Will Your Health Insurance Policy Cover You Overseas?

 

(recently posted in Travel Agent Central)

Many Americans remain unclear about the cost of medical care while traveling, according to a new study from InsureMyTrip Research Center.

In a 2017 survey, 35 percent of respondents were not  sure whether their domestic health insurance plan would cover any doctor or hospital visits while traveling out of the country. 35 percent said it would provide coverage, while 30 percent believed their domestic health insurance plan would offer no coverage.

According to InsureMyTrip, large insurance providers like Blue Cross and Blue Shield, Cigna and Aetna may provide emergency and urgent care coverage abroad. However, the definition of emergency varies. Medicare will rarely pay for inpatient hospital, doctor, or ambulance services travelers get in a foreign country.

Travelers can request clarification of coverage prior to departure. Here’s how:

  1. Call your medical insurance provider
  2. Ask to review your certificate of coverage for explanation of benefits
  3. Ask for hospitals and doctors in area of travel

According to the U.S. State Department, very few health insurance companies will pay for a medical evacuation back to the United States, which can easily cost up to $100,000, or even more, depending on a travelers’ condition and location.

In addition to seeking proper medical protection, travelers can also reduce health risks by learning about destination-specific medical concerns, including required vaccinations, InsureMyTrip said. The U.S. State Department is a helpful resource. The U.S. Federal Consumer Action Handbook also provides travel insurance recommendations for travelers.

The survey was conducted online among 500 respondents in the U.S. All respondents either researched or purchased travel insurance within the past 12 months.

Read more on

Do You Need Travel Insurance

 

(This article was recently posted on Wendy Perrin’s travel blog.)

 

With any luck, most of us will go our entire lives without needing travel insurance. But if we relied on luck to guide all of our financial decisions, we’d be buying lottery tickets instead of contributing to our 401(k)s.

Travel insurance can be confusing—which is why Wendy has received countless questions about it from readers. So we’ve created this primer that lays out the basics of travel insurance, including when you need it—and when you don’t.

What is travel insurance anyway?

Essentially, travel insurance serves two purposes, both financial. The first is to protect the investment you’ve already made—the cost of your trip—in the event that you need to cancel. The second is to cover future potential costs—the medical bills that could arise should you get sick or injured during your trip. But purchasing travel insurance isn’t just an economic decision; it’s also about attaining peace of mind about things that could derail your travels.

What does travel insurance cover?

Travel insurance policies cover some or all of the following (those that include all of these elements are called “comprehensive”):

  • Trip cancellation or interruption
  • Medical expenses, and sometimes evacuation (transportation to an appropriate medical facility)
  • Expenses related to a trip delay and lost, stolen, damaged, or delayed baggage
  • A lump-sum payment if you’re injured or killed while traveling
  • Emergency assistance

A policy kicks in only if your situation fits within its specific conditions (those are the pages of fine print at the back of every policy). You can’t, for instance, get your money back if you decide to cancel because your cousin dies; that’s because most policies cover cancellation due to the death of only certain family members (excluding cousins). Another example: You can’t get your medical bills paid if an ongoing heart issue requires attention while you’re traveling—unless you’ve bought a policy that covers pre-existing conditions.

Here are three examples of how travel insurance can help. These are scenarios that a traveler might run into—and ways in which the right travel insurance policy could protect the traveler in each scenario; remember that every policy’s benefits are different:

Beth is headed to the Caribbean during hurricane season, since she knows that prices are lower at that time of year and that the chance of a storm hitting any particular island is low. But a week before she leaves, Hurricane Peter wreaks havoc at her beachfront resort.
Since she purchased an insurance policy with trip-cancellation coverage before the storm was named and her hotel is now uninhabitable, she can cancel the trip and get all of her money back.

Halfway through a hiking trip in the Alps, Joe slips and falls, breaking his ankle.
His travel insurance policy has a medical expense limit of $10,000, so it covers some but not all of his medical bills. Because he can’t continue with his trip, his trip-interruption benefit reimburses him for the unused portion of his prepaid expenses.

While Amy is walking from the train station to her hotel, a thief steals her luggage.
Her insurance covers the value of the items in her luggage, up to her benefit limit of $750. Too bad she didn’t leave that diamond necklace at home, though; her policy will only reimburse up to $500 total for jewelry and electronics.

Do I really need travel insurance?

It depends on how you’re paying for your trip. Have you reserved rooms at hotels that let you cancel up to 24 hours before check-in, and rented a car that you don’t have to pay for until you show up at the counter? In that case, don’t bother with insurance, since you’re not out of pocket for many expenses.

Or have you pre-paid for most of the pricey elements of your trip—hotels, guides, transportation—which often means that your payments are nonrefundable? If so, you’re an excellent candidate for travel insurance.

Don’t I already have insurance?

You might. Some—but not all—medical plans, homeowners’ or renters’ insurance policies, and credit cards offer benefits to travelers. But Medicare, for instance, doesn’t cover members when they are overseas (though some Medigap plans do), and most health plans won’t cover evacuation (meaning, transportation to an adequate medical facility), which can be expensive if you’re somewhere remote. Check with your insurers to see what’s included.

Some premium credit cards include a level of protection. This coverage probably isn’t alone worth the card’s annual fee, but if you already have such a card, you should know what benefits it offers so that you don’t pay for redundant coverage. For example, Chase Sapphire Preferred—one of Wendy’s favorite credit cards for travelers—has some good insurance benefits, but with set limits (so, for instance, you can get back only up to $10,000 per traveler if you have to cancel a trip you paid for with the card—even if the trip cost you $15,000 per person).

Some travel firms and tour operators also include certain insurance coverage in all of their trips. Don’t waste your money buying coverage that’s already built into the cost of your trip. However, don’t assume that this coverage is comprehensive; depending on your circumstances, you might want to buy an additional policy.

How much does travel insurance cost?

It costs about four to eight percent of your total trip cost, according to the U.S. Travel Insurance Association. So if you and your spouse are spending $20,000 total on an African safari, expect to pay $400 to $800 per person for travel insurance.

Each premium is calculated based on the length and cost of the trip, where you’re going, and how old you are. For travelers above age 50, policies get significantly more expensive, while children can often be added to a parent’s plan for free. (Some Travel Guard plans, for example, cover all children under 18; Travelex includes one child under 21 years old for free with every covered adult family member.)

When should I buy travel insurance?

Purchase your policy as soon as you put down a deposit toward your trip, but only cover whatever amount is nonrefundable; you can adjust the policy with each subsequent payment for your trip.

My travel agent recommends that I purchase a policy through a specific insurer; should I follow her advice?

Some travel agents, tour companies, and outfitters have relationships with a particular insurance provider. They might push you to buy a certain type of insurance because they’ll earn a commission; on the other hand, their relationship with that insurer could benefit you if you have to file a claim. Wendy has seen many cases where Trusted Travel Experts on her WOW List, thanks to their relationship with a particular insurer, have been able to act as advocates for their clients and get their claims paid.

Should I cover the cost of my flights too?

That depends. If you have to cancel your trip, you can usually put the cost of any unused airline tickets toward a future flight, minus a change fee. Calculate how much your premium will increase if you insure your flights; if the difference is less than the airline’s change fee, it’s worth insuring the flights. (You might also want to insure flights on any local carrier that you aren’t likely to fly with again—in which case a credit toward future travel would be worthless.)

What does it mean if a travel medical insurance plan is primary or secondary?

“Primary” means that the plan pays any bills first, without having to go through your home health insurance provider; “secondary” means the plan will only cover whatever you owe after you’ve filed a claim with your health insurance provider. You’ll typically get a bit more coverage per dollar with a secondary plan—but you’ll have to deal with more paperwork if you file a claim.

I have a medical condition; will expenses related to it be covered?

Not unless you pay for a waiver that covers pre-existing medical conditions. This coverage—which will add to your premium—is only available if you purchase insurance soon after making the first payment on your trip (generally within 14 to 21 days of that initial deposit). You also usually have to insure the entire nonrefundable cost of your trip, including flights. Without coverage for pre-existing conditions, you’re on the hook for any expenses related to a condition that wasn’t medically stable at the time you booked.

What if I’m hurt doing an adventure activity (say, bungee jumping)?

Most policies won’t cover injuries you receive while taking part in certain “hazardous activities”—a category that can include everything from skydiving and rock climbing to scuba diving and heli-skiing. Some plans will allow you to pay a higher premium to cover these activities. (Dive Accident Insurance from the Divers Alert Network, for instance, covers most bills related to scuba-diving accidents.)

Will insurance pay for me to come home if I get sick or injured on the road?

Not usually. Most policies will pay for transportation to the nearest adequate medical facility (known as evacuation)—but that could be thousands of miles from your loved ones and the doctors you trust. If you want to know that you can get home, you’ll need to purchase additional coverage from a company such as MedjetAssist: Once you become a member by paying an annual fee, Medjet will arrange and pay for transportation back to your hospital of choice, anytime you are hospitalized more than 150 miles from home. Full disclosure: Medjet is a sponsor of WendyPerrin.com. But they’re a sponsor specifically because Wendy believes in and uses their service herself.

Can I call off my trip for any reason and be reimbursed?

No. Each policy defines the allowable reasons for which you can cancel and get your money back. To cancel your trip because of a terrorist attack, for instance, the attack typically has to happen in a city listed on your itinerary—not just anywhere in the country you’re visiting.

You can purchase additional “cancel for any reason” (CFAR) coverage, but it’s pricey, and even then, you’ll generally only be reimbursed 50% to 75% of your trip cost. As with pre-existing condition benefits, you usually have to purchase CFAR coverage soon after your initial trip deposit, and you have to insure the total cost of the trip.

Which policy should I buy?

It would be so easy if one size fit all—but it doesn’t. To know which policy is right for you, think about what keeps you up at night. Are you most concerned about a sudden flare-up of that nagging knee injury? Or about not making it home for a relative’s funeral? Or having to miss your bucket-list cruise because your boss needs you in a meeting? Or deciding to cancel your trip because of a terrorist attack at your destination?

Websites such as insuremytrip.com, squaremouth.com, and travelinsurance.com allow you to input your details and compare multiple policies at once, narrowing in on which one is right for you. If there’s a specific reason you’re considering travel insurance, get on the phone with any potential insurer and ask how their policies would work, should the hypothetical situation you’re concerned about actually occur.

Here are four common travel scenarios. Using the websites listed above for our research, we’ve highlighted an insurance policy that would work well in each case. (Note: When you’re ready to purchase your own policy, be sure to confirm any coverage details below, as they may change.)

A family of four from New York (two parents aged 40, plus kids ages six and eight) are headed on a Caribbean cruise.
RoamRight’s Preferred policy is the least expensive option with the most generous coverage: For $134 total, they get 100% of their trip cost covered if they have to cancel their trip, and 150% of the cost covered if the trip is interrupted. A financial default clause kicks in 14 days after they purchase the policy, in case their cruise line goes bust. And they get $50,000 per person of medical coverage, $500,000 per person for a medical evacuation, and $100,000 for a non-medical evacuation.

A 50-year-old Californian wants to take a bike tour of Italy, but she’s worried because her mother is sick.
Here, Global Alert’s Preferred policy is probably the right choice because it will give the traveler a refund if she cancels or interrupts her trip because her mother’s condition worsens significantly after the policy is purchased. While the policy only covers 100% of the trip cost if it’s interrupted (some similarly priced plans cover 150%), it has more generous medical benefits, including $250,000 in medical coverage, and the bills from a bike accident can add up. This policy costs $255.

A 65-year-old couple from Florida has booked a $20,000 safari; one of them has a pre-existing condition.
Global Alert’s Preferred policy is again probably a good choice. The travelers should buy it within 14 days of making their first trip payment; that way, medical expenses related to their preexisting condition will be covered, up to $250,000 per person (higher than more expensive plans, even), with an identical limit for a medical evacuation. The premium for this policy is $990 total.

A married couple in Illinois, both 35 and high-powered executives, have booked ten days of R&R in the Maldives costing $15,000. Their health insurance will cover them while abroad, but they’re worried that something could come up at work that will force them to cancel the trip.
These travelers should consider either iTravelInsured’s Travel Lite plan or AXA Assistance USA’s Silver plan (with the optional “cancellation for work reasons” coverage, which must be purchased within 14 days of their initial trip payment); both will cover them for the entire trip cost, should an employer require them to stay home. The policies cost $534 and $538, respectively. (One advantage of AXA’s policy is that it provides $25,000 per person in primary medical coverage, so they wouldn’t have to bother filing a claim with their home health insurance company.)

Travel Insurance? Should I buy It?

 

BUS TRIP INSURANCE

I often get asked whether travel insurance is needed especially on bus trips.  My answer is that the insurance is so cheap why would you not want to buy the insurance.  Most bus trip insurance ranges from $59 to $89 dollars and covers you up to about a thousand dollars.

I recently had a couple who had paid the bus company a little over a thousand dollars per person to go on a trip to Canada.  Yes it is one of the more expensive trips.  They had declined to buy the insurance I am sure thinking they were in good health.

Two days before the trip the wife came down with a severe case of the flu. They could not go.  So they lost their two thousand dollars.  The insurance would have cost less than two hundred dollars for both of them.

One time my wife and I was going to China on a Chamber or Commerce tour.  I rarely get sick so I did not think it was necessary to cover the cost of the trip which was quite good at only three thousand dollars for both of us.  I think the Chinese government may have been paying some of the cost.  Anyway the day before we left I became so dizzy I could not sit up.  The doctors told me if I went to China I would end up in a hospital over there and that might not be too good.  So I lost the three thousand dollars.

Most bus companies will give your money back and the insurance company will even refund your money back if you cancel several weeks before the trip.

So my advice is to wait and buy the insuance at the time of final payment so you don’t have to make an investment too far out.

INTERNATIONAL TRAVEL

The short answer is yes you always need to purchase insurance when you plan to go over seas.

The cost of the insurance will be about ten percent of the total cost of your trip.  So if you trip cost around five thousand dollars you can expect to pay around five hundred dollars for the insurance.  The cost of the insurance also depends on your age. So the younger you are the less you will pay verses someone who is a senior will end up paying more.

Make sure you include the airfare, hotel, tours and any item where you will not be able to get a refund if you have to cancel your trip.

Also remember you will not be getting back your premenium.

If you have some ailments you may want to buy insurance as soon as you book your trip.  Most companies, if you do this, will let you include any preexisting ailment in the policy.  If you try and buy the same policy at a later date it will probably be excluded.

If you plan on taking a cruise you can either buy the insurance from the cruise company or you can go out on the open market and get quotes.  Many times the quote from the cruise company may be a little higher so it is a good policy to always check.

When traveling and you have a problem overseas make sure you have the number from the insurance company with you and call them.  Explain the situation and they will provide guidance on what you should do.

One thing I have learned over the years is that you always want to keep your receipts if you buy a replacement item. Without the receipt you will not reimbursed.

If you luggage is delayed and you policy says you can be reimbursed up to $300.00 for clothes.  You actually have to go out and buy the clothes and show the receipt.  One time a friend of mine ask for the $300.00 but he just borrowed some clothes from a friend until his suitcase arrived.  His claim was denied because he did not buy any clothes.

Also it is a good idea to check with your credit card company and see if they provide any insurance as well. So do but many do not.cx