Who Needs Travel Insurance? You Do!

The call came at 9 p.m. A friend needed to be evacuated from a Caribbean clinic for life-saving treatment. When she arrived the next day, she was within hours of death. The complications — and cost — were horrendous, the alternative unthinkable.

Even if you can afford to lose the price of a nonrefundable plane ticket and cancel hotel reservations, the true cost of having to abort a trip midstream, becoming sick in a foreign country or escaping an impending hurricane can be far costlier than you might imagine

I know. After never making a travel claim, my husband and I had two — for different reasons — on a recent trip to Japan. An infection required IV treatments, and a typhoon caused us to cancel a prepaid visit to Nikko. Our insurance reimbursement was higher than the premium we paid, and the assurance that we were covered was worth much more.

If you understand insurance lingo, you can avoid spending more than necessary. Many buy full coverage for a trip when they book it, even though they’ve only made a deposit. That’s because most policies will not cover “pre-existing conditions” unless you purchase the policy within a 14-to-30-day window after the first payment. Travelers assume – incorrectly — that their high blood pressure, diabetes or asthma must be covered from Day One. Yet these are only considered pre-existing if there was a new treatment or medication change in the 60-to-180 day “look-back period.” If a policy has a 60-day look-back and someone takes blood-pressure meds, a stroke that might have been precipitated by that issue would be covered as long as there were no changes in treatment two months prior to the deposit.

Trip insurance comes in handy when travelers must be evacuated because of natural disasters. Photo courtesy of Philip Courter.

Trip insurance comes in handy when travelers must be evacuated because of natural disasters. Photo courtesy of Philip Courter.

If, say, you adjusted your insulin dosage two weeks before you signed up for the trip and later had a diabetic-related illness while traveling, you would be entitled to reimbursement because you had purchased the policy in a timely way. If you booked a safari tomorrow and had been medically stable for the past three months, you wouldn’t have to worry about a look-back period. But if you had a new diagnosis before the trip and had not yet bought insurance, anything related to that finding would not be covered.

The best way to save money is to not insure the whole trip the day you make the first payment. It’s only necessary to insure the portion of a trip that is non-refundable. And just as you can make payments on trips, you can add more insurance to cover what is at risk.

An illness during traveling may require immediate payment to a foreign health provider and sometimes a rapid return home. There are two types of medical coverage on travel policies: primary and secondary. With secondary, you must first submit your claim to your health-insurance provider and wait to see what they pay before asking the travel insurer to cover the balance due. Tin Leg, the company I used for the Japan trip, offered primary coverage, so it was a one-step process to be reimbursed for my medical expenses.

After watching a passenger evacuated from a cruise ship by helicopter, I wondered what it cost. Steven Benna, spokesman for Squaremouth, a travel insurance comparison site, said they recently paid $80,000 to rescue someone from the Galapagos.

Trip interruption is far more likely than a rescue at sea. Having to cut a trip short because you, a traveling companion or a close relation at home has an accident or illness may require paying high last-minute fares. Most policies offer 100 percent coverage when a trip is cut short, but since the costs escalate in emergencies, consider one that gives 150 percent to 200 percent of your original cost. When our trip was interrupted by the typhoon, we were reimbursed for prepaid hotel, meals and excursions.

Watch for exclusions. Planning on scuba diving, bungee-jumping, driving a Ferrari, hang-gliding or skydiving? Check carefully because while skiing may be covered, heli-skiing may not. Snorkeling might be fine, but the policy might not include care in a hyperbaric chamber. What if you need to be rescued from a mountain in Nepal, an African safari, an Indonesian lava flow or political coup? Unless you have extraction insurance you may be on your own. Don’t want to have surgery where you don’t speak the language? Some companies will send you to your hospital of choice. Most policies cover repatriation — a polite way of including returning your remains if you die on your trip.

Many dread filing the claim. For us the process with Tin Leg began with a short telephone interview and was followed by a form they filled out and sent via email for corrections and electronic signature. They also accepted our receipts by email and paid promptly, so it was painless. Some agents will handle the paperwork for clients who book insurance through them. When one of our travel companions, Marguerite, required surgery shortly after final payment for a cruise, Ann Morin, owner of Your Dream Vacation, submitted the claim while Marguerite recuperated.

Trip emergencies are not rare. We’ve watched many an ambulance transport someone from a cruise port. Our tablemate last year was sent ashore to have an expensive MRI in South Korea. And at risk of sounding like Typhoid Mary, I returned from a trip to Alaska with a flu severe enough to require hospitalization. A few days earlier I would have been critically ill far from my Florida home — but at least I would have had really good travel insurance.


First, check the coverage offered by your credit cards, which may offer some benefits, although none is as comprehensive as a trip-specific policy.

Then check comparison sites, such as www.squaremouth.com and www.insuremytrip.com.

Specialty plans include for scuba: www.diversalertnetwork.org/insurance.

Medical evacuation to the hospital of your choice: www.medjetassist.com

Extreme sports coverage: www.worldnomads.com (includes shark-cage diving, dog-sledding, zip-lining, camel-riding and more adrenaline pumpers)

Evacuation/extraction from natural disasters, war and other extreme situations: www.globalrescue.com