Co-author: TJ Ryan
The Australian government had posted a bulletin on SmartTraveller.gov.au updating their alert level for the country to “Do Not Travel”. Upon reading the exclusions of their travel insurance policy, Peter and Jane realised that because they had travelled to that country while the “Do Not Travel” warning was in place, they were not covered by their travel insurance…
When it comes to travel insurance, there are a number of common insurance policy exclusions that can trip up an unwary traveller. So what does travel insurance sometimes not cover? We put together a list of some of the more common exclusions (remember though that each policy is different – you need to check the terms and conditions with your specific travel insurance provider):
General Travel Insurance Exclusions
There are a number of actions and conditions that travel insurance policies may not cover as a general rule, unless you arrange it with them beforehand. These can include:
- Skiing or other snow activities (you’ll need snow cover for that)
- Irresponsible behaviour on your part: This may include any reckless behaviour while under the influence of alcohol as well as actions such as leaving your baggage unattended in a public place.
- Dangerous activities: Things like scuba diving or bungee jumping are usually not covered by the average policy, unless you tell your insurer that you plan to include these activities in your trip. You will usually need to buy a separate “adventure” type policy to cover these activities.
- Pre-existing conditions: An exclusion may apply if, at the time of purchasing the policy, you were aware of something that would give rise to you making a claim under the policy and didn’t inform the insurer. For example, a medical condition that you were aware of, irrespective of whether or not you had sought medical treatment.
- High value belongings: Expensive belongings such as laptops or jewellery may not be covered unless you tell your insurer that you’re bringing it with you.
- Unattended items: You may not be covered for loss of belongings if you left those belongings unattended.
- Notification period: Claims may be rejected for exclusion if you didn’t notify your insurer within a set timeframe, e.g. 24 hours.
- Illegal behaviour: This may include breaking any government prohibition or regulation, including visa requirements.
- Driving a motorbike overseas: Any claim arising from the use of a two-wheeled or three-wheeled motor vehicle is generally excluded, unless:
- Both driver and passenger are wearing a crash helmet (no matter what the law is regarding helmets in the country you are in); and
- You as the driver have a licence appropriate for the country you are visiting, and have a licence to drive that type of vehicle in Australia. For example, if driving a motorcycle or moped rated 125cc or higher overseas, you must have a valid motorcycle licence in Australia.
- Find out more about riding a motorbike or other vehicle overseas.
- Government actions: Actions by a government authority in confiscating, detaining or destroying anything.
- Acts of war or civil unrest: Any act of war, whether or not war is actually declared, from any rebellion, civil revolution, insurrection, or military coup.
- Suicide or attempted suicide.
Warning: You may not be covered under a standard policy for a travel insurance claim if it is caused by a mental health issue. It is vitally important that if you currently have or have previously had a mental illness episode – such as depression, anxiety, PTSD, etc. – you find a policy that covers mental health scenarios.
1 in 5 Aussies experience mental illness every year, and nearly 1 in 2 Australians will experience a mental illness episode at least once in their lifetime (Mental Health Australia).
Blanket exclusion of mental illness travel insurance policies is a point of contention at the moment. In December 2015, Ella Ingram, a 21-year-old student in Melbourne, won the first case on this issue after her travel insurer rejected her travel insurance claim for trip cancellation.
In 2012, Miss Ingram was 17 years old when she developed a major depressive episode. Despite medication, she was eventually hospitalised the month before the trip and received medical advice that she was too unwell to travel on a school trip to New York. She made a claim on the travel insurance policy that she had taken out long before developing the depressive episode. But her insurer rejected her claim, later arguing in court that they exclude trip cancellations or other claims arising due to mental illness, even if the mental illness is not a pre-existing condition.
The Victorian Civil and Administrative Tribunal (VCAT) ruled in Ms Ingram’s favour. The Tribunal held mental illness could be termed a disability and therefore the insurer had directly discriminated against her by refusing her insurance claim. To exclude mental illness was held to be in breach of the Equal Opportunity Act 2010 (Vic). Ms Ingram received $4,292 to recover lost travel costs and $15,000 in compensation.
“I wanted to take it as far as I could when I found out how widespread this issue is and how many people it is affecting. I would like for insurance companies to treat mental illness the same as any other physical illness and for them to not just base their reasons on stereotyping.”
– Ella Ingram
The insurer has advised that as a result of now having to cover mental illness, their travel insurance policies will have to be priced more expensively in order to reflect the higher risk to the insurer.
The win has spurred Victoria Legal Aid, beyondblue, Mental Health Australia, and the Public Interest Advocacy Centre to call on the government. They have asked that discrimination laws are updated with new Insurance Industry Anti-Discrimination Guidelines to protect consumers and require insurers to:
- Make available to consumers all data and information insurers rely on when excluding or rejecting claims based on mental illness.
- Make available to claimants detailed reasons for any denial of cover.
- Report annually on how often and on what basis they discriminate because of a mental illness.
- Specify all “other relevant factors” considered in declining insurance to a person.
Ella Ingram has since been recognised in the BBC list of 100 most inspirational women in the world for 2015.
So will you be covered for mental illness?
Regarding mental health, CANSTAR asked four new questions of travel insurance providers when conducting this year’s research and ratings audits. First, we asked “Is cover for depression included in the policy?”
271 out of 280 answered No – depression is excluded from cover.
Meanwhile, 9 providers said cover for depression is restricted in the policy. No providers said depression was covered as standard.
Unfortunately what this means at present for travellers who have had or currently do have depression or another mental health concern – and who honestly tell their insurers about it – is that there are very few providers willing to offer even a basic level of coverage. As you can see from the table below, just 7 insurers say that travellers may still be covered if a claim arises directly or indirectly from depression:
|Question||No, they may still be covered||Yes, cover is excluded|
|If a policy holder suffers from clinical depression, will they be excluded from any claims that arise directly or indirectly from depression?||7||273|
|If a policy holder suffers from clinical depression, will they be able to claim expenses that arise indirectly from depression?||7||273|
|If a policy holder suffers from clinical depression, do they have the option to apply for coverage as an add-on to their policy?||3||277|
You may be wondering, “Why are insurers so harsh?” In simple terms, it may be about those few bad eggs who commit insurance fraud. Imagine if you were to get in a traffic accident overseas. If you’ve told the insurance provider that you are depressed, they now have no way of knowing whether that accident was really an accident or whether you caused the incident because of an intention to harm yourself. The general consensus is that insurers cannot protect themselves against false claims relating to mental health and as a result, they do not provide cover under circumstances where mental health has been disclosed.
If you have been the victim of discrimination in insurance, you can contact the Public Interest Advocacy Centre or your local Legal Aid office for legal advice on your situation. You can also call, chat or email beyondblue from anywhere in Australia if you or someone you know is experiencing depression or anxiety.
Exclusions on Medical Claims
- Alcohol or drugs: Medical claims may be rejected if the incident occurred when you were excessively under the influence or addicted to intoxicating liquor or drugs – except a drug prescribed to you by a medical adviser and taken in accordance with their instructions.
- Pre-existing medical conditions: Pre-existing conditions may be excluded unless you have arranged with the insurer to specifically include these under the policy.
Travelling with a pre-exisiting medical condition? The below comparison table features 10 travel insurance products currently on offer in the market, that include hospital expenses under their policy and sorted for your convenience by lowest to highest overseas hospital cover.
Sports and Leisure Exclusions
- Adventure or extreme sports: Many adventure activities are excluded from most travel insurance policies, unless specifically negotiated. These can include downhill skiing, open water sailing, polo, mountaineering or rock climbing using ropes or climbing equipment, contact sport, parachuting or hang gliding.
- Underwater diving: Diving is generally excluded unless you hold an open water diving license issued in Australia or you were diving under licensed instruction.
- Aircraft: Travel in any air supported device other than as a passenger in a fully licensed aircraft operated by an airline or charter company. Excluded aircraft would include hang-gliding or kite-surfing. This exclusion does not apply to regulated or licensed hot air ballooning.
How do I know what is excluded?
It is up to you, the buyer of the policy, to read the product disclosure statement (PDS). The PDS is the legal document which details the conditions, coverage and exclusions of the insurance in full.
It’s no easy task comparing travel insurance, so the CANSTAR star ratings may help you narrow down the options to a shortlist of products that offer outstanding value. Then you can check the exclusions on that shortlist of products and choose the one that provides the right cover for your trip.
Are you a thrill seeker? We have formulated a comparison table below with Water and Snow sports policy inclusions sorted by lowest to highest overseas hospital coverage.
CANSTAR is an information provider and in giving you product information CANSTAR is not making any suggestion or recommendation about a particular insurance product. If you decided to apply for a travel insurance, you will deal directly with an insurance provider, and not with CANSTAR. Rates and product information should be confirmed with the relevant insurance provider. For more information, read our detailed disclosure, important notes and additional information.
The inclusions mentioned represent a selection of what is covered at the time of writing. Additional terms and conditions may apply to different features. Additional fees may apply to the product. CANSTAR is not making any suggestion or recommendation to you about this product. Please ensure that you read the product disclosure statement to determine all the current options and inclusions for the product you are considering.
Important Notes: The Star Ratings in this table were awarded in August 2016. The search results do not include all providers and may not compare all features relevant to you. View the CANSTAR Travel Insurance Star Ratings Methodology and Report. The rating shown is only one factor to take into account when considering products.