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Best Travel Insurance for Seniors (65+) - 2025 Rankings

Compare the top travel insurance providers for seniors aged 65 and up, including coverage for pre-existing conditions, Medicare coordination, and age-appropriate medical limits.

1/15/202511 min readProvider

Why seniors need specialized travel insurance

Standard travel insurance often includes age restrictions, higher premiums for seniors, and lower medical coverage limits for travelers 65+. The right senior-specific policy accounts for:

  • Pre-existing medical conditions (more common as we age)
  • Higher medical evacuation needs (longer recovery times, complex conditions)
  • Medicare gaps abroad (Medicare rarely covers international care)
  • Trip cancellation for health reasons (higher likelihood of medical issues before departure)

Critical fact: Medicare provides zero coverage outside the U.S. (except limited border coverage in Canada and Mexico). Supplemental Medigap policies may offer limited international emergency coverage, but it's capped at $50,000 lifetime—insufficient for serious medical emergencies.

Top 5 travel insurance providers for seniors (2025)

1. GeoBlue Voyager Choice

Best for: Seniors with pre-existing conditions, international medical network access

Age limit: No maximum age (rare!)

Key features:

  • Access to Blue Cross Blue Shield global network
  • Pre-existing condition coverage (with no lookback period on some plans)
  • High medical limits: $500,000-$2,000,000
  • Medical evacuation: $500,000
  • 24/7 telehealth access

Coverage highlights:

  • ✅ No upper age limit
  • ✅ Direct billing to hospitals (no upfront payment)
  • ✅ Chronic condition management support
  • ✅ Emergency prescription refills
  • ❌ No trip cancellation coverage (medical-only)

Pricing (example):

  • Age 65: $195-$350 for 2-week trip
  • Age 75: $280-$480 for 2-week trip
  • Age 80: $350-$600 for 2-week trip

Best scenarios:

  • Seniors with heart conditions, diabetes, or other chronic illnesses
  • Travelers who want access to high-quality international hospitals
  • Extended trips (30-180 days)

2. Allianz AllTrips Premier (Annual Plan)

Best for: Frequent senior travelers (3+ trips/year)

Age limit: 80 years (85 on some plans)

Key features:

  • Covers unlimited trips up to 45 days each
  • Trip cancellation: Up to $10,000 per trip
  • Medical coverage: $50,000
  • Medical evacuation: $500,000
  • Pre-existing condition coverage available

Coverage highlights:

  • ✅ Annual plan saves money for frequent travelers
  • ✅ Rental car damage coverage included
  • ✅ Trip delay and baggage coverage
  • ✅ 24/7 assistance hotline
  • ❌ 45-day trip limit per journey

Pricing:

  • Age 65-69: $549-$699/year
  • Age 70-74: $699-$899/year
  • Age 75-80: $899-$1,199/year

Best scenarios:

  • Snowbirds splitting time between U.S. and abroad
  • Retirees taking multiple cruises or tours per year
  • Visiting family abroad several times annually

3. Travel Guard Preferred

Best for: Comprehensive coverage with high trip cancellation limits

Age limit: 85 years

Key features:

  • Trip cancellation: Up to 100% of trip cost
  • Medical coverage: $100,000
  • Medical evacuation: $500,000
  • Pre-existing condition waiver available (if purchased within 14 days)
  • Cancel For Any Reason add-on available

Coverage highlights:

  • ✅ High trip cancellation coverage (no dollar limit)
  • ✅ CFAR option for maximum flexibility
  • ✅ Concierge services included
  • ✅ Adventure sports rider available
  • ❌ Must purchase within 14 days for pre-existing waiver

Pricing (example - $5,000 trip):

  • Age 65: $350-$450
  • Age 75: $525-$675
  • Age 80: $700-$900

Best scenarios:

  • Expensive cruises, tours, or bucket-list trips
  • Seniors who want flexibility to cancel for any reason
  • Travelers with manageable pre-existing conditions

4. Seven Corners Roundtrip Choice

Best for: Budget-conscious seniors, international trips

Age limit: 79 years (on most plans)

Key features:

  • Medical coverage: $50,000-$100,000
  • Medical evacuation: $250,000-$1,000,000
  • Trip cancellation: Up to $10,000
  • Affordable premiums for seniors

Coverage highlights:

  • ✅ Competitive pricing for fixed-income retirees
  • ✅ Optional "Cancel for Work Reasons" (if still working part-time)
  • ✅ High evacuation limits relative to cost
  • ✅ Coverage for acute onset of pre-existing conditions
  • ❌ Lower trip cancellation limits than premium competitors

Pricing (example - 2-week Europe trip):

  • Age 65: $180-$280
  • Age 70: $250-$380
  • Age 75: $320-$480

Best scenarios:

  • Budget travel (hostels, budget airlines)
  • Seniors with minimal pre-existing conditions
  • Travelers prioritizing medical coverage over trip cancellation

5. IMG Patriot America Plus

Best for: Non-U.S. citizen seniors visiting family in America

Age limit: 99 years

Key features:

  • Medical coverage: $50,000-$1,000,000
  • Medical evacuation: Included in medical limit
  • Acute onset of pre-existing conditions covered
  • Renewable up to 2 years

Coverage highlights:

  • ✅ No upper age limit (coverage up to age 99!)
  • ✅ Designed for inbound international visitors
  • ✅ Flexible deductibles ($0-$2,500)
  • ✅ Direct pay option to U.S. doctors
  • ❌ No trip cancellation coverage

Pricing (example - 30 days in U.S.):

  • Age 70: $120-$200
  • Age 80: $200-$350
  • Age 90: $350-$600

Best scenarios:

  • International parents visiting U.S.-based children
  • Seniors traveling to U.S. from abroad
  • Long-term visitors (6+ months)

Detailed comparison table

ProviderAge limitMedical coverageEvacuationTrip cancellationPre-existingBest for
GeoBlue VoyagerNo limit$500k-$2M$500kNot included✅ CoveredChronic conditions, high medical needs
Allianz AllTrips Premier80 (85 some plans)$50k$500k$10k per trip✅ Waiver availableFrequent travelers, annual coverage
Travel Guard Preferred85$100k$500k100% trip cost✅ Waiver (14 days)Expensive trips, comprehensive coverage
Seven Corners Roundtrip79$50k-$100k$250k-$1MUp to $10kAcute onset onlyBudget travelers, cost-conscious
IMG Patriot America+99$50k-$1MIncludedNot includedAcute onset onlyInbound visitors to U.S.

Pre-existing conditions: What you need to know

What counts as "pre-existing"?

Most insurers define pre-existing conditions as any illness or injury for which you:

  • Received medical treatment, consultation, or prescriptions
  • Had symptoms that would cause a reasonable person to seek care
  • During the "lookback period" (typically 60-180 days before purchasing insurance)

Common pre-existing conditions for seniors:

  • Heart disease, high blood pressure
  • Diabetes (Type 1 and Type 2)
  • COPD, asthma
  • Cancer (current or in remission)
  • Arthritis requiring medication
  • Kidney disease

How to get pre-existing conditions covered

Option 1: Pre-existing condition waiver (available on comprehensive plans like Travel Guard, Allianz)

Requirements:

  • ✓ Purchase insurance within 14-21 days of first trip payment
  • ✓ Insure 100% of prepaid, non-refundable trip costs
  • ✓ Be medically able to travel at time of purchase (not under doctor's orders to avoid travel)

Option 2: Plans that cover pre-existing conditions by default (like GeoBlue)

  • No lookback period or waiver needed
  • Chronic condition management included
  • Higher premiums but guaranteed coverage

Option 3: "Acute onset" coverage (Seven Corners, IMG)

  • Only covers sudden, unexpected flare-ups of pre-existing conditions
  • Does NOT cover planned treatment or expected complications
  • Example: Covered if stable diabetes suddenly becomes emergency. NOT covered if you ran out of insulin.

Medicare and travel insurance

What Medicare covers abroad:

Almost nothing. Exceptions:

  • Emergency care in Canada/Mexico only if emergency occurs while traveling through Canada between Alaska and mainland U.S., or if you're in the U.S. and Canadian hospital is closer
  • Cruise ship emergencies within 6 hours of U.S. port

What Medicare does NOT cover:

  • ❌ Routine medical care abroad
  • ❌ Medical evacuation
  • ❌ Prescriptions filled overseas
  • ❌ Care in Europe, Asia, South America, Africa

Medigap (Medicare Supplement) plans:

Plan C, D, F, G, M, and N include limited foreign travel emergency coverage:

  • Covers 80% of emergency care costs after $250 deductible
  • $50,000 lifetime maximum (insufficient for serious emergencies)
  • Only covers first 60 days of trip

Bottom line: Even with Medigap, you need supplemental travel insurance for adequate coverage abroad.

Cost considerations for seniors

Why senior travel insurance costs more:

  1. Higher medical risk: Statistically, seniors have more health claims
  2. Longer recovery times: Medical treatment often costs more for seniors
  3. Pre-existing conditions: More likely to have chronic health issues
  4. Higher trip cancellation risk: Greater likelihood of illness before departure

Average costs by age (2-week international trip, $4,000 trip cost):

  • Age 65: $250-$400
  • Age 70: $350-$550
  • Age 75: $500-$750
  • Age 80: $700-$1,000+
  • Age 85: $900-$1,400+

Ways to save money:

  1. Annual plans if you travel 3+ times per year (can save 30-50%)
  2. Higher deductibles ($250 vs $0 can reduce premium by 15-25%)
  3. Medical-only plans if you don't need trip cancellation coverage
  4. Book early to qualify for pre-existing condition waivers (often cheaper than plans without waivers)
  5. Group/couple discounts (some insurers offer 10-15% off for couples)

Red flags: Policies to avoid

🚩 Very low medical evacuation limits (under $100,000)

  • Evacuation from Europe to U.S.: $50,000-$100,000
  • Evacuation from Asia to U.S.: $100,000-$250,000
  • You need AT LEAST $250,000, preferably $500,000

🚩 Age caps below 75

  • Many policies cut off at 70 or 75
  • Check if you can renew as you age or if you'll need to find new coverage

🚩 "Acute onset only" pre-existing coverage (unless you have no chronic conditions)

  • Very limited coverage
  • Won't cover most realistic scenarios for seniors with ongoing health issues

🚩 No direct billing (you pay upfront and get reimbursed)

  • Can be financially difficult if you need $50,000+ surgery abroad
  • GeoBlue and some premium plans offer direct billing

🚩 Extremely short trip limits on annual plans (less than 30 days)

  • Many seniors take longer trips (30-90 days)
  • Ensure your annual plan accommodates your trip style

Special considerations

Cruise insurance for seniors

Cruise lines offer their own insurance, but it's often inadequate:

  • ❌ Lower medical coverage limits
  • ❌ No coverage if cruise line goes bankrupt
  • ❌ Limited evacuation coverage (may only cover to nearest port, not home)

Better option: Third-party cruise-specific insurance

  • Allianz Cruise: Comprehensive coverage designed for cruises
  • Travel Guard Cruise: Includes cruise line default protection
  • Both cover medical, evacuation, trip cancellation, and missed port expenses

Adventure travel for active seniors

If you're skiing, hiking, or doing other activities:

  • World Nomads: Covers 200+ adventure activities, no upper age limit on some plans
  • Battleface: Extreme sports and remote destinations
  • Check if your policy requires an "adventure sports rider" (additional cost)

Long-term travel (snowbirds)

If you're spending 3-6 months abroad:

  • GeoBlue Xplorer: Designed for extended trips up to 364 days
  • IMG Global Medical: Annual coverage for expats/long-term travelers
  • Cigna Global: Full expat health insurance (more expensive but comprehensive)

Common questions from senior travelers

Q: Can I buy travel insurance if I'm over 80? A: Yes, but options are limited. GeoBlue (no age limit), IMG (up to 99), and some Allianz plans (up to 85) will cover you.

Q: Will my policy cover me if I have a heart attack abroad? A: Yes, emergency medical coverage includes heart attacks. BUT if you have a known heart condition, you need a policy with pre-existing condition coverage or waiver.

Q: What if I need to cancel because my spouse gets sick (not me)? A: Most policies cover trip cancellation if an immediate family member (including spouse) becomes seriously ill. Check the definition of "immediate family" and "serious illness."

Q: Do I need medical evacuation coverage for trips to Europe? A: YES. European medical care is good, but evacuation back to the U.S. costs $50,000-$100,000. Medicare won't pay for it.

Q: Can I extend my coverage if I decide to stay longer? A: Some policies (like World Nomads) allow extensions while traveling. Most require you to purchase before your current policy expires.

Q: What if I have a medical emergency on a cruise ship? A: Your travel insurance should cover shipboard medical care. Evacuation coverage is critical—getting airlifted from a ship can cost $100,000+.

Checklist before you buy

Before purchasing travel insurance as a senior, verify:

  • [ ] Maximum age limit accommodates your age (and future trips if annual plan)
  • [ ] Medical coverage minimum $100,000 (preferably $250,000+)
  • [ ] Medical evacuation minimum $250,000 (preferably $500,000)
  • [ ] Pre-existing condition coverage matches your health situation
  • [ ] Trip cancellation limit covers 100% of your trip cost
  • [ ] Policy covers your planned activities (cruises, skiing, etc.)
  • [ ] Direct billing available (reduces upfront out-of-pocket costs)
  • [ ] 24/7 assistance line with medical professionals
  • [ ] Claims process is clear and reasonable (30+ day filing window)

Final recommendations by scenario

Scenario 1: Healthy, active senior (65-75) taking $6,000 cruiseTravel Guard Preferred: Comprehensive coverage, high trip cancellation limits, CFAR option

Scenario 2: Senior (70+) with diabetes and heart conditionGeoBlue Voyager Choice: No lookback period, excellent medical network, chronic condition support

Scenario 3: Retired couple taking 3 trips/year (each $3,000)Allianz AllTrips Premier Annual: Saves money, covers unlimited trips, reasonable medical limits

Scenario 4: Budget traveler (75) taking 2-week Europe trip ($2,500)Seven Corners Roundtrip Choice: Affordable, adequate coverage for budget trips

Scenario 5: 80-year-old visiting grandchildren in Europe for 90 daysGeoBlue Xplorer: Extended trip coverage, no age limit, high medical limits

Next steps

Don't let age be a barrier to travel—just make sure you're properly protected. The right travel insurance gives you peace of mind to enjoy your retirement adventures.