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

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:

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

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.

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.

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.

Shop Early

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.

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 coverage 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.

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.

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.

If you have to file a travel insurance claim for a pre-existing condition that your policy covers, you can improve your chances for reimbursem*nt 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:

1. File your claims form, which will commonly ask for your name, policy number, the reason for the claim and other important details.
2. 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.
3. Your travel insurance company reviews your claim and supporting documentation. The insurance company may request more details or documents supporting your claim.
4. If the company approves your claim, you’ll receive reimbursem*nt, 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