The Travel Troubleshooter: Insurance claim denied after bike accident

Question: I recently booked a trip to Colorado Springs on American Airlines. I paid for the tickets with a credit I’d received after canceling a previous flight, plus $350 in fees. I bought travel insurance from Access America, which is offered through the American Airlines website.

I had a bicycling accident and we could not travel to Colorado. I sent a claim to Access America with complete documentation, including receipts from American Airlines. The receipt shows a payment of $601 plus $350 in fees.

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Now Access America says they won’t pay the claim since we used the $601 credit from the earlier trip. Needless to say, I am upset because American advertises Access America on its site and the ticket agent when I rebooked said to call them. Can you help me get my money back? — John Frow, Plano, Texas

Answer: Access America should have refunded your entire ticket, regardless of how you paid for it. Unfortunately, insurance claims are often denied because of a misunderstanding, and that’s what appears to be happening to you.

A look at the terms and conditions of your policy on Access America’s site shows there should be no distinction between the cash and airline vouchers you used. The insurance company should compensate you for the ticket, period.

According to the U.S. Travel Insurance Association, 1 in 6 policy purchasers file a claim, and of those, fewer than 10 percent are turned down. Many denials are overturned on appeal. I’ve heard informal estimates from insurance experts that roughly 90 percent of appeals go the traveler’s way, although that’s hard to verify. So you could have written back to Access America, clarifying the circumstances of your claim and asking it to take a second look.

What responsibility does American Airlines have? The airline would probably argue that it doesn’t have any, and that it was simply selling an insurance product from its website. I’m not sure I would agree. By selling insurance on its site, American is offering a de facto endorsement, and bears some responsibility when you aren’t compensated under the insurance company’s own rules.

If your appeal had been rejected, your next step would have been to rope American into this case. Sometimes — and I’ve seen this happen — a travel company will step in when and insurance claim is denied to make things right. Maybe it would have issued some vouchers for future flights.

As it turns out, none of that would be necessary. I contacted Access America on your behalf, and it reopened your case.

“Because Mr. Frow used a previously obtained credit from American Airlines to book the flight he insured with us, we mistakenly thought that he did not incur a financial loss and initially denied his claim on that basis,” a representative told me.

After “further review” Access America refunded you $601, which is the limit of your coverage.

(Photo: Julien He ry/Flickr Creative Commons)

3 thoughts on “The Travel Troubleshooter: Insurance claim denied after bike accident

  1. Hmmm…..1 in 6 file a claim, and 90% of those are paid. That comes out to 15% of travel insurance purchasers get paid. To cover overhead and make a profit I guess the insurance providers must be charging at least 20% of the value of your trip, eh? I don’t think so. I just got a quote from a travel insurance aggregator site for an imaginary trip and the prices are in the neighborhood of 5%.

    This tells me that these industry numbers are very very misleading, if not a flat out lie.

  2. Access America to my surprise actually paid for my daughters stolen IPOD last year on her overseas trip to Israel. The hitch was having to go to a police station and getting a police report filed, and then translated into English. A little work, but received a check in the mail within a month and a half of starting the process. Having said that, I am concerned about using them for another trip this coming tuesday which will be up to 3 month stay in Israel. My daughter travels a lot and was wondering if there is a better way to insure her without insuring every trip. This will be the fourth overseas trip to various international destinations. Any input of who I should go with this time around? I want medical, flight, emergency evacuation, the whole works. Also, a friend in Israel offered to put her on his plan which allows for visitors up to 3 months, but only covers basic medical, hospitalization etc. Can I have both,a travel insurance by one of the underwriters as well as another insurance coverage from her friends policy? Any input would greatly be appreciated . Erica

  3. My wife and daughter had planned a trip to visit my recently
    widowed sister-in-law in Minnesota.  My sister-in-law has two young
    children, so my wife was planning on taking her sister’s family for a vacation
    in Minnesota.  We purchased tickets from Delta airlines and reserved rooms
    in a country Inn.  At the same time, we purchased travel insurance from
    Access America.


    Four days before my wife and daughter were to leave for
    Minnesota, my sister-in-law called us and told us that her son was hospitalized
    and that he would be remaining in the hospital for a week or more.  In
    response to this, my wife needed to cancel the vacation.  We obtained all
    the necessary documentation and filed it with the Access America.  They
    immediately denied the claim, saying that the reason for hospitalization was
    not covered by the policy.  Furthermore, even if it was, the insurance
    would only cover my wife, but not my daughter, since the relative was my daughter’s
    cousin.  Cousins are not covered on the policy, according to the insurance
    agent.   When I called up and complained to the agent, they said that
    I could appeal the decision.  I asked the agent to email me the
    information on how to proceed.  She promised to do it within the day.


    A day passed and there was no email from Access
    America.  I called again.  Again the agent promised to send me the
    information before the end of the day.  Again no email.  Finally I
    got on the web site, and emailed my request.  AFter 5 days, I finally received an email address to ask for an appeal of my case.  ([email protected])

    I have been waiting for a week to even receive an acknowledgement of my email.

    I feel that the insurance is useless and would discourage
    anyone from purchasing insurance from Access America.

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