A Buyer's Guide to Medical Insurance May 2005

Buying travel health insurance can be a complex task. There are so many different plans - each with different benefits and restrictions. By Johnny Mangiante

It is important to shop wisely for trip insurance. Many people buy coverage that seems inexpensive only to find out that they are not adequately covered when a medical emergency occurs. Below are a few key questions you should ask your insurance provider before purchasing trip insurance:

• What is not covered by the policy? Insurance companies call these "exclusions," and every policy has them.
• Are there specific exclusions relating to sports or other activities?
• Does the plan have a deductible that you must pay each time you file a claim?
• Does the plan deny benefits if your medical emergency arises because of a "pre-existing condition or health problem”?

Knowing the answers to these questions can help you avoid unpleasant surprises when you make a claim. Make sure you understand exactly what your trip insurance plan covers. When in doubt, call your insurer. A reputable insurance company can give you straight answers to your questions. Most offer toll free numbers so you can call them directly from wherever you are.

If you find that a plan has too many restrictions and complications, or that your questions are not being answered satisfactorily, do not hesitate to look somewhere else.

A comprehensive travel health insurance plan usually covers the following emergency medical expenses:

Hospital accommodations

Medical bills such as those for a physician, surgeon, and anaesthetist

• Ambulances
• Diagnostic services such as laboratory tests and x-rays
• Private registered nurses
• Medical aids such as slings or splints, and the temporary rental of wheelchairs or walkers
• Prescription drugs
• Cost of returning a deceased back home

Remember that when it comes to insurance, you get what you pay for. When shopping around for trip insurance, it is important to keep in mind that not all insurance policies are alike. Be aware of minor price variations between insurance companies (the cheapest may not be the best company to deal with when you have a claim.)

Most travel insurance policies are designed for a variety of travel needs but, I emphatically advise reading the fine print of any policy you purchase regarding any deductibles and health situations. You many find your policy won't cover pre-existing conditions that may cause a problem, or that the medical coverage is only for an injury or an illness -- not both. For emergency aid, travel insurance polices are generally dependable and affordable, but there are still a myriad of gaps in the coverage provided.

You can find polices designed for almost any type of trip you may be planning, such as a single trip for hunting, backpacking, cruises, house rentals, and a host of others. But, the specific types and amounts of coverage you get depend on the policy you choose. It's important to remember that you will only be covered for what is specifically stated in your policy and for nothing else.

Most policies cover trip cancellation, lost baggage, medical, dental, and accidental death coverage. Other policies include emergency evacuation, 24 hour travel assistance, and trip or baggage delay. You may even find policies that include options for collision or damage to rented cars and business conflicts. There are many options that can be covered, but you will have to ask.

The premiums for the policies are generally 5% to 7% the cost of your trip, but fees will vary depending on the your medical history and passengers ages. Many companies offer policies that will include coverage for children at no extra charge.

It is best not to buy your travel insurance from your tour operator. I've listed a few reasons why it may be better to purchase through an insurance company separately.

• Most travel insurance policies offered by the operator are less flexible to your individual needs;
• Provide a lower amount of coverage;
• May only cover a portion of the trip;
• Your coverage may be secondary and the insurance will only pay for what you own private health or homeowner's insurance does not cover;
• May duplicate coverage you already have;

In the event the tour operator liquidates and goes belly up, you would lose not only your trip, but also your premium.

Many travel agents are not fully knowledgeable when it comes to understanding the details of various travel insurance policies and may overlook something that could be important to you or your family and few offer suggestions. Buying travel insurance may be less expensive purchasing through your tour operator or cruise line, but for the reasons listed above, you should really check around.

If you do choose to buy your policy from your tour operator, be sure to use a credit card. Depending on the policy of the credit card issuer, you may be provided with protection against potential default of the operator.

When buying your policy from an insurance company:

• Always get quotes from several companies
• Ask if the plan is pre-packaged or if you can custom design your own
• Can you waive the pre-existing condition exclusion
• Ask if you are covered for cancellation due to a terrorist incident. Don't count of the company to provide information
• Ask any question you can dream up and
• Do ask for suggestions

A good site to reference for multiple travel insurance quotes is InsureMyTrip.com. (I am not affiliated with this site in any way. I just like the site!) Enjoy your next trip and I hope the odds are with you and that you will never have to file a claim on your travel insurance policy.

Johnny Mangiante writes for a number of publications on medical matters