What Is a Pre-Existing Medical Condition?
A traveler with a history of asthma booked a long-awaited cruise through the Caribbean. Midway through the journey, she experienced severe respiratory distress and needed immediate medical attention at the next port. Because her AXA travel protection plan included coverage for pre-existing medical conditions, subject to eligibility, she was able to receive care without facing unexpected medical bills.
Thanks to the plan’s benefit, the traveler’s emergency treatment and associated costs were eligible for reimbursement. While she hadn’t expected a flare-up during vacation, she was relieved her condition had been considered during the plan purchase.
~ Lin, Licensed Travel Assistance Agent with AXA
What Qualifies as a Pre-Existing Medical Condition?
A pre-existing medical condition refers to a health issue that existed before the effective date of your travel protection plan. This includes any condition for which you have received medical advice, a diagnosis, care, or treatment, including chronic illnesses, recent injuries, or ongoing therapies.
Examples of conditions that may be considered pre-existing include :
Asthma, diabetes, or heart disease
Recent surgeries or hospitalizations
Conditions requiring medication or medical monitoring
Symptoms that appeared before purchasing the plan
Ongoing physical therapy or rehabilitation
Pre-existing conditions may be excluded unless your travel protection plan includes a waiver. This is available if you meet specific requirements, such as buying the plan shortly after your first trip payment and being medically fit to travel at that time.
You should also be aware of the look-back period. This is the timeframe during which your medical history is reviewed to determine eligibility. In the event of a claim, documentation such as medical records or billing history may be requested.
How AXA Covers Pre-Existing Medical Conditions?
Coverage for pre-existing medical conditions can be availed if your travel protection plan includes a Waiver of the Pre-Existing Conditions Exclusion and you meet the required eligibility criteria. This typically involves purchasing the plan within 14 days of your initial trip payment, being medically able to travel on the plan’s effective date, and confirming that your selected plan includes the waiver.
What Coverages Are Possible for Pre-Existing Medical Conditions?
Some AXA Travel Protection plans may include coverage for pre-existing medical conditions, provided specific eligibility requirements are met. This coverage can help with certain medical expenses that arise from a condition you had before your plan’s effective date, as long as your condition remained stable and a waiver was secured, if required.
Coverage varies by travel insurance plan but may include:
Emergency Medical Treatment
Coverage for eligible expenses if a pre-existing condition unexpectedly worsens during travel and meets the plan’s requirements.
Hospitalization Abroad
Reimbursement for inpatient care related to a qualifying pre-existing condition, when medically necessary and pre-approved.
Medical Evacuation
Transport to the nearest appropriate medical facility if a covered pre-existing condition results in an emergency.
Medical Repatriation
If continued treatment at home is required due to a qualifying condition, travel may be arranged with prior authorization.
Repatriation of Remains
Coverage for transportation of remains in the event of death related to a covered pre-existing condition.
Travel Assistance Services
Help arrange care, manage logistics, and coordinate support if a pre-existing condition requires attention during travel.
Coverage for pre-existing conditions is available only when all plan requirements are met. This includes purchasing your AXA Travel Protection plan within the required timeframe and being medically fit to travel on the plan's effective date. Any related services must be medically necessary, pre-approved, and are subject to the plan’s limits, exclusions, and terms.
get a quote nowConsidering Coverage for Pre-Existing Medical Conditions?
Your AXA Travel Protection plan could include coverage for pre-existing medical conditions if you meet the required eligibility criteria. This can help support your travel needs when managing ongoing health conditions.
FAQs About Pre-Existing Medical Conditions Benefit
What is a pre-existing medical condition under a travel protection plan?
A pre-existing medical condition refers to any illness, injury, or medical issue for which you have received a diagnosis, medical advice, care, or treatment before the effective date of your travel protection plan. This includes chronic conditions and past medical events that may affect eligibility for certain benefits under your plan.
Can pre-existing medical conditions be covered under AXA Travel Protection?
Yes, coverage for certain pre-existing medical conditions may be available if you meet the plan’s eligibility criteria. This typically includes purchasing the travel protection plan within a specific number of days after your initial trip payment and being medically fit to travel at the time of purchase. Without meeting these conditions, benefits related to pre-existing conditions may be excluded.
What is a waiver of the pre-existing condition exclusion?
A waiver of the pre-existing condition exclusion is a feature available with some AXA Travel Protection plans. If you purchase the travel insurance plan within a designated timeframe from your initial trip payment and meet other criteria, the waiver may allow coverage for certain pre-existing conditions that would otherwise be excluded. No additional medical evaluation is required, but eligibility depends on the timing and stability of the condition.
What is the look-back period, and why is it important?
The look-back period is the timeframe before your travel protection plan’s effective date during which your medical history is reviewed to identify any pre-existing conditions. If your condition changed, required new treatment, or had symptoms during this period, it may affect coverage unless a waiver applies. The specific length of the look-back period varies by plan.
Do I need to disclose my pre-existing conditions when buying a plan?
You are not typically required to disclose your medical history when purchasing a travel insurance plan. However, if you file a claim related to a medical issue, the travel assistance provider may request medical records or billing history to determine if it relates to a pre-existing condition. It is important to retain documentation in case verification is needed.
Which pre-existing conditions are most commonly reviewed for coverage?
For AXA Travel Protection plans, commonly reviewed pre-existing conditions include diabetes, heart conditions, high blood pressure, asthma, and mental health conditions such as anxiety or depression. These conditions may be subject to exclusions unless your plan includes a waiver of the pre-existing condition exclusion, and eligibility requirements are met. Always refer to your travel insurance plan documents for details.
Can I be covered if my condition recently changed or worsened?
AXA Travel Protection plans include a look-back period to assess the stability of pre-existing conditions. If your condition changed during this time, such as experiencing new symptoms, adjusting medications, or being hospitalized, it may be considered unstable and excluded from coverage. However, if your travel protection plan includes a waiver of the pre-existing condition exclusion and you meet the eligibility requirements, coverage may still apply. Review your travel insurance plan documents to understand how this benefit works.
Will I need to provide medical records to file a claim?
Yes, if you submit a claim related to a pre-existing condition, you may be asked to provide medical documentation such as doctor’s notes, prescriptions, or billing history. This helps the travel assistance provider evaluate whether the event is covered under the terms of your travel protection plan.
Are mental health conditions treated the same as physical conditions?
Mental health conditions, such as depression or anxiety, are reviewed using similar criteria as physical health conditions. If treatment has been stable and unchanged during the look-back period, and you meet the plan’s timing and eligibility requirements, coverage may be available. Recent changes in medication or therapy may affect eligibility.
Can pre-existing condition coverage be used worldwide?
AXA’s travel assistance services can help coordinate support for eligible medical needs related to pre-existing conditions in many destinations. However, services depend on local infrastructure, regulations, and travel insurance plan terms. If a condition is covered and all criteria are met, AXA can assist with coordinating care or approved transportation during your trip.
Related Articles
Guide to Travel Insurance for Pre-Existing Conditions
Pre-existing conditions can affect travel insurance coverage as insurers have specific criteria for stability and documentation.
Does Travel Insurance Cover Cancellation Due to Illness ?
Trip cancellation insurance will reimburse you for prepaid, non-refundable trip costs if you cancel your trip due to illness.
What Does It Mean to Have Submitted Travel Insurance for Diabetics
Disclose your diabetes-related conditions before buying your travel insurance plan to get the right coverage.
Travel Assistance Wherever, Whenever
With over 65 years of travel assistance experience, AXA supports millions of travelers across 164 countries. Our licensed representatives are available 24/7 to guide you through medical needs, trip concerns, or questions about your plan. You’ll always speak with real people who are here to help, wherever you travel.