Medication changes or adjustments can cause a stable medical condition to be classified as a pre-existing medical condition under many travel insurance companies plans. Now, I don’t mean to say that all travel insurance plans throughout the world work exactly like I’m going to explain it. I only work with 6 trip cancellation travel insurance companies mainly because I don’t think it’s possible to know the details of scores of different plans.
Also, before I go further into this subject I just need to say that what’s commonly known as travel insurance really has two different categories:
- travel health / medical insurance
- trip cancellation / interruption travel insurance
While nearly everybody thinks that these kinds of plans are the same, in reality they’re not for a few different reasons. So, with the purpose of trying to help you avoid likely claim problems with “travel health / medical insurance plans”, here is what we say:
“Pre-existing conditions are not covered. A pre-existing condition is defined as any injury, illness, sickness, disease, or other physical, medical, mental or nervous condition, disorder or ailment that, with reasonable medical certainty, existed at the time of application or at any time during the three years prior to the effective date of the insurance, whether or not previously manifested or symptomatic, diagnosed, treated, or disclosed prior to the effective date, including any subsequent, chronic or recurring complications or consequences related thereto or arising therefrom.”
I won’t bore you with all the other differences between these types of plans, since I am only addressing changes of medications and pre-existing medical conditions.
Back to the trip cancellation travel insurance plans. Typically, these plans have a Lookback Period of 60 – 180 days prior to the date the travel insurance is purchased. If the person’s medical condition has been diagnosed, treated, received advisement on, had symptoms of or changes or adjustments in their prescribed medication during that Lookback Period then most companies will define that medical condition as a pre-existing medical condition.
Having a pre-existing medical condition doesn’t mean you can’t get travel insurance. It just means that order to get coverage for that pre-existing condition with a trip cancellation travel insurance plan, you have to purchase the insurance within the specified deadline to receive the waiver of the pre-existing medical conditions exclusion. Here are the four rules that you need to follow:
- With a few exceptions, you have to insure at least your trip’s full prepaid, non-refundable cost (you can’t round it down). If you don’t know your final trip cost, estimate it high to be safe. You can always lower to the correct trip cost prior to your departure date. If it drops you to a lower trip cost range, you’ll get a partial refund. and
- The person (including non-traveling family members) with the medical condition has to be medically stable when you get your insurance and
- You must get your travel insurance in the first 14 or 21 days after your first trip payment date or no later than 24 Hours after you make your final Trip payment and
- You have to cover your trip’s full length.
By: Steve Dasseos
Posts Tagged ‘Pre Existing Conditions’
Medication Changes and Travel Insurance – Pre-Existing Medical Conditions Coverage
November 30th, 2009Finding Travel Insurance for Pre-Existing Medical Conditions
November 13th, 2009
What would happen if you had a month’s trip to America booked – departing in six months time – and were unexpectedly diagnosed with lung cancer? Suppose you had to cancel your holiday and go in for immediate surgery. If you had been smart and taken out travel insurance – effective from the date you booked the trip – you should be able to recover costs associated with the cancellation of the trip (after any excess payable). However, if you had waited until the day before departure to purchase travel insurance your cancellation costs would not be covered. Some people try to squeeze extra mileage out of their annual travel insurance policy by making the start date of the policy the date of the first departure. This is a risky thing to do because there will be no cover for cancellation costs if anything should go wrong prior to the departure date.
Just suppose you’d been having tests and investigations within the last year for lung-related problems but failed to declare this fact when purchasing travel insurance. During your scuba diving holiday in California, you start coughing up blood all over the dive boat. You have to seek emergency medical care and a diagnosis of lung cancer is confirmed. Would you be covered for the high emergency medical costs or curtailment of your trip? Probably not.
Anyone with a serious pre-existing medical condition will already know that obtaining travel insurance can be tricky, but not impossible. Some travel insurance companies exclude all claims related to pre-existing medical conditions. Some insurers will cover for pre-existing conditions without any additional premium. Other travel insurance companies may have a medical screening system, usually carried out over the telephone or online. A series of questions is asked to assess the risk and determine whether insurance can be issued. If approved, there may be a choice to either pay an additional premium to cover the pre-existing condition – or elect not to pay the extra premium and exclude claims relating to the risk.
Common conditions such as hypertension (high blood pressure), diabetes and asthma can all cause problems when trying to obtain travel insurance – especially if combined with other conditions, so never neglect to disclose something as common as high cholesterol thinking that it is insignificant! All questions must be answered fully and honestly.
As with any type of insurance, there are always exclusions. Some insurers will refuse to insure those with pre-existing conditions involving cancer, serious kidney problems (requiring dialysis), serious heart conditions, strokes and HIV, AIDS, or any AIDS-related problems. They also do not cover for suicide or suicide attempts – in case you’re thinking of jumping off the Golden Gate Bridge!
Most travel insurance policies will carry similar wording and it is wise to read and understand the terms and conditions. For instance, there might be clauses stating that you should never travel against the advice of a medical practitioner, or to obtain medical treatment abroad (unless already disclosed and pre-approved). The same goes for those on waiting lists for surgery or procedures, or awaiting the results of medical tests. There are specialist travel insurers who will often cover terminal illnesses.
During the medical screening, you may be asked specific questions, such as: have you been a hospital inpatient or had any medical condition that requires ongoing medication, or referral to a specialist within the past twelve months? Have you ever suffered from, been diagnosed with, or treated for cancer (or other malignant disease), a heart or lung condition (excluding well-controlled asthma), high blood pressure or any psychiatric disorder?
Any claims you make which relate directly or indirectly to the types of conditions listed above will normally be excluded – unless you declared the condition and it was accepted by the underwriter, subject to any conditions or additional premiums imposed. Whether or not a particular travel insurance company is willing to offer insurance will depend upon different factors, depending on the underwriter, so it is wise to shop around and obtain quotes.
The biggest mistake is taking the risk of failing to disclose a condition to obtain the insurance. You might get away with it if there are no problems and you have no reason to make a claim. However, if the worst should happen, the insurance company has ways to find out – and they will find out – about any pre-existing conditions! You could find yourself with huge medical bills and your insurance claims denied. With the high cost of medical treatment in some countries (the USA especially) it simply is not worth it. Always be completely honest so that you can have peace of mind and enjoy your holiday without worrying about every twinge!
By: Jean Andrews
