Pre-existing medical conditions - Compare Travel Insurance (2024)

Having pre-existing medical conditions doesn't mean you can't get travel insurance. It simply means that you need to dig a little deeper to find the best trip cover for your pre-existing health condition and your budget. Adding cover for your pre-existing condition means you can still be eligible for emergency medical and hospital services which arise as a result of your current health issues.

What is a pre-existing condition?

As the name suggests, a pre-existing medical condition is a condition that exists at the time, or before you purchase your travel insurance.

Whether or not you need to declare a broken arm from two years ago, or that you're living with diabetes will depend on your chosen insurer. Each insurer has different rules for what is considered an existing medical condition, so it's important to pay attention to any probing questions around medical conditions to determine what you need to declare.

Typically, a pre-existing condition includes any diagnosed medical, physical or mental condition, defect, disease or illness that you are aware of and have sought treatment for in the last one to five years. Insurers' definitions also include common chronic issues like asthma, high blood pressure, and high cholesterol, as well as any lifetime occurrence of more serious issues like heart attacks, strokes, or cancers. Check your insurers' policy wording to be sure!

Should I declare My Medical conditions?

Some insurers do automatically cover some common, low-risk conditions without you having to declare them. This is dependent on you meeting their criteria for automatically-covered conditions - so check the policy wording carefully.

If a condition isn't auto covered, absolutely declare it. It may be tempting to not disclose medical conditions to your insurer to save time or reduce the cost of taking out travel insurance. However, if you put in a medical claim which the doctors say is related to your pre-existing condition, and you aren't covered for that condition, your claim may be void and you could be left with eyewatering medical bills!

Do I have to pay extra to cover my medical conditions?

Good news - many travel insurance brands automatically cover a range of minor medical conditions free of charge. Often common illnesses like asthma, diabetes and high cholesterol are often covered without an additional fee. Whether or not you need to declare them will depend on the insurer, when you were diagnosed, whether your condition is stable, and if you have any other related conditions - check the policy wording to be sure.

Other medical conditions such as autoimmune, brain, cardiovascular, heart or respiratory and lung conditions will require a medical assessment in order to obtain cover. Where cover can be offered you will often have the option to pay an additional premium or have the condition(s) excluded.

How do I declare my medical conditions?

If your condition isn't automatically covered by your insurer, you will be required to fill out a medical assessment form. Many brands have introduced online medical screenings where you can answer a couple of questions about your condition and find out immediately whether you can get cover and at what price. This typically occurs on the second or third page of the quote process.

The vast majority of insurers use the same medical screening software by a company called Verisk (formerly Healix) which will generate a ‘medical risk score’. Some use hybrid versions of this and a few may use a different specialist platform.

The insurer determines which level of risk they want to consider covering. They will decide whether they will cover your condition, whether they will cover you but exclude your condition, and if there is an additional premium.

Which insurers offer pre-existing medical assessments?

Pre-existing medical conditions - Compare Travel Insurance (2024)

FAQs

How do travel insurance companies determine pre-existing conditions? ›

To determine what qualifies as a pre-existing condition, a travel insurance company looks back 60 to 180 days before the day the policy was purchased.

How to avoid pre-existing condition exclusion? ›

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

Is high blood pressure a preexisting condition for travel insurance? ›

Most travel medical insurance companies consider high blood pressure a pre-existing condition. Other common pre-existing conditions include: Asthma. Heart disease.

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

Travel insurance companies impose a “look-back period,” which is a specific time frame when a pre-existing condition is considered stable, usually between 60 and 180 days.

How do insurers find out about pre-existing conditions? ›

Post-claims underwriting can also be used by these non-ACA-compliant plans, meaning that they'll accept most applicants with little in the way of upfront underwriting, but will then do a thorough check of the person's medical history if and when they have a medical claim; if the condition is determined to be pre- ...

What are stable pre-existing conditions? ›

While each insurer has its own definition, essentially a medical condition or injury is considered “stable” when all of the following are true: There has been no deterioration of the medical condition. There have been no new symptoms or more frequent symptoms.

What type of insurance can be denied due to pre-existing conditions? ›

Firstly, thanks to the Affordable Care Act (ACA), insurers can no longer deny coverage or charge higher premiums based solely on pre-existing conditions. This has dramatically increased access to health insurance for individuals with chronic health issues.

Is high cholesterol a pre-existing condition for travel insurance? ›

Does my condition affect my travel insurance? Most insurers consider high cholesterol a pre-existing medical condition. If you suffer from related conditions, like heart problems, high blood pressure, diabetes or circulatory issues, you should also tell your provider after you've been diagnosed.

Which medical issue could qualify as a preexisting condition? ›

Health insurers can no longer charge more or deny coverage to you or your child because of a pre-existing health condition like asthma, diabetes, or cancer, as well as pregnancy. They cannot limit benefits for that condition either.

How far back does pre-existing condition last? ›

A group health plan can count as pre-existing conditions only those conditions for which you actually received (or were recommended to receive) a diagnosis, treatment or medical advice within the 6 months immediately before you joined that plan. This period is known as the “look back” period.

How far back is a pre-existing condition? ›

It applies to any medical condition that you saw your doctor about the five years before the start date on your health insurance. For example, you might take out a policy and then go and see your GP about some back pain you've been experiencing.

Are pre-existing conditions a thing anymore? ›

Is there health insurance for pre-existing conditions? Choosing a health plan is no longer based on the concept of a pre-existing condition. A health insurer cannot deny you coverage or raise rates for plans if you have a medical condition at the time of enrollment.

What determines a pre-existing condition? ›

A medical illness or injury that you have before you start a new health care plan may be considered a pre-existing condition. Conditions like diabetes, chronic obstructive pulmonary disease (COPD), cancer, and sleep apnea, may be examples of pre-existing health conditions.

Can you be denied insurance for a preexisting condition? ›

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. They also can't charge women more than men.

Do you have to prove illness for travel insurance? ›

Regardless, if you feel too sick to travel it's important to have your opinion confirmed and your diagnosis documented by a doctor. Medical documentation will be required if you're looking to be reimbursed for your non-refundable trip costs if you have to cancel your trip.

Does cancel for any reason travel insurance cover pre-existing conditions? ›

Basic trip cancellation coverage typically protects you in the case of unforeseen illness or injury, but anything related to a pre-existing condition is typically excluded.

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