Getting travel insurance with pre-existing medical conditions

You can get coverage by purchasing a policy with a 'Pre-Existing Medical Condition Exclusion Waiver' within 14 to 21 days of your initial trip deposit. Always be honest about your health history, as failing to disclose a condition will void your entire policy.

  1. Review your medical records. Compile a list of all diagnoses, medications, and treatments from the last 6 to 12 months. Insurance companies use a 'look-back period' to determine if a condition is pre-existing; have your exact dates of doctor visits ready.
  2. Buy early to qualify for a waiver. Most insurers offer a 'Pre-Existing Condition Exclusion Waiver' if you purchase your policy within 14–21 days of making your first trip payment. This is your best protection; without it, any health issue related to your condition will not be covered.
  3. Use a comparison aggregator. Use sites like SquareMouth or InsureMyTrip. Filter your search results specifically for 'Pre-existing condition coverage.' Do not guess; if you are unsure if a condition qualifies, call the provider directly and ask.
  4. Confirm the 'Look-Back' period. Check the policy fine print for the look-back period. If your policy has a 60-day look-back, they will only care about medical events that happened in the 60 days prior to your policy purchase date.
  5. Keep all documentation. Before you leave, get a letter from your doctor stating you are 'fit to travel.' Keep digital and paper copies of your medical records and your insurance policy ID numbers with you at all times.
What happens if I don't buy the waiver within 21 days?
You can still buy insurance, but the pre-existing condition will be excluded. Any medical bills related to that condition will have to be paid out of pocket.
Does my regular health insurance cover me abroad?
Usually, no. Most domestic plans, including Medicare, do not provide significant coverage outside your home country. Always check your specific plan's 'out-of-network' international coverage.
Will I have to pay for treatment upfront?
Often, yes. Even with insurance, you may be expected to pay smaller bills at the time of service and submit a claim for reimbursement later. Keep every single receipt.