An overwhelming about of misinformation about travel insurance online and elsewhere is causing confusion for Canadian travellers, leading to negative implications when it comes to cost, coverage, treatment, and claims, says leading insurance provider Snowbird Advisor Insurance. With this in mind, SAI says it wants to debunk some of the most common myths about travel insurance in this country and “set the record straight.”

“Our goal is to educate travellers about the intricacies of travel insurance so (they) can get the right coverage at the right price and avoid potential pitfalls – regardless of where they obtain their travel insurance coverage,” says Snowbird Advisor Insurance, Co-founder Stephen Fine.

Fine lists seven of the most common travel insurance myths Canadians face, and why they aren’t true:

MYTH #1 – My provincial Government Health Insurance Plan (GHIP) will cover my expenses if I get sick or injured while travelling.

Some Canadian travellers are under the impression that they don’t need to obtain travel medical insurance because their provincial government health insurance plan (i.e. OHIP in Ontario, MSP in British Columbia, AHCIP in Alberta, etc.) will cover their expenses if they become sick or injured while travelling.

This couldn’t be further from the truth. Provincial GHIPs generally only covers a small percentage of emergency medical expenses incurred while travelling. For example, for typical emergency medical treatment received in the US, which can cost upwards of US$10,000 per day for a hospital stay, the Ontario Health Insurance Plan (OHIP) would only cover approximately 2% to 5% of the cost, leaving the traveller on the hook personally to cover the other 95% to 97%.

In addition, government plans generally don’t cover related costs such as air ambulance, ambulance, prescription drugs and transportation back to your home province.

MYTH #2 – I don’t need travel insurance if I am only travelling within Canada.

While most provinces in Canada – with the exception of Quebec – have reciprocal agreements that will cover the cost of emergency medical treatment when you’re travelling in another province, it’s important to be aware that every province has different rules with respect to what they will cover and limits on how much they will cover, and some expenses aren’t covered at all.

The result is that there are often gaps in coverage that can leave travellers who receive emergency medical treatment in another province personally on the hook for thousands – or even tens of thousands of dollars – in expenses that aren’t covered by GHIPs.

Accordingly, it is highly advisable for Canadians travelling outside their home province within Canada to obtain travel medical insurance.

MYTH #3 – My friend got a lower price on travel insurance from their provider, so their provider must have the lowest prices for everyone.

Just because a friend or family member received the lowest premium on travel insurance from a particular provider doesn’t necessarily mean you will also get the lowest premium from that provider.

This is because travel insurance companies evaluate risk factors like age, medical conditions, and trip duration to help determine their premiums, and every insurance company evaluates each type of risk differently, which can result in very different premiums based on a traveller’s unique set of circumstances.

The bottom line is, no single insurance provider offers the lowest premium for every traveller in every situation. The only way travellers can truly find out which provider offers the lowest premiums for their unique set of circumstances is to shop around and compare premiums from multiple providers.

MYTH #4 – I don’t have to disclose a medical condition on my travel insurance medical questionnaire if I don’t think it is relevant.

When applying for travel medical insurance, it is essential to answer any medical questions truthfully and accurately – it’s not up to you to decide which medical conditions and medications are relevant.

Failure to disclose your medical history fully and accurately can be grounds for your insurance company to deny your claim, even if the claim is unrelated to a medical condition you failed to disclose. In fact, failure to answer medical questions fully and accurately is the No. 1 reason travel medical insurance claims are denied.

“If you are taking a medication to control a medical condition, remember that you still have the underlying medical condition and need to disclose it. For example, if you have high blood pressure and the condition is being controlled by medication, you still need to disclose that you have high blood pressure,” says Fine.

MYTH #5 – I don’t have to notify my travel insurance provider if there are any changes to my health after I purchase my policy.

Many travellers aren’t aware that they have an ongoing obligation to notify their travel insurance provider of any changes to their health after they purchase their policy and prior to travelling.

“If you experience any change to your health or medical situation prior to departing on your trip, contact your travel insurance provider as soon as possible to inform them of the change, as it may affect your eligibility, premiums or stability requirements,” says Fine.

This includes changes to your health that may not be obvious to many travellers, such as:

• Increases and decreases in medication dosages
• Starting or stopping medications
• Having diagnostic tests for potential changes to existing medical conditions or new medical conditions, even if those changes/conditions are not yet diagnosed.

Changes to your medical condition after you purchase your policy and prior to departing on your trip can affect your coverage in a number of different ways, including:

• No changes to your coverage or premium
• An increase in your premium
• Certain medical conditions being excluded from coverage
• Cancellation of your policy and a refund of your premium if the new condition is severe enough that your insurer won’t cover it.

MYTH #6 – All of my pre-existing medical conditions will be covered under my travel insurance policy.

Depending on the type of travel insurance policy you have, some of your pre-existing medical conditions may not be covered under your policy due to “stability” requirements.

Most travel medical insurance policies contain what is commonly referred to as a “stability” clause. These clauses require your pre-existing medical conditions to be “stable” – i.e. have no changes – for a defined period of time prior to the date you leave on your trip. The stability period varies from policy to policy, but is often 90, 180 or even 365 days leading up to your departure date.

This includes some changes you may not think of such as starting or stopping a medication, increasing or decreasing the dose of a medication, or seeing a doctor or receiving diagnostic testing related to a potentially new medical condition, even if that condition has not yet been diagnosed.

It’s also very important to be aware that under a stability clause, any medical treatment for a condition related to an excluded condition would also be excluded from coverage.

For example, if a traveller has diabetes, which does not meet the stability requirements of their policy, treatment for diabetes would clearly not be covered. However, if they were to have a heart attack while travelling and the heart attack could be linked to their diabetes, it is possible that treatment costs for the heart attack would also not be covered.

Travellers with pre-existing medical conditions should also strongly consider personalized travel insurance policies that have no stability requirement for pre-existing medical conditions.

MYTH #7 – I don’t need to contact my travel insurance provider before seeking medical treatment while travelling.

Whenever possible, travellers should contact their travel medical insurance provider before seeing medical treatment.

All travel medical insurance policies include language that requires you to contact your travel insurance provider’s 24/7 Emergency Assistance Centre prior to obtaining medical assistance.

Your policy will also likely include language stating that if it is impossible to contact your provider’s Emergency Assistance Center prior to obtaining medical treatment, you or someone on your behalf must contact your provider as soon as possible. This would apply in cases where urgent care is required, for example, if you are having a heart attack or are injured in a car accident.

There are many reasons why travel insurance providers require you to contact them before seeking treatment, including:

• Directing you to treatment providers: Travel insurance providers have a roster of preferred hospitals, clinics and physicians and whenever possible will direct you to one of these facilities for treatment.
• Arranging direct billing with your treatment provider: In many cases, your insurance provider will be able to arrange direct billing for your claim with one of their preferred treatment providers so you won’t need to incur any out-of-pocket medical expenses.
• Simplifying the claims process: If your insurance provider coordinates your care and treatment from the beginning, they can usually obtain most of the necessary documents and information directly from your treatment provider, which can help speed up and simplify your claim.
• Informing you if your treatment is covered: Contacting your provider before seeking treatment allows them to inform you if the treatment you are seeking is covered by your policy and if there are any coverage limits or restrictions prior to receiving treatment.
• Determining if your treatment is “medically necessary”: Emergency travel medical insurance only covers treatments that are considered “medically necessary.” For example, your insurance company may not recognize some diagnostic, medical, and laboratory procedures as “emergency” benefits or necessary under your circumstances. If you receive treatments that are not considered to be medically necessary by your insurer, they may not be covered under your policy, and you may have to pay for them personally.