Travel insurance and pre-existing conditions: How to get the coverage you need through a waiver (2024)

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  • Most travel insurance companies offer pre-existing condition waivers for stable medical conditions that already exist.
  • Policies with waivers do not usually cost more, but you need to purchase coverage within a specified timeframe.
  • Keep in mind that some pre-existing conditions aren't eligible for a waiver.

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, that's not usually the case.

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.

How do travel insurance companies define a pre-existing condition?

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 for it.

Travel insurance requires a look-back period 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.

How to get a waiver for a pre-existing medical condition

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.

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 to be 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.

Where to find travel coverage for pre-existing conditions

Various companies offer travel insurance for travelers with pre-existing conditions, including Allianz Travel Insurance, GoReady Travel Insurance, Nationwide Travel Insurance, and AIG Travel Insurance.

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.

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.

Does Allianz cover pre-existing conditions?

Allianz offers travel insurance that covers pre-existing conditions with a waiver. You are eligible as long as you establish coverage within 14 days of paying the first deposit for the trip. But Allianz does exclude certain conditions like bipolar disorder and Alzheimer's disease.

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.

Taylor Milam-Samuel

Freelance Writer

Taylor Milam is a California-based personal finance writer and educator who recently paid off $14,000 of student loans in less than a year. She's passionate about helping people take control of their finances and create a life they love. When she's not researching financial terms and conditions, she can be found reading on the beach or hiking with her dog.

Travel insurance and pre-existing conditions: How to get the coverage you need through a waiver (2024)

FAQs

Travel insurance and pre-existing conditions: How to get the coverage you need through a waiver? ›

Purchasing travel insurance with pre-existing conditions

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

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

How do I get travel insurance with a pre-existing condition? ›

The key is to be honest when you apply for cover. This means declaring any pre-existing conditions that your insurer needs to know about. If you're not sure whether to declare, it's best to speak to your insurance provider about it. Fail to disclose vital information, and you risk rendering your policy void.

What does pre-existing conditions waived mean? ›

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

Can people be denied coverage due to pre-existing conditions? ›

Under the Affordable Care Act, health insurance companies can't refuse to cover you or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.

How do you avoid pre-existing condition exclusion? ›

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

What's considered a pre-existing condition? ›

An illness or injury experienced before enrollment in a health insurance plan may be considered a pre-existing condition. Pre-existing conditions can include health issues such as cancer, diabetes, lupus, depression, acne, pregnancy, or just about any other health condition you can imagine.

What are the most common pre-existing conditions? ›

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

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

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

Is anxiety a pre-existing condition for travel insurance? ›

That means you can choose to include or exclude these conditions on your policy, providing the anxiety is not medically linked to another pre-existing condition. Please note there is no cover for suicide or self harm on any policy. If you aren't insured for your anxiety, your policy may become invalid.

What is a medical waiver for travel insurance? ›

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.

What is the best international travel insurance for seniors? ›

  • Allianz Travel Insurance: Best Annual Coverage.
  • Trawick International: Best Premium Travel Insurance for Seniors.
  • GeoBlue: Best Travel Medical Coverage for Expats.
  • IMG Travel Insurance: Best for Short-Term Travel Medical Coverage.
  • WorldTrips: Best for Flexibility.

What is the denial code for pre-existing conditions? ›

Pre-existing condition: Code 51 may be assigned when the insurance company determines that the services rendered are related to a pre-existing condition. In such cases, the insurance policy may have specific limitations or exclusions for pre-existing conditions, resulting in a denial of coverage.

Is high blood pressure a pre-existing condition? ›

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

Is a broken leg a pre-existing condition? ›

Pre-existing conditions can include serious illnesses, such as cancer. It can also include less serious conditions, such as a broken leg, and in some cases, even prescription drugs can count as a pre-existing condition.

Does a pre-existing condition have to be diagnosed? ›

Any condition (either physical or mental) including a disability for which medical advice, diagnosis, care, or treatment was recommended or received within the 6-month period ending on your enrollment date in a health insurance plan.

What reasons are not covered by travelers insurance? ›

What Does Travel Insurance NOT cover?
  • Reasonably foreseeable events.
  • Known storms, epidemics, acts of war.
  • Travel restrictions imposed by government authorities.
  • Pre-existing conditions, unless the Premium plan is bought within the window for coverage.
  • Dangerous activities.

What does waiver mean in health insurance? ›

When an employee doesn't want health insurance from their employer, they waive coverage. Or, employees can waive coverage on behalf of a family member who was previously under their plan. A waiver of coverage is a form employees sign to opt-out of insurance.

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