Does Medicare Cover Travel Medical Expenses?

Does Medicare Cover Travel Medical Expenses?

There are a lot of perks that come with growing older. The average 65 year old may not have to work for a living anymore. They're able to get their health insurance through Medicare. They may also have more time to pursue hobbies, spend time with family, and, of course, travel. However, what many seniors don't realize is that Medicare is only limited to treatment received within U.S. borders. If you plan on traveling outside of the country, you won't be covered in case you become injured and sick. This only highlights the importance of travel medical insurance.

Where Can I Use Medicare to Cover Medical Treatment?

When it comes to international travel, Medicare coverage has certain limitations. If you have Medicare, you can receive medical care and treatment from anywhere in the United States and its other territories, including:

Will I Be Covered By Medicare Outside of the United States?

No. What does Medicare cover then? Medicare is meant for medical coverage within the United States and its territories. Medicare prescription drug plans are also only meant for use within the United States; outpatient medications purchased outside the U.S. will not be covered by Medicare.

There are, however, a few instances in which Original Medicare and Medicare Advantage Plus plans may cover you outside of the U.S. These instances include:

  • If you're traveling a direct route between  Alaska  and another state and require emergency services, Medicare will pay for these services in Canada if the closest hospital that can treat you is located in Canada.
  • If you're on a cruise ship and you receive medical care while the ship is in U.S. territorial waters (in a U.S. port or within six hours of arrival or departure from a U.S. port), Medicare will pay for your medical care.
  • Medicare coverage may pay for non-emergency inpatient services in a foreign hospital in very limited situations, such as if a foreign hospital is closer to your primary residence than the nearest available U.S. hospital (if you live near the border of Mexico or Canada, for example).

Will Medigap or Medicare Advantage Provide International Medical Coverage?

Medigap

If you've added Medigap to your Medicare plan as a supplement, there are six plans (plan C, D, F, G, M, and N) that will provide some coverage for medical emergencies outside of the United States. However, for these expenses to be covered, medical care must start within 60 days of leaving the U.S. A typical Medigap plan will contain a lifetime benefit maximum of $50,000, in which the patient pays a $250 deductible plus 20% coinsurance.

The downside to Medigap is that there's a very limited window of time in which you're qualified to enroll, so many seniors miss the opportunity to ever enroll in this coverage.

Medicare Advantage

If you've purchased Medicare Advantage, there are some plans that do offer coverage for any medical costs that arise during international travel. However, because each plan and policy is different, you'll need to check with your carrier to see if they offer coverage, and if they do, what exactly is offered.

Although some special circumstances and plans offer coverage beyond domestic healthcare coverage, these are few and far between. In general, if you're traveling outside of the United States, your medical treatment costs will not be covered by Medicare, which means you should purchase a travel health insurance plan to cover you.

What Benefits Does Travel Insurance Offer?

International travel insurance is important since seniors over 65 may have medical conditions that require prescription medication or special care. Keep in mind, though, that insurance will generally not cover pre-existing conditions, unless specific acute onset of pre-existing coverage is offered. Travel medical insurance also provides the peace of mind to travelers that they'll be covered in the event that they become sick or injured while outside of the U.S.

However, there are added benefits and add-ons that are especially helpful for seniors looking for a travel medical plan. They include:

  • Emergency medical evacuation and repatriation: If you're traveling to a remote area or are taking a cruise, emergency medical evacuation may be necessary if you have a medical emergency. However, this service is costly; depending on what country you're in, it can cost upwards of about a few hundred thousand dollars without insurance. Likewise, in the tragic instance that your mortal remains need to be returned home to your family, this benefit can protect you and your loved ones from the high cost of this service.
  • Acute onset of pre-existing conditions: While health insurance doesn't provide coverage for pre-existing conditions, you can be covered by this add-on if you have an unexpected recurrence of a symptom that's associated with a chronic condition or disease, such as diabetes or arthritis. If a traveler has a serious health condition that could flare up while traveling, this benefit is valuable.
  • Comprehensive coverage: While limited coverage only provides a predetermined limited amount of coverage, comprehensive coverage can cover 100% of costs after the insured meets the specific deductible. If there's a possibility that your medical bills would be more costly, then this is a great choice.
  • 24-hour emergency assistance: A number of travel insurance plans include a 24/7 service hotline that you can call if you need to know whether something is covered by your plan, or to have any questions answered regarding your plan and benefits.

Where Can I Find the Best International Travel Insurance?

Although Medicare provides ample medical coverage within the United States, purchasing a travel medical plan for international travel is a smart way to make sure you're covered. If you're traveling internationally as a senior, you should feel a mix of excitement and security. Ultimately, a travel medical insurance plan will help you travel with peace of mind, knowing that if anything were to happen, you'll still be covered.

Finding the best international travel insurance can be easy when using a comparison website like VisitorsCoverage. After you insert your trip details in our quote tool, you will be able to view insurance plans that best suit your needs. If you need any assistance along the way, our award-winning licensed insurance specialists are here to help.

Frequently Asked Questions about International Travel Insurance

Q:

What does travel medical insurance cover?

Travel medical insurance offers various medical benefits for new illnesses or injuries sustained while abroad. This coverage typically includes hospitalization, prescription medication, and emergency medical evacuation.

There are also hidden benefits of travel medical insurance that can be beneficial to many travelers. Benefits can include trip delay, trip interruption, border entry protection, and telehealth coverage.

Q:

What isn't covered by travel medical insurance?

When it comes to what isn't covered by travel medical insurance, many plans do not cover the following:

  • Pre-existing conditions
  • Preventative or routine care
  • Elective treatments, including voluntary testing, second opinions, and treatment for allergies
  • Dental and vision, unless it is an emergency
  • Pregnancy
  • Cancer treatment
  • Injuries related to extreme sports

It is always best to check your travel medical insurance's policy details to get a better understanding of what is and isn't covered.

Q:

Is travel medical insurance mandatory for international travel?

Depending on the country that you are traveling to, travel medical insurance may be mandatory to enter your destination. Travel medical insurance is often required for a visa and entry, so it is crucial to check the entry requirements for your specific travel plans.

Q:

What affects the cost of international travel insurance?

There are multiple factors that can affect the cost of international travel insurance, including the following:

  • Trip destination
  • Length of trip
  • Traveler's age
  • Policy maximum
  • Deductibles
  • Pre-existing conditions coverage
Q:

What is the difference between travel medical insurance and trip insurance?

Travel medical insurance is designed to protect people from unforeseen illnesses and injuries that may occur while traveling abroad. Travel medical policies include benefits for medical expenses such as doctor or hospital visits, and medical evacuation and repatriation.

Meanwhile, trip insurance focuses on the financial investment of an international or domestic trip. If you are forced to cancel a trip, miss a flight connection, or are otherwise unable to continue with your plans, trip insurance can reimburse you for a percentage of your prepaid, nonrefundable trip costs. Trip insurance plans may cover medical incidents, typically under the Accident and Sickness benefit.

Q:

Are prescription medications I need because of a new illness or injury during my trip covered by international travel insurance?

Yes, if you get unexpectedly sick or have an injury during your trip, travel insurance typically provides coverage if you need to get prescription medications. Oftentimes, you will have to pay for the medication up front, and then seek reimbursement through your travel insurance provider. However, some insurance policies have negotiated rates with certain hospitals to potentially give you a better deal for medication than someone who travels without insurance.

Q:

Will my travel medical insurance provider pay the hospital directly, or do I have to pay upfront and get reimbursed later?

It typically depends on the care you receive. For emergency hospitalizations, direct billing may be available, but it is best to contact the 24/7 assistance services to explain your situation, and they may direct you to a hospital that can provide direct billing. With non-emergency care, you typically pay upfront at a clinic or urgent care and then file a claim for reimbursement.

Q:

When does my coverage start on my travel medical insurance plan?

Coverage for a travel medical insurance plan typically starts the moment you depart your home country. If your plan includes trip cancellation coverage, the benefit kicks in at 12:01 a.m. the next day.

Luna
VisitorsCoverage Support