TX
TravelexUnderwritten by Berkshire Hathaway Specialty InsuranceA.M. Best A++

Travelex Travel Select

Travelex Travel Select is a comprehensive US visitor medical plan from Travelex - $250k coverage, with acute-onset-only PED handling, direct billing at in-network hospitals.

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Plan type
Comprehensive
Coverage limit
$250k
Pre-existing
Acute-onset only
Direct billing
Yes
Network
Large network
Trip length
5–364 days

Who this plan is - and isn't - for

Good fit for
  • Travellers who want real hospital bills paid, not capped sub-limits.
  • People who don't want to pay $50k upfront and chase a reimbursement later.
  • Long stays of 6+ months - this plan goes the distance.
  • Travellers who'll be in multiple US cities - wide hospital network.
Not the right fit for
  • Travellers expecting routine PED treatment - only sudden flare-ups are covered.

Example scenario: what it actually feels like

A typical mid-sized US hospitalisation, walked through day by day - so you can see what you'd actually pay and how long it would take.

The story · slip and fracture, ER + 2-day hospital stay (~$45,000 bill)
  1. Day 0Visitor falls, broken wrist, ER admission

    Hospital bill clock starts. Total estimated bill: $45,000 (₹37 lakh).

  2. Day 0You show the insurance card

    Hospital staff call the insurer's 24×7 hotline to verify coverage and pre-authorise treatment.

  3. Day 1Direct billing arranged

    Direct billing kicks in. Travelex settles directly with the hospital. You only owe deductible + your 100% of eligible expenses after deductible coinsurance share.

  4. Day 2Discharged

    Your share so far: ~$8,000 (deductible + coinsurance).

  5. Day 3Submit claim documents

    Itemised bill (UB-04/HCFA), doctor's notes, discharge summary, prescriptions, passport copy.

  6. Day ~28Claim settled

    Average settlement on Travelex Travel Select is around 25 days from complete documents. Insurer pays ~$37,000 directly to the hospital.

Hospital bill
$45,000
₹37 lakh
What you pay
~$8,000
₹7 lakh
What insurance pays
~$37,000
₹31 lakh

Reality check: without any insurance, you'd be paying the full $45,000 (~₹37 lakh) out of pocket.

Numbers are illustrative, computed from this plan's deductible, coinsurance and claim-settlement fields. Your actual quote and claim outcome depend on traveller age, the hospital, and the specific incident.

What this plan actually pays in real situations

Examples assume an in-network US hospital and that the deductible is already met.

Heart attack - ER, ICU, stent (~$120,000 bill)
Likely covered

Covered up to your $250k limit. You'd owe the deductible plus your coinsurance share (100% of eligible expenses after deductible).

Slip and fracture - ER + outpatient surgery (~$35,000)
Likely covered

Treated as a new injury, so it's covered. Expect to pay the deductible plus your coinsurance share.

Diabetes complication - sugar crash, hospitalisation (~$8,000)
Likely covered

Covered only if it's a sudden, life-threatening flare-up. Routine refills are not covered. Cap: $50,000.

Routine GP visit for a cold or BP check
Not covered or capped

Not covered. Visitor plans are emergency-only - they aren't health insurance for routine care.

Pre-existing conditions - what this really means

Only acute-onset flare-ups - sudden, unexpected, life-threatening episodes - of existing conditions are covered. Routine medication refills, planned check-ups and known complications are NOT covered. The cap is $50,000, available up to age 75.

New injuries & illnesses on the trip
Acute flare-ups of existing conditions
Routine refills & check-ups
Conditions not disclosed at purchase

What you'll still pay even when claims are paid

Deductible (per claim)
You pay this first, before insurance kicks in. Higher deductible = lower premium.
$0–$250
Coinsurance share
Your share of the bill after the deductible is met.
100% of eligible expenses after deductible
Out-of-network usage
Always show your insurance card and confirm in-network before non-emergency care.
Penalty if outside UnitedHealthcare PPO
Non-covered items
Cosmetic treatment, routine check-ups, undisclosed conditions, anything excluded in the policy wording.
100% out-of-pocket

How claims actually work on this plan

1
Go to the nearest ER

For life-threatening events, don't waste time picking a hospital - go now.

2
Show the insurance card

Hospital staff will call the insurer's 24×7 hotline.

3
Direct billing kicks in

Travelex settles directly with the hospital. You only pay deductible + coinsurance.

4
Claim settlement

Average settlement on this plan: roughly 25 days after submitting complete documents. Incomplete paperwork is the #1 reason claims drag on.

When claims on this plan get rejected

  • Non-disclosure
    The single biggest reason. If a known condition wasn't declared at purchase, the entire claim can be denied.
  • Treating a pre-existing condition as new
    If the doctor's notes link the issue to an existing condition, PED rules apply - even if the trip itself was healthy until then.
  • Going out-of-network without need
    Non-emergency visits to providers outside UnitedHealthcare PPO can be partly or fully denied.
  • Late notification
    Most insurers require notification within 24–48 hours of hospitalisation. Missing this window is a frequent cause of disputes.
  • Missing documents
    No itemised hospital bill (UB-04/HCFA), no doctor's notes → claim stalls or gets rejected.

How Travelex Travel Select compares

Quick check against other Travelex plans and the closest alternatives in the market.

PlanCoveragePEDDirect billing
TX
Travelex Travel Select
Travelex
$250kAcute-onset onlyYes
TX
Travelex Travel Basic
Travelex
$50kAcute-onset onlyNo
TW
Safe Travels USA Cost Saver
Trawick
$250kAcute-onset onlyYes
VC
Visitors Protect
Visitors Coverage
$250kAcute-onset onlyYes
SC
RoundTrip Choice
Seven Corners
$250kAcute-onset onlyNo

Want a side-by-side with watch-outs and price? Take the 30-second quiz - we'll line up the best fits for your traveller's age and health.

What it's likely to cost

Premium band
$100$230 / month equivalent
Rough range across age, deductible and coverage choices. Your actual quote depends on traveller age and trip length.
Healthy, short tripSenior, long trip

Honest caveat: visitor plans price by age band, deductible and coverage limit. Same plan can cost 3× more for an 80-year-old vs a 50-year-old. The quote you'll see on the insurer's site is the only number that matters.

Our editorial take

What we like

Travellers wanting trip cancellation + reasonable medical caps in one plan.

What to watch

Not auto-renewable; PED window is brief.

Frequently asked questions

Does Travelex Travel Select cover pre-existing conditions?
Only acute-onset (sudden, unexpected, life-threatening) flare-ups of pre-existing conditions are covered, up to age 75. Routine medication refills, planned check-ups and known complications are not covered.
What's the maximum age Travelex Travel Select will cover?
Travelex Travel Select accepts visitors from age 0 up to age 84. PED-related cover (where applicable) cuts off at age 75.
Is direct billing available with Travelex Travel Select?
Yes. At in-network hospitals (UnitedHealthcare PPO), the insurer settles the bill directly. You only pay your deductible plus your coinsurance share, not the full bill upfront.
What's the longest trip Travelex Travel Select covers?
Travelex Travel Select covers trips up to 364 days, with a minimum of 5 day(s).
Does Travelex Travel Select cover COVID-19?
Yes - COVID-19 testing and treatment are covered like any other new illness on this plan, subject to the deductible and coverage limit.
How long do claims take with Travelex?
Average claim settlement on Travelex Travel Select is around 25 days from the time complete documents are submitted. Incomplete documentation is the most common reason claims drag on.

Not sure if Travelex Travel Select is right for your traveller?

Our 30-second quiz factors in age, trip length and pre-existing conditions to surface the plans that actually fit - not just the ones with the biggest ad budgets.

Related plans

Compare Travelex Travel Select head-to-head

Side-by-side breakdowns vs the plans most often considered against this one. We call the winner on coverage, deductible, PED, direct billing and more.

BackToIndia is an independent decision-support service. We are not the insurer, broker or claims administrator for Travelex Travel Select. Coverage details summarised here come from the official policy wording and are reviewed periodically - always confirm against the insurer's policy document before purchase. Information here is general guidance, not insurance, medical, tax or legal advice.