Read six sections in this order: the certificate, eligibility, the definitions of “stable” and “pre-existing condition”, the exclusions, the benefit limits, and the claims procedure. Together they decide whether a hospital bill is paid. Do it inside the 10-day free look that the THIA Bill of Rights provides, so you can still cancel for a full refund.
The certificate is what IRCC and the border officer see. The policy wording, 20 to 60 pages, is what the claims adjuster reads. The Hamilton family in the CP24 report learned the difference through a $96,311 bill.
What do you need before you start?
The certificate, the full policy wording as a PDF, the parent’s medication list, and 20 minutes without interruption. Use the search function in the PDF for the words “stable”, “pre-existing”, “exclusion”, “maximum” and “notify”.
| Item | Where |
|---|---|
| Certificate of insurance | Confirmation email |
| Policy wording PDF | Confirmation email or the insurer’s website; ask if it was not sent |
| Medication list | To test the stability definition against real dates |
| Purchase date | The free look runs from it, not from the effective date |
How long does it take?
Twenty minutes for the six sections. Another ten to test the stability definition against the parent’s actual medication dates. Do it in the first week after purchase so there is time to cancel and rebuy if needed.
The 8 reading steps
- Check the certificate against IRCC’s list. Underwriter named, insured’s full name and date of birth, sum insured of at least $100,000, effective and expiry dates one year apart, hospitalization and repatriation listed, premium paid. The sample certificate page shows each line. The IRCC forms page lists the seven requirements.
- Read the eligibility section. Maximum age on the effective date, residency conditions, and whether the parent must be in good health or free of certain conditions to be eligible at all. An ineligible insured has no policy regardless of what was paid.
- Read the definitions of “stable” and “pre-existing condition”. Note the number of days and the list of changes that break stability. Test it against the parent’s medication dates. The stable definition page compares the eight insurers’ wordings.
- Read the exclusions in full. Look for the pre-existing exclusion, any exclusion for conditions the insurer has listed by name, and the exclusion for treatment that could reasonably wait until the parent returns home.
- Read the benefit schedule and its sub-limits. The $100,000 is a ceiling. Inside it sit smaller limits for repatriation, dental, follow-up visits, prescriptions and ambulance.
- Read the claims procedure. When to call, what number, what happens if you do not, who the claims administrator is, and the deadline for submitting receipts.
- Read the refund and cancellation clause. Fees, the visa-refusal provision, and the rule on claims voiding refunds. The refunds page summarizes all eight insurers.
- Write down three facts on the front of the folder. The stability period in days, the assistance phone number, and the expiry date.
What do the six sections actually say?
Each section answers one question an adjuster will ask. The table maps the question to the section and to what a bad answer looks like.
| Section | Adjuster’s question | Example of what to look for |
|---|---|---|
| Certificate | Was there a valid policy on the date of treatment? | Dates, name, underwriter; a quote is not a policy |
| Eligibility | Was the insured allowed to buy this plan? | GMS: not eligible if 80 or over on the effective date |
| Definitions | Was the condition stable for the required period? | GMS: 180 days; TuGo: 90 to 365 days by age; Secure Travel: 90 days to 69, 180 from 70 |
| Exclusions | Is this type of claim excluded? | Unstable pre-existing, elective, pregnancy, treatment sought abroad |
| Benefits and limits | How much of this bill is payable? | GMS: common-carrier repatriation to $5,000; dental pain to $300; 30-day prescriptions |
| Claims procedure | Did the insured follow the process? | Call before treatment or within 24 to 48 hours; original receipts |
GMS’s policy wording is a good example of a full document. It states the 180-day stability period, the age-80 eligibility cut-off, the $5,000 common-carrier repatriation cap, the 2-day and 7-day waiting periods for in-Canada purchases, and the refund rules, all in one PDF.
Which wordings differ most between insurers?
The stability period, the maximum age and the repatriation limit. The rest is broadly similar in structure. Terms seen October 2026 in insurer wordings and the PolicyAdvisor summary — verify in your own policy.
| Insurer (underwriter) | Stability period | Maximum issue age | Point to check |
|---|---|---|---|
| TuGo (iA Financial Group) | 90 days to 59; 120 to 69; 180 to 85; 365 at 86+ | None | Optional 7-day unstable rider to 79 |
| 21st Century (Manulife) | 180 days (Enhanced) | 85 (Enhanced); none (Basic) | Basic has no pre-existing cover |
| Secure Travel/RIMI (iA Financial Group; claims by MSH) | 90 days to 69; 180 from 70 to 84 | 90 | Claims handled by MSH, not iA |
| GMS (Group Medical Services) | 180 days | 79 | Repatriation by common carrier capped at $5,000 |
| Destination (Zurich Insurance Company Ltd, Canadian Branch) | 90 days 0-59; 120 days 60-69; 180 days 70-79 | About 90 | Pre-existing conditions excluded at 80+ |
| Allianz Global Assistance (CUMIS General Insurance) | 90 days under 60; 180 days 60-89 | 89 | Coverage pauses on home-country trips; 51 per cent of time must be in Canada |
| Manulife CoverMe (Manufacturers Life) | 180 days | 85 (Basic any age) | Deductible options change the premium up to about 35 per cent |
| Travelance (Old Republic Insurance Company of Canada) | Per policy wording | 85 | $50 early-return fee, $250 cancellation |
What if something does not fit?
Cancel inside the free look and buy a better fit. The THIA Bill of Rights gives a minimum 10-day review period with a full refund if the policy has not started and no claim was made. After the free look, the switching insurers page explains the cost of moving.
| Finding | Action |
|---|---|
| Parent’s condition is unstable under this wording but stable under another insurer’s | Cancel in the free look; buy the other plan |
| Repatriation sub-limit looks low for the parent’s home country | Compare; ask SuperVisaDirect for wordings with higher repatriation limits |
| Maximum age is close | Plan the year-5 renewal now; see age cliffs |
| Claims line is not 24 hours | Save the number and the policy number in the parent’s phone and wallet |
| Wording is unclear | Email the insurer and keep the reply; it binds them more than a phone call |
The claims page explains how the sections are applied when a bill arrives, and the doctor visits, dental and prescriptions page covers the everyday sub-limits.
Questions people ask
Which section matters most?
The definitions of 'stable' and 'pre-existing condition', read together with the pre-existing exclusion. They decide whether the parent's existing conditions are covered at all. The stability period runs from 90 to 365 days by insurer and age, and the definition of a change is narrower than most families expect.
Where is the $100,000 shown?
On the certificate or confirmation page as the sum insured or policy limit, per insured person. The policy wording then lists sub-limits inside that amount, such as GMS's $5,000 cap on common-carrier repatriation and $300 for dental pain. The sub-limits are where the IRCC-compliant headline number gets smaller.
What is the difference between the certificate and the policy wording?
The certificate is the one- or two-page confirmation that names the insured, the dates, the sum insured and the underwriter; it is what IRCC and CBSA see. The policy wording is the 20- to 60-page contract that governs claims. The certificate proves the policy exists; the wording decides what it pays.
What are the usual exclusions?
Unstable pre-existing conditions, routine or elective care, pregnancy after a stated week, conditions for which the parent travelled to seek treatment, alcohol and drug-related claims, some high-risk activities, and claims where the insurer was not contacted before treatment. Each insurer phrases these differently; read your own.
What does the claims section require?
Usually that the insurer's assistance line is called before treatment or within 24 to 48 hours of admission, that original receipts are kept, and that the parent authorizes release of medical records. Failing to call can reduce the benefit. The section also names the claims administrator, which may differ from the underwriter.
Can I cancel if I do not like what I read?
Yes, inside the free look. The THIA Bill of Rights commits member insurers to a minimum 10-day review period after purchase, with a full refund if the policy has not started and no claim has been made. Read the policy in the first week, not the last day.
Get the policy IRCC requires, in minutes
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Sources
- THIA — Travel Insurance Bill of Rights and Responsibilities (10-day free look, plain language)
- GMS — Immigrants and Visitors to Canada policy wording (example of a full wording)
- IRCC — Super visa: forms and documents (what the policy must show)
- PolicyAdvisor — Super visa insurance cost tables (stability periods, maximum ages)
- CP24 — $96,311 hospital bill initially denied for undisclosed condition