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What does travel insurance not cover

Traveling the world can be an exhilarating experience, brimming with unforgettable sights, sounds, and flavors. But just like any great adventure, it’s not without risk. Understanding what your travel insurance covers is crucial to ensuring peace of mind while you’re away from home. It’s the key to avoiding unpleasant surprises and unforeseen bills should something go awry during your journey.

Travel insurance is a type of plan that protects you from certain financial risks and losses that can occur while traveling. These could range from lost luggage, delayed flights, medical emergencies, or even evacuation costs. However, it doesn’t necessarily cover every possible scenario. This blog will delve into the intricacies of travel insurance coverage, helping you discern its limits and make informed decisions for your future travels.

Common Misconceptions

The ‘All-Risks’ myth is a common misconception that people often have about travel insurance. They believe their plan covers everything, which is far from the truth. Each plan has specific inclusions and exclusions; reading the fine print is essential. Moreover, not all plans cover extreme activities like bungee jumping or rock climbing. Always check your plan thoroughly before embarking on such adventurous trips.

Another misconception is the presumed health coverage. Many travelers assume that their travel insurance will cover all health-related issues abroad. However, most plans only provide emergency medical coverage and do not cover routine check-ups or non-emergency treatments. It’s also crucial to understand that some plans might not cover pre-existing conditions. Hence, it’s always better to clarify these details with your provider or insurance agent.

Travel Destinations Exclusions

Travel insurance plans often exclude high-risk countries from their coverage. These are usually countries with a significant risk of political violence, terrorism, or severe health risks. Before planning a trip, you should check whether your plan covers your destination. 

In addition, unstable political environments can also lead to an exclusion in your travel insurance. It could be due to ongoing conflicts, civil unrest, or potential threats to safety. If you’re traveling to a region experiencing war or civil unrest, your plan might not cover any losses or damages incurred during your trip. Always check the current political situation of your destination and the corresponding coverage in your plan.

Pre-existing Conditions

Pre-existing conditions refer to any medical condition you (some plans also include medical conditions of family members – even if not traveling with you – and traveling companions) had before purchasing your travel insurance. The impact of these conditions on your plan varies from one insurance company to another. Most travel insurance plans exclude pre-existing conditions to some extent, but many providers also offer a way to “waive” the exclusion. Generally, you must purchase the travel medical insurance within a specified timeframe and insure the full cost of the trip. 

Adventure Sports Limitations

Adventure sports come with risks; not all travel insurance cover these activities. The excluded activities can range from relatively safe sports like hiking to more extreme ones like skydiving. If you plan to participate in any adventurous activities during your trip, ensure that your plan covers them.

There are often insurance gaps when it comes to extreme sports. These activities carry a higher risk of injury, so many providers exclude them from coverage. However, there are alternative coverage options available for adventure enthusiasts. Some providers offer special adventure sports coverage as an add-on to your regular plan or may include it as part of the basic plan.

Travel Supplier Failures

If airline or tour operator bankruptcies occur, your travel insurance may provide some protection. However, this depends on your plan and the terms of coverage. 

Refund limitations often apply in cases of travel supplier failures. The amount you can claim might be capped at a certain limit, or there could be specific conditions for claiming a refund. Despite these limitations, having coverage for supplier failures is important. It provides an extra layer of protection and potentially saves you from significant financial loss.

Unforeseen Natural Disasters

Travel insurance typically covers unforeseen natural disasters like hurricanes and earthquakes. However, coverage can depend on the event’s timing and when you purchased your plan. If a disaster was forecasted before you bought your insurance, it might not be covered.

Personal Belongings Exclusions

Travel insurance can provide some protection for personal belongings during your trip, but there are often exclusions and limitations. Understanding these can help you decide better what to bring and how to protect your valuables.

High-Value Items

Many travel insurance plans limit the coverage for high-value items like jewelry or expensive electronics. They often have a per-item limit that may cover less than the full value of such items. If traveling with high-value items, consider getting additional coverage or leaving them at home.

Lack of Coverage for Certain Electronics

Personal electronics, like laptops or smartphones, may not be fully covered by your travel insurance. It could leave you in a difficult situation if they get lost, stolen, or damaged during your trip. Always check your plan’s terms and conditions regarding coverage for electronics.

Alternative Solutions for Valuables

If your travel insurance doesn’t adequately cover your valuables, look for alternative solutions. Some providers offer additional coverage for high-value items. Alternatively, your homeowners’ or renters’ insurance might cover lost or damaged items while traveling.

Losses Due to Intoxication or Substance Abuse

Losses resulting from your intoxication or substance abuse are typically not covered by travel insurance. Understanding this can help avoid unexpected costs and legal troubles during your trip.

Alcohol-Related Incidents

Suppose you get injured or cause damage while under the influence of alcohol; your travel insurance likely won’t cover the costs. It’s important to drink responsibly and stay within your limits while traveling.

Drug-Related Exclusions

Using illegal drugs can lead to severe consequences, including loss of insurance coverage. Most travel insurance plans exclude coverage for incidents related to your illegal drug use. 

Legal Consequences and Plan Implications

Apart from the health risks, drug use can also lead to legal troubles and loss of insurance coverage. Depending on the laws of the country you’re visiting, you could face fines, imprisonment, or deportation. Always abide by local laws and understand the potential implications of your actions.

Acts of Terrorism

Acts of terrorism are a sad reality in today’s world, and they can significantly impact your travel plans. Understanding how your travel insurance handles such scenarios can help you make better decisions.

Terrorism Limitations in Plans

Many travel insurance plans provide coverage for acts of terrorism, but there may be a requirement that the terrorist incident occur in a city on your itinerary, within a certain time frame of your planned arrival. . Always check your plan’s wording carefully to understand its stance on terrorism.

Traveling to High-Risk Regions

Traveling to regions where terrorism is more prevalent can impact your insurance coverage. Some plans exclude such regions from coverage or have specific conditions and limitations. It’s crucial to understand these terms before traveling to high-risk areas.

Alternative Security Measures

If you’re traveling to a region with a high risk of terrorism, consider taking additional security measures. It could include staying updated with travel advisories, registering with your embassy, and following local laws and customs. These measures can help enhance your safety during your trip.

Excessive Risk-Taking

Participating in dangerous activities can lead to denied insurance claims. It includes extreme sports without safety equipment or breaking local laws. Understanding how these behaviors can affect your travel insurance coverage is essential. Excessive risk-taking can result in significant out-of-pocket expenses. Therefore, understanding the balance between adventure and safety is crucial.

Read your travel insurance policy carefully to understand exactly what activities are covered, and more importantly, what is not covered

Pandemics and Epidemics

The COVID-19 pandemic highlighted the limitations of many travel insurance plans. Many did not cover issues related to such global health crises. Understanding your plan’s stance on pandemics and epidemics is essential. Coverage gaps can lead to unexpected medical expenses, including medical treatment or extended quarantine costs.

Before traveling, thoroughly reviewing your plan can prevent future disappointments and trip cancellations. Knowing whether your plan or the travel insurance company covers pandemics helps you plan better and avoid unnecessary risks. Many US travel insurance providers have extended coverage for losses due to COVID-19, but you should always check with your provider. The goal is to ensure that you are adequately covered for any eventualities. 

Limitations on Trip Cancellations

Many travel insurance plans provide coverage for acts of terrorism, but there may be a requirement that the terrorist incident occurs in a city on your itinerary, within a certain time frame of your planned arrival. Always check your plan’s wording carefully to understand its stance on terrorism.

High-Risk Activities Exclusions

Your travel insurance might not cover high-risk activities like skydiving or bungee jumping. Before engaging in such activities, checking your plan is crucial. You may need to purchase additional coverage for these types of activities.

Participation in excluded activities can lead to denied claims. If an accident happens, you could be left to cover all medical bills. Therefore, understanding your plan’s exclusions is essential before participating in high-risk activities. Always ensure that your planned activities are within the coverage boundaries of your insurance plan.

Sports Injuries Limitations

Sports injuries are often subject to limitations or exclusions in travel insurance plans. Before participating in sports during your trip, check your plan’s terms. You might need to adjust your plans or purchase additional coverage.

Injuries incurred during competitive sports can lead to denied claims. It’s essential to know your plan’s stance on sports injuries. Professional athletes might also have certain activity exclusions. 

Exclusions Related to Age and Medical Conditions

Most travel insurance providers have a maximum traveler age they’ll accept for the purchase of insurance. (Note too, the majority of US travel insurance plans base their pricing on the age of the traveler.) As noted, pre-existing medical conditions may not be covered. Also be aware that plans may not cover normal pregnancy or childbirth, non-emergency treatment, treatment that is not medically necessary, traveling for the purpose of obtaining medical care, mental or nervous disorders, other medical costs or palliative care for terminal illnesses.

Understanding how age and medical conditions impact your coverage is crucial for ensuring adequate travel protection.

CONCLUSION

Understanding what your travel insurance does not cover is just as important as knowing what it does cover. The fine print of your plan is where you’ll find these crucial details. While it might seem daunting to go through all the terms and conditions, doing so can save you from surprises, disappointments, trip cancellation and potential financial losses during your travels. Being insured offers a safety net but doesn’t provide blanket protection for every possible scenario.

Making informed decisions about your travel insurance is essential to planning any trip. Knowing your plan inside out allows you to travel confidently without worrying about coverage gaps. So, before you take off on your next adventure, take a moment to review your plan.

Understand its exclusions, ask questions if anything is unclear, and ensure you’re adequately protected. Remember, the aim is to make your travels enjoyable and stress-free, and having the right insurance coverage plays a significant role in achieving this.

FRAUD WARNING STATEMENT

FOR RESIDENTS OF ALL STATES OTHER THAN THOSE LISTED BELOW: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

ALASKA: A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or misleading information may be prosecuted under state law.

ARIZONA: For your protection Arizona law requires the following statement to appear on this form. Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.

CALIFORNIA: For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 

COLORADO:  It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies.

DELAWARE: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, files a statement of claim containing any false, incomplete or misleading information is guilty of a felony.

FLORIDA:  Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.

IDAHO: Any person who knowingly, and with intent to defraud or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is guilty of a felony.

INDIANA: A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony.

KANSAS: A “fraudulent insurance act” means an act committed by any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written, electronic, electronic impulse, facsimile, magnetic, oral, or telephonic communication or statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto.

KENTUCKY: 

Application: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

Claim Form: Any person who knowingly and with intent to defraud any insurance company or other person files a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

MAINE: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.

MARYLAND:  Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

MINNESOTA:  A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.

NEW HAMPSHIRE: Any person who, with a purpose to injure, defraud, or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20.

NEW JERSEY:

Application: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.

Claim Form: Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.

PENNSYLVANIA: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

NEW MEXICO: ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES.

OHIO: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

OKLAHOMA: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.

OREGON: IMPORTANT NOTE: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.

TENNESSEE: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefit.

TEXAS: Any person who knowingly presents a false or fraudulent claim for payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 

VIRGINIA: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits. 

WASHINGTON: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

NEW YORK*:  Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

PRE-EXISTING MEDICAL CONDITION

Pre-Existing Medical Condition means an illness, disease, or other condition during the 180 day period immediately prior to the date Your coverage is effective :
  1. received or received a recommendation for a test, examination, or medical treatment for a condition which first manifested itself, worsened or became acute, or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment; or
  2. took or received a prescription for drugs or medicine. Item (2) of this definition does not apply to a condition which is treated or controlled solely through the taking of prescription drugs or medicine and remains treated or controlled without any adjustment or change in the required prescription throughout the 180 day period before coverage is effective under this policy.
  3. required a change in prescribed medication. Change in prescribed medication means the dosage or frequency of a medication has been reduced, increased, stopped and/or new medications have been prescribed due to the worsening of an underlying condition that is being treated with the medication, unless the change is:
    1. between a brand name and a generic medication with comparable dosage; or
    2. an adjustment to insulin or anti-coagulant dosage.
If you, or someone you are traveling with, has a Pre-Existing Medical Condition, you can still buy a policy from us but there is no cover for any claim arising directly or indirectly from that condition.

PRE-EXISTING MEDICAL CONDITION

Any Medical Condition that, within the last 12 months, required any:

  • surgery, inpatient or outpatient treatment, referrals or investigations of any sort. This includes being on any waiting list, taking any prescription medication, tablets or required medical treatment (This will not apply to common colds, flu or contraceptive medication);
  • medical advice or treatment for any respiratory condition relating to the lungs or breathing;
  • medical advice or treatment for any heart, stroke or diabetic condition;

Hypertension or high cholesterol controlled by 1 prescription drug only and where the dosage has not been changed within the last 12 months will not be considered a pre-existing medical condition

Coverages Available:

*not all coverages are available in all states
Travel Protection Benefits Limits
Trip Cancellation 100% of trip cost (up to a maximum of $20,000)
Single Occupancy Up to trip cost
Cancel for Any Reason Up to 75% of trip cost Up to 50% of trip costs in FL(CFAR not available to NY residents)
Trip Interruption 150% of trip cost
Delay Package
Trip Delay
Maximum $200 per day up to $2,500
Missed Connection Maximum of $1,000 per covered trip
Baggage Package – Excess
Baggage and Personal Effects $2,500 $100 Deductible
Baggage Delay $100 per day up to a maximum of $500
Travel Medical Package – Excess AK, CO, ID, ND, NH – Primary
Travel Medical Expense – Adventure sports included $100,000 $50,000 in NH $50 Deductible
Emergency Dental $750
Emergency Evacuation and Repatriation of Remains Up to $500,000
Up to $1,000,000 in NH
Accidental Death & Dismemberment $100,000 or $250,000 or $500,000
Pet Medical Package
Pet Medical Expense Up to $2,000 $100 Deductible
Pet Return Up to $500
Rental Vehicle Damage – Primary Up to $35,000 per rented vehicle- Primary $250 Deductible for loss greater than $2,000
Vacation Rental Damage $1,500 or $3,000 or $5,000

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation and Curtailment 5,000
Emergency Medical Expenses, Evacuation and Repatriation of Mortal Remains 10,000,000 (excess 250 or 50)
Hospital Benefit 25 per day, maximum 100
Personal Accident up to 250,000
Baggage Loss or Delay up to 5,000 (excess 250 or 50)
Personal Money and Passport, limited to 250 in respect of cash 500 (excess 250 or 50)
Personal Liability 500,000
Travel Delay 500
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 or 100)

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Trip Interruption 2,000
Emergency Medical Expenses, Evacuation and Repatriation of Mortal Remains 10,000,000 (excess 250)
Hospital Benefit 25 per day, maximum 100
Personal Accident up to 5,000
Baggage Loss or Delay up to 2,000 (excess 250 or 50)
Personal Money and Passport, limited to 250 in respect of cash 500 (excess 250) *** Limited to 250 in respect of cash
Personal Liability 500,000
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 or 100)
Personal Accident up to 250,000
Baggage up to 10,000

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation up to $20,000
Trip Interruption $1,000
Medical and Emergency Expenses $5,000,000 (deductible $250)
Hospital Benefit $25 per day, maximum $100
Personal Accident up to $50,000
Baggage $2,000 (deductible $250)
Personal Money and Passport, limited to $250 in respect of cash $500 (deductible $250)
Personal Liability $500,000
Optional Benefits Limits
Business Extension up to $1,000 (deductible $100)
Winter Sports (Ski Equipment) up to $750 (deductible $50 or $100)

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation and Curtailment 5,000
Emergency Medical Expenses, Evacuation and Repatriation of Mortal Remains 10,000,000 (excess 250 or 50)
Hospital Benefit 25 per day, maximum 100
Personal Accident up to 250,000
Baggage Loss or Delay up to 5,000 (excess 250 or 50)
Personal Money and Passport, limited to 250 in respect of cash 500 (excess 250 or 50)
Personal Liability 500,000
Travel Delay 500
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 or 100)