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Pre-Existing Conditions & Travel Insurance

Travel Insurance & Pre-Existing Conditions

Travel Insurance for Pre-Existing Conditions

Key takeaways

  • Travel insurance policies that include pre-existing condition waivers may cover the costs of trip interruption or cancellation, medical emergencies, and medical evacuation resulting from the medical condition.
  • To qualify for that waiver, most policies require you to purchase coverage within a specific timeframe after making your initial trip deposit.
  • Since waiver availability, eligibility rules, and coverage details all vary by provider, comparing plans side by side is essential to find the coverage you need.

What counts as a pre-existing medical condition?

Most travel insurance providers define a pre-existing condition fairly broadly: any health issue, illness, or injury a person has shown symptoms of, been diagnosed with, or been treated for before their trip.

It’s a common assumption that this only applies to conditions you’re actively being treated for. In reality, even noticeable but undiagnosed symptoms can count if they’re the kind that a reasonable person would have gotten checked out.

Common examples of pre-existing conditions may include:

  • Asthma
  • Autoimmune disorders
  • Cancer
  • Chronic respiratory conditions
  • Diabetes
  • Heart disease
  • High blood pressure

How do insurance companies determine if a condition is pre-existing?

When determining whether a condition qualifies as pre-existing, insurers look back at your medical history during what’s called a “look-back period.” This period is typically 60, 90, or 180 days before you bought your policy, though it can vary by provider. 

Depending on the policy, insurers may consider:

  • Diagnostic testing
  • Doctor visits
  • Medical treatment
  • Prescription medication changes
  • Symptoms that prompted medical evaluation

If your condition wasn’t stable during the look-back period, it will be treated as pre-existing and foreseeable, which usually excludes it from coverage.

There’s an important exception worth knowing, though: a condition that’s effectively managed (with, say, consistent prescription medication) generally isn’t treated as pre-existing. Most plans will cover it, as long as your treatment and dosage haven’t changed during the look-back period.

Exact definitions (including the duration of the look-back period and what counts as “stable”) vary by insurer, so it’s important to review your specific policy certificate closely rather than assuming your health condition is both pre-existing and covered. You can also compare policies’ look-back periods side by side in our quote comparison tool.

Can you get travel insurance with a pre-existing condition?

Yes, in most cases. Having a pre-existing condition doesn’t prevent you from buying a policy. What it does affect is whether claims tied to that condition are actually covered. That comes down to your policy’s terms and whether you qualify for a pre-existing condition waiver. Without one, claims connected to that condition are typically excluded from coverage.

What is a pre-existing condition waiver?

A pre-existing condition waiver is a policy provision that can extend coverage to claims related to a pre-existing medical condition. If you qualify, the insurer essentially agrees not to apply the standard pre-existing condition exclusion to your covered claims.

For travelers managing an ongoing health condition, this can be one of the most valuable benefits a policy offers, and it typically doesn’t cost extra to add, as long as you qualify.

How does a pre-existing condition waiver work?

A waiver typically removes the policy’s exclusion for pre-existing medical conditions once you meet certain requirements, which can include:

  • Buying your travel insurance policy within a specific number of days after your first trip deposit
  • Insuring the full, prepaid, nonrefundable cost of your trip
  • Being medically able to travel at the time you purchase coverage

Requirements vary by plan, so this is one section of your policy certificate worth reading carefully rather than skimming. Additionally, keep in mind that waivers are time-sensitive. If you miss your plan’s purchase window, the option is generally off the table for that trip.

What happens if you don’t qualify for a waiver?

Your policy can still offer valuable protection even without a pre-existing condition waiver. It just means claims specifically tied to your pre-existing condition may not be covered.

For example, if you have to cancel because of complications from a condition the policy considers pre-existing, reimbursement likely won’t apply.

Because policies differ so much on this, be sure to review the details carefully before purchasing a plan.

What does travel insurance cover if you have a pre-existing condition?

Coverage depends on your specific policy and whether you qualify for a waiver. Generally, a plan may offer benefits like:

If your condition qualifies under a waiver, eligible claims related to that condition may be covered as well.

What about pre-existing conditions in family members who aren’t traveling with you?

This one often surprises people!

Some plans extend pre-existing condition rules to non-traveling family members, if their illness is what forces you to cancel or cut your trip short. Coverage here varies quite a bit by plan and may hinge on that same look-back period, or on whether the family member’s condition took an unforeseen turn for the worse.

Since this varies so much, it’s worth checking your specific plan’s wording regarding pre-existing conditions in family members who won’t be traveling with you.

When should you buy travel insurance for a pre-existing condition?

The best time to purchase travel insurance is shortly after making your initial trip deposit.

Many plans offer pre-existing condition waivers only if coverage is purchased within a designated time window, often up to 14 or 21 days after your first trip payment.

Buying early may also provide additional benefits, including eligibility for certain optional coverages and financial protection against unforeseen events that occur before departure.

How to compare travel insurance plans for pre-existing conditions

There are a few things worth considering when comparing travel insurance plans side by side:

  • Whether a waiver is available, and what it takes to qualify
  • The length of look-back periods
  • Emergency medical coverage limits
  • Emergency evacuation limits
  • Trip cancellation benefits
  • Trip interruption benefits
  • Coverage exclusions

How to buy travel insurance with a pre-existing condition

There are some general guidelines when looking for coverage with a pre-existing condition:

  1. Determine your total prepaid, nonrefundable trip cost.
  2. Compare plans that offer pre-existing condition waivers.
  3. Review policy certificates carefully.
  4. Confirm eligibility requirements before purchasing.
  5. Purchase coverage as soon as possible after making your initial trip deposit.

InsureMyTrip tip: In our quote comparison tool, you can filter results by policies that offer a pre-existing condition waiver. 

Frequently asked questions

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

A pre-existing condition is generally a medical condition for which you received a diagnosis, treatment, care, medical advice, or prescription medication during a specified look-back period before purchasing your travel insurance policy. Look-back periods vary by policy, but are often 60, 90, or 180 days.

Can travel insurance cover pre-existing medical conditions?

Yes, many plans can, as long as they offer a pre-existing condition waiver and you meet the eligibility requirements, including having a condition that was considered stable during the look-back period.

How soon should I buy travel insurance to qualify for a waiver?

Many policies require you to purchase travel insurance within 14 to 21 days of your initial trip deposit to qualify for a pre-existing condition waiver. This varies by insurer, so it’s worth double-checking your specific plan’s window.

Do all travel insurance plans offer pre-existing condition waivers?

No. Some policies offer waivers, while others don’t. Eligibility requirements and waiver provisions also vary between plans.

Can I get travel insurance if I have a chronic illness?

Yes, plenty of travelers with chronic conditions purchase travel insurance. Comparing plans that offer pre-existing condition waivers is the best place to start. Just know that you typically need to be medically able to travel, and your condition generally needs to have been stable at the time of purchase to qualify for the waiver.

Does emergency medical coverage include pre-existing conditions?

It can, if you qualify for a waiver and meet all the policy’s requirements. Otherwise, claims related to pre-existing conditions may be excluded.

Is travel insurance worth it if I have a pre-existing condition?

For many travelers, yes. Look for a plan with a pre-existing condition waiver to get your condition covered specifically. Even if you don’t qualify for one, your policy can still offer benefits for other covered situations, like new illnesses or injuries, severe weather, trip cancellations, and general travel disruptions.

14 Questions

  • Question

    What if we book say a 14 day cruise 18 month out and buy insurance which for us would be pretty expensive, but cancel the cruise (changed our mind) 12 month out where we would get all of our deposit back, we would be out the premium for the insurance. Right? Or can you cancel the insurance also??

    By Maria - March 14, 2018

    • Answer

      Generally, the insurance is only refundable within 10-15 days from when the policy is purchased. The "Review Period" is listed on each policy and can vary depending on the state you live in.

      By MattG - March 15, 2018

  • Question

    We are traveling to Aruba in the fall. Both me and my husband have Medicare primary and Mutual of Omaha secondary. Do we need to buy Health Insurance and Transportation Insurance back to the US for this trip should we need to return to the US for medical care? We understand Medicare does not pay in Aruba.

    By BrendaB - July 17, 2018

    • Answer

      If you have no existing medical coverage at your travel destination, it is highly suggested to obtain a travel medical plan for your trip. Please fill out the quote form on our home page, www.insuremytrip.com with your trip details and once you arrive on the results page, please view the plans under the medical tab. Our single trip medical plans provide both medical and medical evacuation coverage when traveling outside of your home country.

      By MattG - July 18, 2018

  • Question

    I just booked a cruise, and I am purchasing travel insurance. I have a question, and the cruise company suggested I ask you directly. My mother is 93 and healthy. She is not traveling with me, However my concern is always that if something serious should happen to her either right before my trip or during my trip, would I be covered by trip cancellation?

    By NancyP - January 24, 2019

    • Answer

      Yes. The number one covered reason for Trip Cancellation and Trip Interruption is the unforeseen illness or injury of you or a traveling companion that deems you unfit to travel, by order of a licensed physician; or the unforeseen hospitalization or death of a family member. To see all of the covered reasons to cancel or interrupt your trip, please click on the dollar amount that appears under the words "Trip Cancellation" when viewing a quote. This applies to all comprehensive policies we offer and it extends to non-traveling family members. Trip Cancellation reimburses 100%.

      By MattG - January 24, 2019

  • Question

    Is this per trip insurance only or can you also get an annual multi trip plan with a pre existing condition

    By Bruce - April 15, 2020

    • Answer

      Comprehensive plans that offer coverage for pre-existing conditions (through a pre-existing condition waiver) are available on a per-trip basis only. All eligibility requirements must be met in order to qualify for the pre-existing condition waiver such as, but not limited to, insuring the full cost of your trip, purchasing your plan within 10-21 days after making your initial trip payment and being medically fit a the time the policy was purchased.

      By Meghan - April 21, 2020

  • Question

    If I want to purchase comprehensive insurance with the pre-exisiting waiver, it says to cover the full non-refundable cost of the trip. What if I have only paid a small deposit on a cruise. May I purchase the insurance based on the cost of the deposit (within the 10-21 days after the initial payment) and as I make additional payments, increase the policy cost and meet the requirement for the pre-existing waiver?

    By PatriciaT - April 23, 2020

    • Answer

      Yes, you can purchase your insurance now and insure the amount you have paid out of pocket so far and increase the insured trip cost as you make future payments. There are a few requirements that must be met to qualify for the pre-existing conditions waiver, such as but not limited to, you (or anyone covered by the waiver) must be medically fit at the time the policy is purchased, insure the full cost of your trip and be purchasing the insurance within 10-21 days after making your initial payment/deposit. This time sensitive period may differ depending on the company. As you make future payments toward you trip, you will want to add those expenses to your policy (within 10-21 days after making the payment). It is important to read the full details of your policy which will include the time sensitive period and any other requirements to qualify for coverage. If you have questions while you are reviewing plans, please contact our Customer Care department at 800-487-4722.

      By Meghan - April 24, 2020

  • Question

    Can I purchase the insurance before purchasing ticket

    By VeniceG - June 28, 2021

    • Answer

      You have to have some sort of money spent towards the trip before buying a comprehensive policy. Comprehensive Plans are the most widely known form of coverage and are often called package plans. Typically, a Comprehensive Plan will offer a variety of benefits for travelers, covering a wide range of concerns. Most provide coverage for Trip Cancellation, Trip interruption, Baggage loss, Medical, Dental, Emergency Evacuation, 24 Hour Traveler Assistance, Baggage Delay, Travel Delay, and Accidental Death. You can purchase most policies up until the day before departure, however; you may not be eligible for some time sensitive benefits if you do not purchase within 10-21 days of the initial trip deposit/payment. Some time sensitive benefits are, but not limited to: Pre-Existing Condition Waiver, Financial Default, Terrorism, Cancel For Any Reason and Cancel For Work Reasons.

      By MattG - June 29, 2021

  • Question

    If I book hotels for my trip that can be cancelled up to a day before my trip starts, do I have to include the cost of the hotels in my trip total

    By Fran K - January 22, 2023

    • Answer

      If you woke up on the day of departure and had to cancel the trip for a covered reason, whatever money you stand to lose on that day is what you would insure. Any travel arrangements that are fully refundable if you cancel on the day of departure does not need to be insured.

      By MattG - January 25, 2023

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