Injured abroad? What to do

What to do when injured abroad
"I wish I'd paid for everything with a credit card, not cash."

Recently while I was travelling in Argentina I crashed my bicycle into a huge truck hurtling down the highway, and did some nasty damage to my foot.

Here's what I learned about what to do when you've injured yourself overseas, and dealing with your travel insurance company.

Before you leave

Buy travel insurance with unlimited coverage for accidents! You don't want to be lying in a foreign hospital in pieces, telling doctors to push back on tests or treatments because you can't afford to pay.

I didn't bring my bulky insurance policy with me, but I did pack the one-page certificate, which had my policy number, a brief summary of what my policy covered and most importantly the toll-free number I could call to report my accident. If you're really diligent you'll also copy and paste your policy into your e-mail, so that if your stuff gets stolen you can access it there.

At the time of your accident

If the police get involved ask an officer for a report, detailing the accident. Also ask your doctor for a medical report. Be sure it is on hospital letterhead, and includes the date of the accident, the injuries suffered, their advice regarding treatment and whether you're fit to travel. Ask your doc for contact details, should you later need to clarify anything.

If your injury doesn't require any further treatment beyond that day, be sure to take home any X-rays or scans. These are yours, and may be useful if there are complications down the line.

From the moment of your injury, keep every single receipt of anything you pay for. Later when you get home you can check exactly what your policy allows you to claim, but at the very least it should include treatment, tests, medicine and travel costs.

This is a strange one, and may depend on your insurance company, but I wish I'd paid for everything with a credit card, not cash. When I did my claims my insurance company paid exactly the amount that turned up on my statement — including any foreign currency conversion fees. This way you won't get stung if the Australian dollar fluctuates between the time of your accident and when you settle your claim.

After the hospital

Call your insurance company. They will set up a case file for you, and put you through to their medical team. If you're in a non-English-speaking country this is a great opportunity to check that the treatment you received correlates with what you would have received in Australia, and any further questions you have that were too difficult to ask at the hospital.

Did you have to alter your travel plans due to the injury? You should be able to claim any costs of pre-booked travel plans. However, you may have to try refunding plane tickets through the airline first.

Does your injury require ongoing treatment? Things get a bit more complicated now, and you'll probably work things out with your insurance company. If you have the full policy in your e-mail, read it now!

Here are some handy tips that the insurance company may not share with you:

  • Your insurance company will ask you attend one of the hospitals that has been vetted by them as up to Australian healthcare grade. However, if you have a particular hospital you want to go to — perhaps a local friend has advised you — you can explain this to the insurance company who may then offer to have that hospital vetted.
  • If you have friends in a different city who can take care of you, or you feel you will receive better treatment in a different city, your policy should cover any costs incurred by travelling there.
  • You may be able to claim any accommodation or food costs if the injury has altered your travel plans. Again, just stick with my blanket suggestion — keep all receipts!
  • Remember, the insurance company's number-one goal is to only get you fit enough so that you can fly home, because as soon as you land on Australian shores the domestic healthcare system takes over responsibility. Don't be afraid to speak up and ask for what you feel is best for you. Even if you do have to fly home for treatment, a policy like mine covered costs for a flight back to the holiday destination if there was at least one month remaining on my scheduled trip.

If it is necessary for you to fly home, your insurance company should fully arrange and pay for that flight. Ensure they organise anything extra, like ground assistance or business class, that you may require after your injury.





Making your claim

Once you return to Australia you will need to compose a letter to your insurance company, which includes the following:

  • all receipts, plus a list recording any foreign currency exchange fees;
  • police report, doctor's reports, prescriptions;
  • bank statements; and
  • travel insurance certificate

Keep photocopies of everything you send.

A few weeks later the insurance company e-mailed me a list of everything they were willing to refund me (practically everything). I double checked it was added up correctly, and approved it. A week later I had a cheque come through the mail — yay!

If you have any additional tips, add them in the comment section below.

Monica Tan is a freelance travel writer, and writes her own blog.

User comments
Monica covered the topic really well. This past winter I spent in Canada and managed to scald my hands badly. My insurance company settled the doctors bills (including exchange) very promptly, but I hadn't bother to save receipts for the creams and dressings etc. which were needed, between visits to the doctor, as well as for about a month after medical attention was required. So follow Monica's advice and keep receipts especially is the amounts are small but on-going (as were my dressings) and therefore not put on a credit card. Best advice - stay safe and stay insured.
As a travel agent, I would like to commend you on your excellent article. I am printing this off to give to ALL of my clients. I have always maintained to my clients, if ANYTHING goes wrong, keep the receipts, keep the receipts, and finally, keep the receipts ! You need proof of absolutely everything in order to make a claim on your return. Also, research your insurance company - remember that you get what you pay for, and cheapest by no means is the best. Make sure you have COMPREHENSIVE insurance, not the cheapest on the market. Your travel agent will be able to recommend a good policy for you.
You did a good number on yourself, love!
If possible take a laptop or anything that can be hooked up to the internet. I was in the USA in the state of New Hampshire in a small town called North Woodstock when I started getting massive pain in my right leg similar to appendicitis. We were staying in a cottage and had no idea where the hospitals were. Anyone who has had to make a phone call in America will know how stuffed up the system is because they don't seem to have a cross carrier arrangement, so if you want to dial aparticular number you have to have the right area code. I simply Googled "hospitals near Nth Woodstock" which gave the Plymouth Hospital as the nearest. 46 miles and a blinding blizzard! I rang them and they said come down so I did. From there on my Travel insurance kicked in. Also in New York City one of my daughters developed a severe cold and when we went to a clinic they could not enter us into their system because we had no Social Security number. So I asked them to enter it as XXX000000 and it worked

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