerary?

Could you afford an unexpected night in a city where you have a connecting flight?

Do you already have a credit card that provides some travel protections?

Your answers to these questions can help you decide whether you need travel insurance for your international trip.

In general, buying travel insurance

within a few days to two weeks of prepaying or making an initial deposit

for your trip is your best bet. Assuming you’re not booking last-minute, this will provide you with access to the widest possible range of coverage options. It also helps prevent any medical conditions or storms that pop up between booking and buying a plan from ending up as excluded situations, which won’t be covered by your plan.

How to maximize your rewards

You want a travel credit card that prioritizes what’s important to you. Here are some of the best travel credit cards of 2024 :

Flexibility, point transfers and a large bonus: Chase Sapphire Preferred® Card

No annual fee: Bank of America® Travel Rewards credit card

Flat-rate travel rewards: Capital One Venture Rewards Credit Card

Bonus travel rewards and high-end perks: Chase Sapphire Reserve®

Luxury perks: The Platinum Card® from American Express

Business travelers: Ink Business Preferred® Credit Card

IHG One Rewards Premier Credit Card

IHG® One Rewards Premier Credit Card

Earn 5 free nights at an IHG property after $4k in spend (each night valued at up to 60k points).

annual travel insurance for pre existing conditions

June 1, 2020

Due to travel restrictions, plans are only available with travel dates on or after

Due to travel restrictions, plans are only available with effective start dates on or after

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Existing Medical Condition Benefit

Existing Medical Condition

Definition:  You, a family member or a traveling companion have a pre-existing medical condition, which is defined as an illness or injury that you (or a family member or traveling companion) were seeking or receiving treatment for or had symptoms of on the day you purchased your plan, or at any time in the 120 days before you purchased it. The Pre-Existing Condition exclusion may be waived, making you eligible for benefits and assistance services. Each plan has requirements that need to be met in order to qualify, which may include you being medically able to travel on the day you bought your plan, your trip costs does not exceed the stated amount, you are a U.S. resident, etc. Be sure to read through your plan to find the specific requirements that need to be met.

Example:  Your best friend from high school is getting hitched in a destination wedding in the Big Island of Hawaii. While you have Type 2 Diabetes, which you’ve successfully managed for years through medication and lifestyle tweaks, it can still impact your ability to qualify for travel insurance. Consequently, right after booking and paying for airfare, hotel, surfing lessons and an eco-tour, you purchase a travel insurance policy featuring the Existing Medical Condition Benefit. You opt for a policy that covers the full trip cost and includes trip cancellation benefit. And because your trip is less than the maximum amount on your plan and you are a U.S. resident, you’ve done everything you need to qualify for insurance according to the benefit conditions. Now you have the peace of mind you wanted — and you can practically feel those fresh Hawaiian leis around your neck.

Available in :   OneTrip Cancellation Plus Plan ,  OneTrip Basic Plan ,   OneTrip Prime Plan ,   OneTrip Premier Plan ,   OneTrip Emergency Medical Plan ,  AllTrips Prime ,   AllTrips Executive , and   AllTrips Premier

Further Reading

  • Travel Insurance 101: Covered Illnesses
  • When Does Travel Insurance Cover Existing Medical Conditions?

See All Travel Insurance Benefits >>

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Terms, conditions, and exclusions apply. Please see your plan for full details. Benefits/Coverage may vary by state, and sublimits may apply.

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Insurance benefits underwritten by BCS Insurance Company (OH, Administrative Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A” (Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive, Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson Form No. 101-C series or 101-P series, depending on your state of residence and plan chosen. A+ (Superior) and A (Excellent) are the 2nd and 3rd highest, respectively, of A.M. Best's 13 Financial Strength Ratings. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are marks of AGA Service Company dba Allianz Global Assistance or its affiliates. Allianz Travel Insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through AGA Service Company. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Contact AGA Service Company at  800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or [email protected] .

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The 5 Best Annual Travel Insurance Plans of 2024

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Allianz Travel Insurance »

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AIG Travel Guard »

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Seven Corners »

annual travel insurance for pre existing conditions

GeoBlue »

annual travel insurance for pre existing conditions

Trawick International »

Why Trust Us

U.S. News evaluates ratings, data and scores of more than 50 travel insurance companies from comparison websites like TravelInsurance.com, Squaremouth and InsureMyTrip, plus renowned credit rating agency AM Best, in addition to reviews and recommendations from top travel industry sources and consumers to determine the Best Annual Travel Insurance Plans.

Table of Contents

  • Allianz Travel Insurance
  • AIG Travel Guard

Buying travel insurance can be a smart move for most trips, but those who travel more than a few times a year should consider an annual travel insurance policy. Whether you regularly travel for business and/or take several vacations a year, annual travel insurance plans can help you get the coverage you need without having to price out and purchase protection every time you leave home.

If you find yourself in a situation where an annual plan makes sense, know that not all travel insurance companies offer this kind of coverage. You'll also want to consider the available annual travel insurance plans to see which options make sense for your travel style and the level of coverage you want.

Frequently Asked Questions

Annual travel insurance plans all work in their own way, but the majority let travelers pay one annual premium for coverage that lasts for up to 364 days. These plans often limit the length of individual trips that are covered within the coverage year. Per-trip and annual limits on coverage can also apply.

In some cases, annual travel insurance plans require a deductible or coinsurance for certain types of coverage. If you're considering an annual travel insurance plan because you take multiple trips each year, make sure you read over the policy details and understand all coverage limits and trip limits that apply.

The cost of annual travel insurance typically varies based on factors like the age of the travelers applying, included benefits and coverage limits. You will want to shop around to compare plans across multiple providers using a platform like TravelInsurance.com or Squaremouth before you settle on a travel insurance policy.

To provide an example of the cost of annual travel insurance, U.S. News applied for a quote for two 40-year-old travelers seeking coverage for eight trips over a 12-month period. The Squaremouth travel insurance portal quoted policies with costs that range from $206 for the GeoBlue Trekker Essential plan to $610 for the Safe Travels Annual Deluxe plan by Trawick International.

Annual travel insurance can be worth it if you take multiple trips each year and want to make sure you always have coverage in place. After all, the alternative to having a multitrip policy is buying a new travel insurance plan for every vacation you take. That's not always feasible for frequent travelers who are always jetting off somewhere new – often at the last minute.

Just keep in mind that annual travel insurance plans tend to come with lower coverage limits than plans for single trips, and that you'll pay a premium for coverage that comes with comprehensive benefits and high limits for medical expenses and emergency evacuation.

  • Allianz Travel Insurance: Best Overall
  • AIG Travel Guard: Best for Basic Coverage
  • Seven Corners: Best for Medical
  • GeoBlue: Best for Expats
  • Trawick International: Best for the Cost

Tailor your annual travel insurance plan to your needs

Most plans include coverage for trip cancellation and interruption, travel delays, medical expenses, and more

Lowest-tier plans (AllTrips Basic and AllTrips Prime) come with no or relatively low coverage limits for trip cancellation

Most annual plans (except for AllTrips Premier) do not cover trips longer than 45 days

  • Trip cancellation coverage worth up to between $2,000 and $15,000
  • Trip interruption coverage worth up to between $2,000 and $15,000
  • Emergency medical coverage worth up to $50,000
  • Up to $500,000 in emergency medical transportation coverage
  • Up to $2,000 in coverage for lost or damaged baggage
  • Up to $2,000 in coverage for baggage delays
  • Travel delay coverage worth up to $1,500 ($300 daily limit)
  • Rental car coverage worth up to $45,000
  • Up to $50,000 in travel accident coverage
  • 24-hour hotline assistance and concierge service

SEE FULL REVIEW »

Annual Travel Insurance Plan offers year-round travel insurance protection

Relatively high limits for medical expenses ($50,000) and emergency evacuation ($500,000)

No trip cancellation coverage and relatively low limit ($2,500) for trip interruption coverage

No coverage for preexisting medical conditions

  • Up to $2,500 in coverage for trip interruption
  • Up to $1,500 in coverage for trip delays of five-plus hours ($150 per day limit)
  • Missed connection coverage worth up to $500
  • Up to $2,500 in baggage insurance
  • Baggage delay coverage worth up to $1,000 for delays of at least 12 hours.
  • Up to $50,000 for emergency medical expenses ($500 for emergency dental sublimit)
  • Up to $500,000 for emergency evacuation and repatriation of remains
  • Up to $50,000 in accidental death and dismemberment (AD&D) insurance
  • Up to $100,000 in protection for security evacuation

Provides coverage worth up to $250,000 for emergency medical expenses

Tailor other included benefit levels to your needs

Coverage only applies to trips up to 40 days

Deductible up to $100 applies for emergency medical coverage and baggage and personal effects

  • Trip cancellation coverage worth up to between $2,500 and $10,000
  • Trip interruption coverage worth up to 150% of the trip cancellation limit
  • Up to $2,000 in trip delay coverage ($200 daily limit)
  • Up to $1,000 in protection for missed connections
  • Up to $250,000 in coverage for emergency medical expenses ($50,000 in New Hampshire)
  • $750 dental sublimit within emergency medical coverage
  • Up to $500,000 in coverage for emergency medical evacuation and repatriation of remains
  • Up to $2,000 in coverage for baggage and personal effects
  • Baggage delay coverage worth up to $1,000 ($100 daily limit)
  • 24/7 travel assistance services

Get annual coverage for medical expenses and routine medical care

High limits for medical expenses and emergency medical evacuation

GeoBlue plans don't offer comprehensive travel protection

Deductibles and copays apply

  • Ambulatory and therapeutic services
  • Inpatient hospital services
  • Emergency medical services
  • Rehabilitation and therapy
  • Preventive and primary care

Choose among three tiers of annual travel protection

Option for basic protection with affordable premiums

No coverage for preexisting conditions

Maximum trip duration of 30 days per trip

  • Trip cancellation coverage up to $2,500 maximum per year
  • Trip interruption coverage up to $2,500 maximum per year
  • $200 per trip for trip delays (up to $100 per day for delays of 12 hours or longer)
  • Up to $500 in coverage per trip for baggage and personal effects
  • Baggage delay coverage up to $100 per trip
  • Up to $10,000 for emergency medical expenses per trip
  • Up to $50,000 in emergency medical evacuation coverage per trip
  • Up to $10,000 in AD&D coverage
  • 24-hour travel assistance services

Why Trust U.S. News Travel

Holly Johnson is a travel expert who has researched travel insurance options for her own vacations and family trips to more than 50 countries around the world. On a personal level, her family uses an annual travel insurance policy from Allianz. Johnson works alongside her husband, Greg – who has been licensed to sell travel insurance in 50 states – within their family media business and travel agency .

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  • Join CHOICE

Travel insurance for a pre-existing medical condition

How to secure cover for your next trip if you're dealing with existing medical conditions..

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Fact-checked

Checked for accuracy by our qualified fact-checkers and verifiers. Find out more about fact-checking at CHOICE .

Need to know

  • You must declare a pre-existing medical condition if you want it covered by insurance
  • Insurance cover for pre-existing medical conditions varies widely
  • You may have to pay more to get cover for your pre-existing medical condition

Travel insurance is essential in the case of illness or injury while travelling. Overseas medical costs can be extortionate, and if you have an existing medical condition, it increases the chance you may need medical attention on your trip – that's why insurers charge you extra. 

So if you can get cover for your pre-existing medical condition, it'll take a bit of worry out of your trip. But even if you're willing to pay extra, getting cover for an existing condition isn't always easy.

On this page:

What is a pre-existing medical condition?

What's covered, and what's not, comprehensive policies that may cover your pre-existing medical condition, travel insurance for seniors with pre-existing medical conditions, pregnancy and travel insurance, credit card travel insurance and pre-existing medical conditions,  what to do if you can't get cover for a pre-existing medical condition.

A pre-existing medical condition is a medical condition that you had before you bought your travel insurance.

Different travel insurers will have their own specific definitions, but it's usually a diagnosed medical condition that you've had or received any form of medical advice, treatment or medication for, in a specified time period before you bought your policy.

Most insurers would cover a condition if it hadn't led to treatment in the one to two years before you booked your trip, but others may specify five years or longer

The 'specified time period' wording is worth paying attention to. If, for example, your condition last showed symptoms 18 months ago, but the time period specified by the insurer is 12 months, then you'll be covered subject to the other conditions of the policy.

The insurance contract regulations set the time period as six months by default. Unfortunately, insurers can get around this six-month rule and exempt themselves simply by burying an exclusion or limitation in the product disclosure statement (PDS).

Insurers' definitions vary as to what the specified time period is. Most insurers would cover a condition if it hadn't led to treatment in the one to two years before you booked your trip, but others may specify five years or longer.

There are often a lot of hoops to jump through to get cover for pre-existing conditions. 

Insurers can:

  • exclude pre-existing medical conditions altogether
  • include a list of accepted pre-existing medical conditions (specified in the PDS)
  • restrict cover for generally accepted conditions depending on other conditions you might have, or only cover some symptoms (for example, allergies may be covered, but not anaphylaxis)
  • subject you to an assessment for cover of your medical condition and charge a fee to complete this assessment (whether you get cover or not)
  • deny you cover for a medical condition on application.

Even if you survive that minefield, you may then have to fork out several thousand dollars for the privilege of getting cover for your condition.

Below is a list of conditions that might usually be covered, with specific restrictions. 

  • Allergies 
  • Blindness and low vision
  • Corneal graft
  • Coeliac disease
  • Ear grommets
  • Gastric reflux
  • Hiatus hernia
  • High cholesterol/hypercholesterolaemia
  • High blood pressure/hypertension
  • Hip replacement
  • Knee replacement
  • Macular degeneration
  • Underactive thyroid/overactive thyroid
  • Chronic lung conditions
  • Cardiovascular disease
  • Reduced immunity
  • Cancer (some policies automatically cover skin cancer but not melanoma)
  • Heart-related medical conditions
  • Medical conditions you're travelling to seek medical treatment or review for
  • Conditions involving drug or alcohol dependency
  • Conditions for which you're awaiting surgery, treatment, investigation or procedures
  • Conditions with a terminal prognosis

This also includes any travel booked or undertaken against the advice of a medical practitioner.

Check the insurer's PDS for a specific list of conditions. If a condition is not listed as automatically covered, then you may be able to apply to the insurer to cover your condition.

For the specified time period, the lower the number, the better. Read on below the table for more information.

* The time period before booking your trip that a medical condition, that isn't specifically excluded, would be covered if it has not given rise to symptoms or required medication or treatment. 

If your medical condition is on the insurer's 'Covered Conditions' list, then the time period might be longer than what's specified above. 

For example, Go Insurance's specified time period is 90 days (3 months), but if your condition is on their 'Covered Conditions' list, and you've been hospitalised for that condition within 24 months of booking the trip, then it may not be automatically covered. You'll need to fill out a form to apply for cover.

CHOICE tip: Filling out assessment forms for your medical condition can be time-consuming and frustrating, but try at least three different insurers because premiums and cover vary widely.

How you're assessed for a pre-existing medical condition

Many Australian insurers use a 'black box' risk rating system to assess your condition, such as that provided by insurance technology firm Verisk.

The systems may contain a list of health conditions, each of which is assigned a risk factor. Depending on how high this risk factor is, the insurer can choose to rule out cover, or offer cover for an extra premium.

Older and wiser travellers with pre-existing medical conditions can still get travel insurance for their international travel. The drawback is that you'll have fewer policies to choose from, and you'll pay more for it. 

Many travel insurance policies have age limits, over which they either don't offer cover, or they may offer restricted cover with lower benefit limits or a higher excess. 

Cost of travel insurance for seniors

Our analysis of premiums across age groups shows that an older single traveller going to Bali for around 11 days to two weeks will on average pay more for their cover as they age, with premiums generally increasing more noticeably from age 50. 

Travellers aged over 70 could pay up to 3.5 times more for their travel insurance than people in their 60s

In particular, travellers aged over 70 could pay up to 3.5 times more for their travel insurance than people in their 60s, prior to further underwriting and premium adjustments by insurers for coverage of pre-existing medical conditions.

Visit our travel insurance comparison and use the filter to find travel insurance policy options for people across a range of ages up to 100 or even unlimited.

Pregnancy cover will protect you in circumstances such as if you need to cancel your trip due to doctor's advice, or if you're on holiday and incur medical costs that are a result of unexpected complications (something that you weren't already being treated for or had no history of).

Note that travel insurance won't usually cover you for childbirth or for medical costs relating to your newborn if you give birth while on holiday.

Different policies will cover you up to different stages of your pregnancy, so which provider you go with will depend on when you plan to travel (and return home). Not all policies will cover IVF or similar medically assisted pregnancies.

CHOICE tip: Check with your airline before you travel – many airlines will only let you fly up to a certain stage in your pregnancy, and may require medical certificates or other documentation.

Some credit cards come with travel insurance policies that may cover pre-existing medical conditions. 

However, policies that come with credit cards vary just as much as standalone travel insurance policies, so you need to read the terms and conditions carefully to understand whether you're automatically covered, whether you need to apply for cover, or if there's no cover at all for pre-existing medical conditions.

Bear in mind that some credit card travel insurance policies require you to activate your insurance before you leave. Some people may find this a bit of a pain, but with pre-existing medical conditions it may actually be an advantage, since it will prompt you to check your cover.

If you're denied cover for your pre-existing medical condition, or if you can't afford the extra premium, you may still be able to buy a travel insurance policy. 

You'll need to declare your condition to your insurer. They may then offer you travel insurance cover, but will issue a certificate that says you won't be covered for any claim that arises because of your pre-existing medical condition.

Stock images:  Getty, unless otherwise stated.

Join the conversation

To share your thoughts or ask a question, visit the CHOICE Community forum.

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How to Get Travel Insurance with Pre-Existing Condition Coverage

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  • Most travel insurance companies offer waivers for pre-existing stable medical conditions.
  • To qualify for a pre-existing condition waiver, you must buy insurance within a certain timeframe.
  • Keep in mind that not all policies cover pre-existing conditions, so always double-check your policy.

Medical travel insurance is a great way to protect your health and finances when traveling. If you have a pre-existing medical condition, you might assume you can't get coverage. Luckily, many travel insurance companies offer pre-existing condition coverage in the form of a pre-existing condition waiver.

Here's everything you need to know about pre-existing conditions and travel insurance, including how to find coverage options if you have a pre-existing condition.

Understanding pre-existing conditions and travel insurance

Most travel insurance companies define pre-existing conditions as a change in your medical record that includes tests, examinations, treatment, or changes in medication. The changes in your medical record usually result in a diagnosis, which becomes a pre-existing condition. But you do not have to receive a formal diagnosis for it to be considered a pre-existing condition.

Travel insurance companies consider medical conditions within a specified look-back period, or length of time. The medical condition must be stable to qualify for a claim. Conditions are stable if you do not need additional treatment, medication, or diagnoses.

But even if your medical condition is stable, you likely need a pre-existing condition waiver to get coverage if it suddenly worsens while you're traveling. 

Travel insurance look-back periods for pre-existing conditions

If you file a claim, the insurance company has a right to review your medical record and ensure that you did not have a condition related to the claim. This process is known as a "look-back" period since the insurance looks back through your records. 

The look-back period usually includes 60 to 180 days before you buy the policy. Before approving your claim, the insurance company wants to determine if the condition already existed.

The insurance company may approve or deny your claim based on what it discovers. To avoid dealing with the risk of denial, you can qualify for a pre-existing condition waiver instead. 

Choosing the right insurance policy for pre-existing conditions

Many travel insurance companies offer coverage for travelers with pre-existing conditions. For example, Tin Leg Travel insurance , listed in our guide on the best travel insurance for best pre-existing conditions coverage, offers pre-existing condition waivers for all its plans except Tin Leg Economy. 

While there are many options for pre-existing condition coverage, the challenge is finding the right one for you. 

Comparing policy terms and benefits

When comparing insurance policies, you should pay attention to the coverage limits for emergency medical and acute onset of a pre-existing condition. You should also assess the time window in which you must purchase insurance to receive coverage for pre-existing conditions. If you've already waited a week before purchasing, you may already be ineligible for a waiver with certain companies. 

You can contact individual companies for quotes or work with a travel insurance comparison site like TravelInsurance.com, SquareMouth, or InsureMyTrip . Comparison sites allow you to review multiple quotes at once. You can usually filter results based on companies that offer pre-existing medical condition waivers. 

Regardless of which company you choose, it's important to understand the policies regarding pre-existing conditions and adhere to the requirements.

Purchasing travel insurance with pre-existing conditions

With a pre-existing medical condition waiver, you disclose your medical conditions to your insurance provider and ensure that the condition does not impact your ability to file a claim. If you have a waiver, you can even bypass the look-back period.

The waivers are set up through the travel insurance company and should not impact the cost of your policy.

Application process and documentation

You must meet the following criteria to qualify for a pre-existing medical condition waiver:

  • Stable medical condition: Conditions are stable if you do not need additional treatment, medication, or diagnoses. You also need a letter from your doctor tho confirm that you are medically fit to travel on the day of your trip.
  • Get coverage within a certain timeframe: You typically need to establish coverage shortly after you make your first payment towards the trip, but timelines vary by provider. 
  • Coverage must equal nonrefundable costs: If there are nonrefundable parts of your trip, your travel insurance coverage must equal or exceed that amount. 

For example, if you were diagnosed with high blood pressure a few years ago, but the condition has been stable since — your medication manages the symptoms, and you have not needed additional medical support — then you likely qualify for a pre-existing condition waiver. 

Pre-existing conditions and travel insurance FAQ

What pre-existing conditions are not covered by travel insurance.

Some companies do not provide coverage if you have certain health conditions, such as depression, dementia, or Alzheimer's disease, but it varies based on the provider. The coverage details of your policy depend on the plan you select. But comprehensive travel insurance usually covers baggage delays, trip cancellations, and emergency medical care. 

Will my pre-existing condition automatically disqualify me from getting travel insurance?

No, many of the best travel insurance companies offer pre-existing condition waivers, so you can get coverage with a pre-existing condition as long as you buy ahead of time. 

Can you be denied travel insurance if you have a pre-existing condition?

A company can deny your travel insurance claim based on what it discovers in the look-back period if you do not have a pre-existing condition waiver.

Can I get travel insurance for a pre-existing condition at the last minute?

Obtaining travel insurance for a pre-existing condition at the last minute is unlikely, as most insurers require purchasing the policy within a set time frame from your initial trip deposit.

How do I disclose my pre-existing condition when applying for travel insurance?

Disclose your pre-existing condition during the application process by providing detailed and accurate medical information as required by the insurer.

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How to Get Travel Insurance with Pre-Existing Condition Coverage

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Should you get a single-trip or annual travel insurance?

Should you get a single-trip or annual travel insurance?

Annual travel insurance may be an obvious choice for the most frequent business travellers , for most of us, it is difficult to know if we travel enough to 'break even' buying annual travel insurance. To start, let's understand the core differences between annual and single-trip insurance.

Travel insurance: Annual vs single-trip

Annual travel insurance, is an insurance policy where after a one-time payment, it covers an unlimited number of trips within 12 months.

In comparison, a single-trip travel insurance, as its name suggest, only covers a single trip, though at a cheaper cost than an annual policy. However, there are many great reasons to get an annual travel insurance plan.

Advantages of annual travel insurance

Convenience.

One reason to get annual travel insurance that some may appreciate is the convenience of not having to purchase an insurance plan for every trip. This may be useful for those of us who are liable to either forget to purchase travel insurance, or to go on spontaneous holidays.

Efficient coverage of trips

One advantage of annual travel insurance that often slips people's minds is that for shorter trips and holidays, an annual travel insurance plan often covers these trips more efficiently. For example, most single-trip travel insurance policies cover you for 180 days.

That means that on a three-week (21-day) trip you're left paying for 159 days of coverage that you did not use. On the other hand, an annual policy will generally cover trips up to just 90 days, which is still more than enough for most people.

Therefore, if you are able to make enough trips to break even on an annual travel insurance policy, it will cover your trips more efficiently than single-trip plans.

Things to consider when choosing travel insurance policies

annual travel insurance for pre existing conditions

When selecting your choice of policy, there are some needs for your travels that you should pay special attention too.

Regions covered

Often, annual travel insurance plans will give you the option to pay a cheaper premium in exchange for limited geographical coverage to allow you to balance your costs. It's therefore important to plan your travels with this in mind, specifically that your stopover locations are covered.

It's recommended that your policies cover a reasonable number of regions around where you intend to travel as a safeguard against any unexpected changes in stopovers.

Mode of travel

annual travel insurance for pre existing conditions

Unfortunately, not all transport is made equal, particularly cruises. Cruises often come with extraordinarily high medical and evacuation expenses.

As such, compared to travelling by plane, you'll have to ensure that your policy has an appropriately high coverage limit when taking a cruise.

Adventurous activities and sports coverage

Adventurous activities such as mountain climbing and skydiving are often not covered with lower costs policies. Whilst there are policies which cover these activities, they charge a high premium that you should factor into your budget when planning to do activities that are considered more dangerous.

Pre-existing conditions

annual travel insurance for pre existing conditions

Pre-existing medical conditions can affect your insurance options. These conditions include conditions such as: asthma, diabetes, eczema, epilepsy, hypertension (high blood pressure) among others. If you have a pre-existing condition, make sure that any complications with that condition are covered.

How should I decide if annual travel insurance is for me?

A good rule of thumb to follow about annual insurance is that if you take more than five short trips overseas a year, an annual travel insurance policy will certainly be worthwhile, often either business travellers or those with family members overseas will fit into this category.

However, if you'd like to take a more scientific approach to understanding what travel insurance type is best for your use case, that requires a little more effort.

First off, you have to consider the factors discussed earlier to determine the type of coverage you need. This is by far the most important step, as there is a vast variation in the costs of the insurance depending on what coverage you require.

Annual travel insurance can range from around S$200 to well over S$1,000 per year (worldwide coverage), whilst some single-trip plans can have premiums as low as S$24.

Once you have a grasp on the costs of single-trip and annual policies that give you sufficient coverage, deciding between them becomes much easier.

Though an annual travel insurance plan is not for everyone. Many travellers certainly travel enough to make the most out of these plans and make savings.

While searching for the right plan for you, remember to keep in view not only the itinerary of your trip but your own health and safety in mind and be sure that you are sufficiently covered.

ALSO READ:  4 things your travel insurance does not cover

This article was first published in ValueChampion .

Do I need travel insurance for my summer vacation? It's complicated.

  • Travel insurance can be complicated, but it's worth it if you have travel expenses that insurance would cover.
  • You might not need travel insurance if you're taking a driving vacation and staying in a place where lodging is free.
  • If you're leaving the country, you'll likely need travel insurance.

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If you're planning to travel somewhere this summer, you're probably thinking of buying travel insurance.

Kingsley Hopkins is. He's headed to Portugal and Iceland with his girlfriend, and he wants to make sure he's covered for things like medical emergencies or trip disruptions, "or if a volcano erupts," he said.

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But getting the right travel insurance can be complicated. There's no one-size-fits-all policy, and Hopkins, an assistant editor at a book publishing company in New York, has been spending a lot of time thinking about how to protect his summer vacation.

Learn more: Best travel insurance

Chances are, so have you.

Why finding the right travel insurance is so hard

Most surveys suggest this will be a record summer for travel. How much of a record? Demand is so high that some airlines are afraid they will run out of planes. Now that's busy.

At the same time, danger and uncertainty are lurking everywhere – wars in Europe and the Middle East, the usual slate of natural disasters like hurricanes and maybe a volcano or two. It's no wonder people are giving some serious thought to insurance. 

Older travelers are particularly worried. And they should be, said PK Rao, CEO of INF Visitor Care . Claims by travelers over age 50 spike during the summer months.

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"According to our claim data, medical emergencies tend to uptick during the summer, especially for those going on trips that involve outdoor activities," he said.

But there are so many choices out there, including credit card coverage, medical evacuation membership programs and stand-alone travel insurance. What should you get?

You need peace of mind 

But don't just reflexively start shopping for a travel insurance policy this summer. Instead, look for peace of mind – knowing that if something goes wrong, you'll be taken care of.

"Knowing you're protected from unforeseen travel mishaps – like delays, lost baggage and even medical emergencies – can make the trip that much more enjoyable,” said Daniel Durazo, a spokesman for Allianz Partners USA .

As it turns out, there are several ways to get the peace of mind you need. And there are times when you can safely skip travel insurance.

This is when you don't need insurance

Here's when you can skip travel insurance, according to experts:

◾ If you already have coverage. "You may already have travel coverage through your benefits at work, your credit card, or through group benefits with an organization," said Jiten Puri, CEO of PolicyAdvisor.com. If you do, there's no need to buy more coverage. You're all set.

◾ If you're not traveling far. If you're taking a driving vacation and staying in a place where lodging is free, like a relative's sofa, then there's not much to insure. "If you already have health insurance, it may cover you for a domestic trip, so you don't need to think about health insurance coverage," said Joe Cronin, CEO of International Citizens Insurance .

◾ If your trip isn't insurable. Traditional travel insurance covers conventional trips with prepaid, nonrefundable components like airline tickets and hotel stays. You might find that you either already have coverage through your medical insurance, or the trip is essentially uninsurable.

So think twice before saying "yes" to optional travel insurance that your online travel agency may offer you when you're booking a trip. You might not need it.

Here's when you need travel insurance

But most travelers should consider some kind of travel insurance coverage this summer. Here's when you need the extra coverage:

◾ If you have travel expenses that insurance would cover. "If you have many prepaid, nonrefundable expenses, it's best to take out travel insurance," said Lauren Gumport, a spokeswoman for Faye Travel Insurance ."This includes things like flights, hotel rooms, tickets and activities." The more conventional your vacation, the likelier travel insurance is to cover almost every aspect of your summer vacation.

◾ If you're leaving the country. "Your regular medical insurance might not extend coverage beyond your home borders," said John Rose, chief risk and security officer at ALTOUR . Also, many countries require travel insurance for entrance. They include Bermuda, Qatar, Sri Lanka, and some European countries.

◾ If you can't afford to lose your trip. "When considering travel insurance for your summer trip, evaluate whether you can afford to lose your vacation investment due to unforeseen circumstances like illness, weather disruptions, or emergencies," explained Robert Gallagher, president of the US Travel Insurance Association (USTIA). "Can you afford the financial risk if you miss your cruise departure because of covered flight delays? What if you have to cut your trip short because of illness?"  

One of the most common mistakes travelers make is assuming their credit card will cover them. For example, I found that my credit card only covered my rental car as secondary insurance, which made it completely useless when I rented a car in Tampa recently. I had to buy a standalone policy from Allianz to cover the vehicle.

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How one traveler insured his summer vacation

So, how did Hopkins handle his travel insurance needs? Well, as I mentioned – it's complicated.

Hopkins said he always buys some travel insurance before he takes a trip, "but how much, and what I cover, varies," he explained.

He decided that his path to peace of mind in this case was to spend a few extra dollars: He made fully refundable flight and hotel reservations, just in case something went wrong. That would eliminate a lengthy claim with his travel insurance company or credit card.

But he still needed at least $50,000 in medical coverage with emergency evacuation because of his active schedule.

"We’re going to be doing a lot of hiking in Iceland," he said. "And you just never know." 

At the beginning of the year, he decided to buy an annual Medjet Horizon plan, a membership that would get him from a hospital in Portugal or Iceland to a hospital at home, in case something happened. 

For insurance, Hopkins checked TravelInsurance.com to find an affordable travel insurance policy. He found coverage through Trawick International that pays up to $50,000 in medical expenses and up to $200,000 for an evacuation.

"I’ve heard good things about them," he said. "Hopefully, we won’t need any of it."

How do I insure my trips?

I'm on the road about 360 days a year, so I'm always thinking about peace of mind. I currently use a Wells Fargo credit card with lots of travel benefits, and I have long-term policies through Faye and Cigna, which have worked fairly well. I also am a long-time Medjet Horizon member. If I rent a car, I turn to Allianz for my primary coverage.

I know – that's a lot of peace of mind. 

But I've also run into trouble and had to use many of those benefits. Medjet got me back home during the pandemic. Cigna covered me after a serious ski accident in Switzerland. My old Allianz policy took care of my medical expenses when I had to see a doctor in Santa Fe, New Mexico, a few years ago.

Like I always say, when it comes to having enough insurance, better safe than sorry.

Christopher Elliott  is an author, consumer advocate, and journalist. He founded  Elliott Advocacy , a nonprofit organization that helps solve consumer problems. He publishes  Elliott Confidential , a travel newsletter, and the  Elliott Report , a news site about customer service. If you need help with a consumer problem, you can  reach him here  or email him at  [email protected] .

The Key Points at the top of this article were created with the assistance of Artificial Intelligence (AI) and reviewed by a journalist before publication. No other parts of the article were generated using AI. Learn more .

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