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Travel Insurance?

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I booked a holiday to Egypt about 6 weeks ago. I have travel insurance through my bank. My daughter has now been found to have a medical condition for which she requires surgery.

The other year I had an injury after booking a holiday and was told that as it did not exist when I booked the holiday I was covered.

Can anyone please advise me is it likely that she will be covered as we didn't know she had this problem when I booked the holiday? Or am I likely to have to pay a top up?
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Comments

  • Quentin
    Quentin Posts: 40,405 Forumite
    There will be nothing extra to pay if the condition occurred after the insurace started (or was renewed), or the holiday was booked (whichever was the latest).
  • Fruity1
    Fruity1 Posts: 926 Forumite
    Part of the Furniture 500 Posts Combo Breaker
    The condition would have already been there but wasn't diagnosed until this week. So being as we weren't aware she had the problem she'll be covered. Thanks Quentin for your reply. I'll let the insurers know.
  • dacouch
    dacouch Posts: 21,636 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    Quentin there are a couple of Insurers who recently put in their small print that they can charge / impose underwriting conditions etc if you develop a medical condition after you take cover out / renew it. I personally think this is really unfair as it can penalise policyholders who the foresight to take their cover out before or when they book their holiday.

    A lot of the companies that do this offer a refund of the balance of the premium if they do this (Which is not that helpful as the customer then has to rearrange cover with another company with the chances being the premium will be loaded and/or cover restrictions.

    The one good thing is the Ombudsman will normally often the customer to cancel the holiday at the Insurers expense subject to normal underwriting conditions.

    Tescos are one of the companies that operate on this basis so be warned
  • Quentin
    Quentin Posts: 40,405 Forumite
    It is usual with an annual policy that if a condition develops after the renewal date but prior to booking a trip, then the insurance is no longer in place.

    But if Tesco are saying that a condition developing after the insurance is taken out and after a booking has been made, invalidates the policy, then it seems pointless anyone ever taking out a policy from them!
  • dacouch
    dacouch Posts: 21,636 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    I totally agree, I have seen a few other cheap and cheerful policies that do this as well, it seems really unfair on customers prudent enough to have a continuing annual policy or taking cover when they book.

    I helped an MSE poster recently who had an annual Tesco Policy and her husband had just developed a heart problem. They were going to America and when they rang Tesco they said no cover for the heart problem. There options were to either travel without cover for any heart problems or cancel cover and insure elsewhere (Obviously the prices with new companies were horrendous).

    The Ombudsman will normally allow the client to invoke the cancellation section of a travel policy in these cases if the Insurers revised terms dramatically change the cover.

    I totally agree, it would be far better if every insurer used the normal system where if you had no medical conditions when you took out the policy or renewed it then its covered. The new system some of the companies are adopting seems to be all in the Insurers favour
  • Quentin
    Quentin Posts: 40,405 Forumite
    So are you talking about annual policies with Tesco? If so, that is different.

    Don't all annual policies have this condition?

    eg policy renewal date 1st April. Develop some relevant condition on 10th April. Cannot have cover for condition related claim for any bookings made from 10th April onwards.

    Or: Annual policy in place from 1st April 2008. Book holiday on October 1st 2008 to take place in June 2009. Medical condition develops in March 2009, at renewal on 1st April 2009, this condition no longer covered.
  • dacouch
    dacouch Posts: 21,636 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    Tesco and some other companies use the second option you mentioned!

    I agree the first option is how most companies work and is the fairest for the Insurer and the customer
  • Quentin
    Quentin Posts: 40,405 Forumite
    We are at cross purposes.

    I didn't mean two options, but two examples of when an annual travel policyholder won't be covered if a condition develops either after buying or renewing the policy.

    Buying an annual policy involves you making the health declarations at three occasions:

    1) When you first buy the policy

    2) When you subsequently book a holiday

    3) When the policy is renewed.

    The area where people get caught out is when they book a holiday during the course of an insurance year which is to depart during the following insurance year.

    If a condition develops after booking, but during the insurance year prior to the year the holiday departs, then the policy cover is effectively ended at renewal date, as the declaration of good health no longer holds good.

    The only way to be sure you aren't caught out if your annual policy expires and needs renewal prior to departure is to take out a single trip policy at the time of booking. Then if you have a clean bill of health at the start of the policy, it makes no difference when a condition develops. You are still covered.

    This is not so with annual policies.
  • dacouch
    dacouch Posts: 21,636 Forumite
    Part of the Furniture 10,000 Posts Name Dropper
    I agree with your points, however the Tesco policy includes the warranty in their single trip as well under this wording "Your policy operates on the basis that you warrant to that at the time of taking out this insurance and at the time, you commence your journey"

    I've seen a few other travel schemes that have a similar wording on them, I even rang and discussed it with an Insurer for someone who came to me for advice after taking a single trip policy out and they then developed a medical condition and the Insurer wanted to charge another £140 to cover the condition (The original premium was only £40!). I argued on the same basis you are and they would not budge as their policy wording allowed them to do this. They even advised me that "The customers material circumstances have changed since the policy commenced" They would not budge and unlike Tescos would not refund the actual premium if the customer was not happy.

    I can see a lot of customers not thinking to declare a condition that occurs after they took a single trip policy out and falling foul of this condition. I would not be surprised if the FOS would side with the customer in a lot of these cases.

    This is the relevant wording from the Tesco Single Trip Policy

    Please read this section carefully. Your policy operates on the basis that you warrant to that at the time of taking out this insurance and at the time, you commence your journey:
    • You are not awaiting nor have received medical treatment in the past three months for an illness or injury as a hospital in-patient.
    • You are not taking medication and you have not had medication prescribed for an existing medical condition.
    • You are not suffering or have suffered from a heart or cancer related condition prior to your taking out a policy with us.
    If any of the above apply, you have what is termed an 'existing or pre-existing medical condition' and any claims arising directly or indirectly there from will not be covered.
    To check that your medical condition is covered you must call us on 0845 300 99 00.
    Medical Conditions

    After you have paid for this policy, you must tell us if you are diagnosed with:
    • any heart condition, any circulatory condition (problems with blood flow, including high blood pressure) or any breathing condition (including asthma);
    • any type of cancer;
    • any joint and bone condition;
    • any gastrointestinal (stomach) condition; or
    • diabetes
    We will then decide if we can provide you with cover on your existing terms. We may add special conditions to the policy or exclude cover for that medical condition. If we cannot provide cover for the medical condition diagnosed after you paid for the policy, you can call us on 0845 300 99 00 and make a cancellation claim if you have booked and paid for a journey that you have not yet made. Or, you can cancel your policy and we will send you a pro-rata refund, as long as you have not travelled or made a claim.
  • Quentin
    Quentin Posts: 40,405 Forumite
    Definitely one to avoid!

    And everyone with any annual policy needs to be aware of the problem over a trip that takes place after the policy needs renewing.
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