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Travel Insurance Explained: What to Cover and Check

What UK travel insurance covers, single trip versus annual, medical cover, GHIC and EHIC, declaring health conditions, exclusions and how to claim abroad.

By MoneyBrink Editorial Team9 min read
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Key takeaways

  • Buy travel insurance when you book your trip
  • Declare every medical condition, or your claim could be refused
  • A GHIC is useful but does not replace insurance
  • Check medical limits, the excess and exclusions
  • Keep receipts and report incidents promptly

Travel insurance covers the costs of things that can go wrong on a trip, from medical treatment abroad to cancelled flights and lost luggage. Hospital treatment overseas can be extremely expensive, and a trip cancellation can cost thousands. This guide explains what travel insurance covers, what to check before you buy and how to make sure your policy will actually pay out when you need it.

What travel insurance usually covers

  • Emergency medical treatment and repatriation if you need to be flown home
  • Cancellation or curtailment, if you have to cancel or cut short a trip for a covered reason, such as illness or bereavement
  • Delays and missed departures
  • Lost, stolen or damaged baggage and belongings
  • Personal liability if you injure someone or damage property
  • Personal accident
  • Legal expenses
  • Lost passport and travel documents

Cover levels and limits vary significantly. Many policies have sub-limits, for example a maximum payout for a single item or for valuables.

Types of policy

  • Single trip: covers one trip, with dates fixed. Best if you travel once a year or less.
  • Annual multi-trip: covers multiple trips in a year, often with a maximum length for each trip. It can be better value for frequent travellers.
  • Backpacker or long-stay: for extended trips.
  • Winter sports or adventure cover: for skiing, snowboarding and some activities not included as standard.
  • Cruise cover: covers matters specific to cruises such as missed ports.
  • Worldwide or Europe only: the destination affects the price, especially for the USA, Canada and the Caribbean where medical bills can be higher.

Health conditions: declare them

If you have a pre-existing medical condition, you must tell your insurer. This includes conditions you are being treated for and those that have been diagnosed in the past, as defined by the policy. If you do not declare it, the insurer can refuse a claim related to it, or refuse to pay at all. Declaring it may increase the premium, but it protects your cover.

If you have difficulty getting cover, the MoneyHelper Travel Insurance Directory lists insurers that offer cover for people with serious medical conditions. It is a free service.

GHIC and EHIC

A UK Global Health Insurance Card (GHIC) gives you access to state-provided medical treatment in the EU and some other countries, on the same basis as local residents. An existing European Health Insurance Card (EHIC) remains valid until its expiry date. Both are free, and you should apply through the NHS website only, since scam sites charge fees. They do not replace travel insurance. They do not cover private healthcare, repatriation, cancellation or lost property, and they do not apply in many popular destinations such as the USA. Check the details on the NHS website.

What to check before you buy

  1. Medical cover limit: commonly millions of pounds for worldwide, especially for the USA.
  2. Excess: the amount you pay on each claim.
  3. Cancellation limit: make sure it covers the cost of the trip.
  4. Pre-existing conditions: are they covered, and at what cost?
  5. Activities: are the sports or activities you plan to do included?
  6. Age limits: some policies restrict cover for older travellers.
  7. Exclusions: such as alcohol-related incidents, unattended belongings or travel against government advice.
  8. Gadgets and valuables: sub-limits can be low.
  9. Cover for disruption: what happens if the airline or tour operator fails? Some travel is protected by ATOL or other schemes.
  10. Insurer authorisation: check the firm is authorised by the Financial Conduct Authority.

When to buy

Buy as soon as you book your trip, so you are covered for cancellation from the start. If you wait until just before travelling, you are not covered for events before you bought the policy.

Other sources of cover

Do not assume other cover is adequate. Compare it with what you would buy.

Common reasons claims are refused

  • Not declaring a medical condition
  • Not following the policy conditions, such as reporting a theft to the police within a set time
  • Leaving items unattended
  • Cancelling for a reason not covered, such as changing your mind
  • Travelling against Foreign, Commonwealth and Development Office (FCDO) advice
  • Drinking heavily before an incident

If something goes wrong

  1. Medical emergency: call the insurer's emergency assistance line before treatment if you can. Keep all receipts and medical reports.
  2. Theft or loss: report it to the local police and get a written report.
  3. Cancellation or delay: keep documents from the airline or travel provider.
  4. Contact the insurer as soon as possible, and follow the claims process. See how to make an insurance claim.

Saving money

Don't cut cover so far that it cannot meet a large medical bill. Our guide to cutting household bills has general tips for reviewing policies.

Older travellers and long trips

Some insurers set age limits or charge more for older travellers, and cover for long trips or for people who spend part of the year abroad can differ from standard policies. Check the maximum trip length on annual policies, and ask whether you are covered if your trip is extended for reasons outside your control.

Frequently asked questions

Do I need travel insurance for the EU?
It's not compulsory, but strongly advised. A GHIC covers some state healthcare but not repatriation, private treatment, cancellation or lost belongings.
Does travel insurance cover pre-existing conditions?
Only if declared and accepted by the insurer. Premiums may be higher.
Is annual travel insurance worth it?
If you travel more than once a year, probably yes. Check the maximum trip length and the cover for older travellers.
What if my airline cancels my flight?
You may be entitled to a refund or rerouting from the airline under UK rules. Travel insurance can help with extra costs, but check your policy.

Sources and further reading

This page provides general information only. It is not personalised financial, legal or tax advice, and rules and figures can change. Your situation is unique — please check official sources such as GOV.UK and MoneyHelper, and speak to a qualified, FCA-authorised adviser before making important decisions about your money.

Written by

MoneyBrink Editorial Team — Editorial team

The MoneyBrink Editorial Team researches, writes and reviews every guide on this site. We work from official UK sources such as GOV.UK, the Financial Conduct Authority, MoneyHelper and the Money and Pensions Service, explain things in plain English, and update articles when the rules change. We do not sell financial products and we do not give personal advice.

Read how we research and check our guides in our editorial policy.

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