People traveling with medical conditions usually have to be aware of how these health histories will impact their travel insurance protection. Every travel insurance provider has rules for defining and covering pre-existing medical conditions, which can affect both medical and trip-related benefits.
There are generally two categories of travel insurance that relate to pre-existing conditions:
Understanding the difference between the two categories of travel insurance provides travelers the simple ability to make a decision about coverage based on their health, their destination, and their travel intentions.
A pre-existing condition is any illness, injury, or medical condition that existed before the start of your travel insurance policy — even if symptoms were not present or the condition wasn’t formally diagnosed.
Examples include:
Every insurance provider defines “pre-existing” slightly differently, so reviewing the plan wording is crucial.
Most travel medical insurance plans exclude pre-existing medical conditions, meaning they won’t cover treatment for conditions that existed before your policy started. However, some plans include coverage for acute onset of pre-existing conditions or offer full coverage under specific eligibility rules.
To provide emergency medical care when, during the trip, a pre-existing condition recurs suddenly and unexpectedly. Such coverage only applies to unforeseen medical emergencies and does not cover routine check-ups, medications, or continuing management of chronic medical conditions.
This coverage provides greater coverage for pre-existing conditions, emergencies, including hospitalization related to chronic and previously diagnosed illnesses. Full coverage is offered under some comprehensive plans only-such as INF Elite X, INF Premier X, or Visitors Protect and it may require that the condition of the traveler must have been stable for a certain period before the start date of the policy.
| Features | Full Pre-existing conditions Coverage | Acute Onset of Pre-existing Conditions Coverage |
| Definition | Covers all eligible medical expenses related to your pre-existing medical condition(s) without requiring them to be sudden or unexpected. | Covers only sudden, unexpected, and life-threatening flare-ups of pre-existing conditions. |
| Example | You have diabetes. You need insulin refills, routine checkups, or hospitalization due to a gradual complication - these can be covered. You have hypertension and develop kidney complications - still covered, even if the complication develops slowly over time. |
You have asthma. A sudden severe asthma attack occurs while traveling - covered. You have high blood pressure and suddenly suffer a stroke - covered. But if your blood pressure is gradually increasing and you need medication adjustments - not covered. |
| Top plans | Patriot America Plus, Atlas America, Venbrook Premier and Safe Travel USA Comprehnsive. | INF Elite X, INF Premier X, Visitor Protect. |
The best travel insurance for pre-existing conditions include Safe Travels USA Comprehensive, Patriot America Plus, Atlas America, Visitors Protect, Venbrook Premier, and INF Elite X.
Safe Travels USA Comprehensive offers strong protection for acute onset of pre-existing conditions.
This plan is a strong choice for older travelers looking for broad acute onset benefits while visiting the U.S
Coverage Type
Acute Onset of Pre-Existing Conditions.
Eligibility
Up to 89 years of age.
Period of coverage?
15 days to 365 days
Patriot America Plus is a comprehensive travel medical plan that covers the acute onset of pre-existing conditions up to the selected policy maximum for travelers aged up to 70 years.
This plan is well-suited for international visitors or expatriates planning short stays in the U.S.
Coverage Type
Acute Onset of Pre-Existing Conditions.
Eligibility
Up to 70 years of age.
Period of coverage?
5 days to 364 days
Atlas America is a comprehensive visitor insurance plan designed for non-U.S. citizens and non-U.S. residents visiting the United States.
Atlas America is ideal for visitors seeking flexible short-term medical coverage that includes limited protection for pre-existing conditions.
Coverage Type
Acute Onset of Pre-Existing Conditions.
Eligibility
Up to 79 years of age.
Period of coverage?
364 days
Visitors Protect provides temporary medical coverage for pre-existing conditions and is one of the few visitor plans to offer extended protection for older travelers.
This plan is suitable for seniors and long-term visitors needing coverage beyond acute onset emergencies.
Coverage Type
Full Pre-Existing Condition Coverage.
Eligibility
Up to 99 years of age.
Period of coverage?
90 days to 364 days
Venbrook Premier offers broad acute onset coverage, including protection for one sudden and unexpected episode of a pre-existing condition, provided the traveler seeks treatment within 24 hours of the first symptoms.
This plan provides protection for travelers seeking quick-response coverage for sudden medical emergencies.
Coverage Type
Acute Onset of Pre-Existing Conditions.
Eligibility
Up to 79 years of age.
Period of coverage?
5 days to 364 days
INF Elite X offers comprehensive coverage for pre-existing medical conditions, cove including chronic and stable conditions, for travelers to the U.S.
INF Elite X insurance offers comprehensive coverage for both new and existing medical conditions.
Coverage Type
Full Pre-Existing Condition Coverage.
Eligibility
Up to 99 years of age.
Period of coverage?
90 days to 364 days
The cost of travel insurance with pre-existing condition coverage varies depending on the traveler’s age, medical maximum selected, and deductible amount. For most visitors, the monthly premium typically ranges between $256 and $1,819.
The average cost of IMG travel insurance for the USA is based on quotes for a 60-year-old traveler for one month.
| Plan Name | Medical Maximum | Deductible | Cost |
|---|---|---|---|
| Patriot America Plus | $50,000 | $250 | $256 |
| Venbrook Premier | $50,000 | $250 | $265 |
| Safe Travels USA Comprehensive | $50,000 | $250 | $273 |
| Atlas America | $50,000 | $250 | $316 |
| INF Elite X | $150,000 | $250 | $1,819 |
The cost of Visitors Protect insurance is $1,061 for 3 months for a 60-year-old traveler, with a medical maximum of $50,000 and a deductible of $250.
Trip cancellation insurance helps protect you from losing money if you have to cancel your trip because of an unexpected event. However, most travel insurance plans don’t cover cancellations caused by pre-existing medical conditions.
A Pre-Existing Condition Waiver addresses this problem. With this waiver in place, you'll be covered even if your trip is cancelled or interrupted by a medical condition that you have before you purchase trip insurance. That means you will still have coverage for trip costs or medical expenses if your health changes before or during your trip.
A Pre-Existing Condition Waiver is a special feature offered by certain trip cancellation insurance plans. It removes the standard exclusion for pre-existing medical conditions, allowing coverage for cancellations or medical claims related to those conditions.
This waiver ensures that if a pre-existing condition causes you or a family member to cancel or interrupt the trip, you can still recover your non-refundable expenses and receive eligible medical benefits.
Most trip insurance plans exclude pre-existing medical conditions unless you qualify for a Pre-Existing Condition Waiver. This waiver is not automatic travelers must meet certain requirements set by the insurance provider.
Most travel insurance plans offer a Pre-Existing Condition Exclusion Waiver if you purchase the plan soon after making your initial trip payment. The purchase window varies slightly by plan and provider.
Purchasing your plan early through American Visitor Insurance not only secures your Pre-Existing Condition Waiver but also ensures you’re protected if your health or travel plans change unexpectedly.
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| Features | Travel Medical Insurance (Pre-Existing Condition Coverage) | Trip Insurance (Pre-Existing Condition Waiver) |
| Type of Coverage | Medical care and hospitalization during the trip. | Trip cancellation, interruption, or delay protection. |
| Coverage Style | “Acute onset” (sudden emergency) or full medical coverage for pre-existing conditions. | Waives the exclusion for pre-existing conditions if eligibility criteria are met. |
| When It Applies | After you start traveling and need emergency or ongoing treatment. | Before the trip begins, if illness causes cancellation or disruption. |
| Who It’s For | Visitors to the U.S. or international travelers needing health coverage abroad. | U.S. residents booking trips domestically or overseas. |
| Eligibility Conditions | Depends on age, stability of the condition, and plan rules. Some require a stable condition for a set time before departure. | Must buy the plan within a specific time (usually 10–21 days) of initial trip deposit and be medically fit to travel at purchase. |
| Common Plan Examples | Safe Travel USA Comprehnsive, Atlas America, Patriot America Plus, INF Elite X. | iTravelinsured LX, Travelex Ultimate, Pathway Premium, Trip Protection choice. |
| Best For | Medical emergencies or treatment needs during travel. | Protecting trip costs if a traveler’s health changes before departure. |
The appropriate time to purchase travel insurance depends on the type of protection required whether it is medical coverage for treatment during travel or trip protection for cancellation and interruption benefits.
The following sections outline the recommended purchase timing for each type of coverage.
Travel medical insurance can be purchased before departure or, in many cases, after arriving in the United States. However, it is generally recommended to buy the policy prior to travel so that coverage begins immediately upon entry and there are no waiting periods.
Important Considerations:Trip cancellation or interruption insurance that includes a Pre-Existing Condition Waiver must be purchased shortly after the initial trip deposit, generally within 10 to 21 days of making the first trip payment.
Some premium plans, such as iTravelinsured LX, offer a waiver if purchased within 24 hours of the final trip payment.
Important Considerations:U.S. residents booking cruises, tours, or vacations with prepaid costs who wish to protect their investment in case a pre-existing medical condition causes trip cancellation, interruption, or delay.
Travelers with medical histories should carefully review how travel insurance handles pre-existing conditions.
There are two main types of coverage:
Buying the policy at the right time is essential:
By understanding these distinctions, travelers can confidently choose plans that protect both their health and their travel investment.
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