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Everyone loves the excitement of going on holiday. Travelling allows you to leave your worries at home, forget about everything, and mostly just enjoy the experience. However, if you have a pre-existing medical condition, the relaxing experience of travelling may be more stressful if you’re not prepared.

For this reason, travelling with a pre-existing medical condition makes getting travel insurance that little bit more important. Although it might make your insurance application more complicated and your insurance cover more expensive, it ensures that you’re covered for any incidents related to your condition so that it doesn’t affect your holiday more than it needs to.

What is considered a pre-existing medical condition?

A pre-existing medical condition is – as the name would suggest – a condition that has existed prior to your insurance purchase, which:

  • has been investigated and treated;
  • is something you have recently received professional medical advice and prescribed medicine for;
  • is something you have been operated on in the past (12- or 24-month limit depending on insurers); or
  • affects you with any ongoing issues or chronic illnesses which have been diagnosed.

A solo female traveller sitting on top of a mountain in Ha Long Bay

Who should consider travel insurance with pre-existing medical extra cover?

If you have a pre-existing medical condition or you believe you might have a condition that could affect your trip, we recommend you take out travel insurance for pre-existing medical conditions. Otherwise, you may find that any costs related to your condition won’t be covered.

We recommend getting a medical check-up before your trip so that you can disclose any important information to your travel insurer. Failure to disclose information on any condition could invalidate future claims related to that condition.

Travellers who experience issues associated with a pre-existing medical condition are more common than you may think. According to our survey in the Australian Travel Insurance market, out of the 942 travellers who had pre-existing medical conditions more than 1 in 3 (34%) of respondents experienced changes or delays due to their pre-existing medical condition.1

This statistic varied significantly for 18-29 year old age groups for whom over half (52%) experienced issues on their holidays due to their condition.1 Despite this, almost 1 in 3 (31%) thought that declaring their pre-existing medical condition would make little to no difference in their policy.1

Knowing what you’re covered for in cases of the unexpected can help you feel more at ease when travelling. Go through the Product Disclosure Statement (PDS) from insurers to find out exactly what you may be covered for.

What does travel insurance for pre-existing medical conditions usually cover?

There are various levels of travel insurance cover available in Australia ranging from very basic products that only cover limited medical expenses to comprehensive policies that cover a wide range of other benefits.

Depending on your level of coverage, there may be conditions or limits that outline what you can and can’t claim with your specific policy.

With travel insurance, you’ll usually have limited and conditional cover for:

  • emergency medical transport/repatriation;
  • overseas hospital and medical fees;
  • cancellations and delays;
  • deposits;
  • curtailment (cover for accommodation and booked services if you need to cut your trip short for various reason);
  • luggage and property (stolen, lost, and damaged); and
  • travel delays.

By adding cover for pre-existing medical conditions, you’ll receive cover for expenses relating to overseas emergency medical and hospital services for accidents and illnesses that may arise as a result of your pre-existing medical condition.

It’s always best to disclose any conditions you have to your insurer so that you can be given the most relevant advice and recommendations.

A big group of friends celebrating on the top of a mountain against a backdrop of sunsets, lakes and mountains

Most travel insurance policies are built around coverage that automatically covers a limited number of pre-existing medical conditions. Most other conditions are assessed on a case-by-case basis.

These are accepted on the terms that the condition has been stable and hasn’t needed medical attention or hospital treatment for the last 12 months (or 24 months with some providers), and there is no planned surgery or treatment for it in the immediate future.

Some extreme pre-existing medical conditions may incur higher travel insurance premiums, more insurance conditions, and may need a medical assessment before cover is granted. These include:

  • heart problems (coronary angiography, using pacemaker)
  • stroke
  • epilepsy
  • deep vein thrombosis
  • lung disease
  • diabetes
  • conditions where you’ve had surgery in the past 12 months or 24 months, depending on the insurer.

There are certain situations in which your condition may not be covered at all. Though this may vary depending on the insurer, generally travel insurance for pre-existing medical conditions usually isn’t available at all for:

  • conditions that are a result of alcohol or drug dependency;
  • travel for which you’re travelling against medical advice; and
  • conditions for which you’re awaiting any type of treatment or medical procedures.

Frequently asked questions

Am I covered by travel insurance if I’m pregnant?

Pregnancy may be covered through travel insurance but only under certain circumstances. For example, you may be covered up to a certain number of weeks (usually around 24 weeks) for a single uncomplicated pregnancy or multiple pregnancies.

That’s to say, you likely won’t be covered for childbirth since you’ll have been pregnant for longer than the specified period and are travelling at your own risk.

Although pregnancy costs from unexpected medical complications will be covered, most policies will come with specific terms and conditions.

If you are claiming within the allowed period, you should generally be covered for:

  • changing your travel plans which may include flight and accommodation cancellation costs or additional travel (if your doctor advises that you aren’t able to fly); and
  • expenses from overseas medical and hospital treatment, including
      • if you have an unexpected illness or injury related to your pregnancy; or
      • if you have resulting pregnancy complications from an unrelated injury while travelling.

You should check your policy or provider, but unfortunately you may not be covered if:

  • you conceived through an assisted reproductive programme;
  • you need to claim for expenses related to childbirth, regular antenatal care, routine check-ups, or the healthcare of a newborn (or care after 24thweek);
  • your doctor advised you not to travel, or you travel against medical advice;
  • you’re claiming medical expenses within Australia;
  • you’re planning to travel after your ‘maximum weeks of pregnancy permitted’ (typically during the third trimester, but this will vary by insurer); or
  • you’ve experienced complications with your pregnancy or previous pregnancies (including prior miscarriages, ectopic pregnancies, or premature labour).

Keep in mind that your premiums will increase and the specific inclusions may vary depending on the provider or policy. It’s imperative you provide this information to your insurance provider as soon as possible before taking cover.

Which pre-existing medical conditions aren't usually covered by travel insurance?

Most travel insurance providers won’t provide cover for certain chronic conditions. People with these conditions may still take out travel insurance. However, any claims arising from or connected to these medical issues may be invalid.

These conditions include:

  • terminal illness
  • requiring oxygen
  • awaiting surgery
  • chronic lung disease
  • cardiovascular disease
  • types of cancer
  • congestive heart failure
  • recurring pain
  • mental illness (including dementia).

Keep in mind that different insurers may have different exclusions, so always read the Product Disclosure Statement (PDS) of any policy you’re considering for further information.

Can I purchase travel insurance when I'm overseas?

Normally, you can’t apply for travel insurance cover for a medical condition while you’re overseas or after you’ve departed. However, if you’ve forgotten to take out travel insurance before departing for your trip, there are certain insurance providers that may be able to help you out – although, this might come at a higher price.

General travel insurance can usually be bought at the last minute before your flight, but it will generally take between 24-48 working hours to initiate.

It’s highly recommended you take out travel insurance in the early planning stages of your trip, to make sure you have covered all the bases – especially if you have a pre-existing medical condition which may affect your travel insurance policy.

Can I get travel insurance for seniors with pre-existing medical conditions?

There are lots of insurers who’ll provide travel insurance for seniors with pre-existing medical conditions. However, most insurers have age limits between 65 and 80. That being said, there are insurers out there who’ll insure seniors up to the age of 100.

Normally, there aren’t any exclusions specific to seniors, but you may want to check the pre-existing medical condition exclusion list. Common age-related conditions such as dementia may not be covered.

Ready to compare travel insurance?

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