Which Credit Cards Have the Best Insurance for Seniors?

Insurance coverage offered by credit cards often doesn’t get the same attention as a card’s other benefits. However, it’s an important element to be aware of, particularly for travellers over the age of 65.

While some insurance coverage is fairly comparable among credit cards within the same tier, this isn’t the case when it comes to emergency medical coverage, which can differ dramatically between the cards.

In this guide, we’ll outline the best options for securing coverage for you or your loved ones.

Emergency Medical Care Outside of Your Province of Residence

Before delving into the cards themselves, it’s important to go over what this insurance covers, and to establish a baseline of the lower-end of what you can expect in terms of coverage.

Emergency medical care insurance coverage is designed to reimburse you for a certain dollar amount in the event that you’re injured or experience a medical emergency while travelling outside your home province.

This coverage becomes even more relevant if you’re travelling internationally, where it may be more difficult to navigate and understand the local medical system and its costs.

With coverage, not only do you have peace of mind when you travel, but you can also prioritize getting care without worry, should you run into some bad luck.

As we mentioned above, the emergency medical care coverage can vary considerably across different credit cards; therefore, to establish a baseline from which to compare, let’s first look at the coverage offered by two popular cards.

Our first example, the American Express Cobalt Card, offers emergency medical coverage for the first 15 consecutive days of your trip if you’re 64 years old or under; however, once the cardholder turns 65, there’s no coverage at all.

Looking at higher-end cards, the TD Aeroplan® Visa Infinite Privilege* Card offers emergency medical coverage for an incrementally better four days if you’re 65 or older.

As we can see, neither of these cards offers much in the way of emergency medical coverage for travellers over 65.

Therefore, you’ll want to consider a credit card that provides the best insurance for anyone travelling in their golden years.

As always, be sure to read the card’s insurance booklet to understand what’s covered in your specific situation. If you ever have any questions, reach out to the card issuer to confirm what’s included.

National Bank World Elite Mastercard

In Canada, the gold standard of insurance coverage is set by the National Bank World Elite Mastercard. Travellers over 65 years old are covered for up to 15 days when travelling out of province. The coverage lasts until you turn 76, at which point you’re no longer covered.

It’s also important to note that if you have a pre-existing illness or injury or if there have been changes to your health within six months of your departure date, you won’t be covered if you suffer an accident directly or indirectly related to the pre-existing condition.

If you qualify for coverage, National Bank will cover you up to $5,000,000 for emergency medical care if you end up needing it.

We consider the National Bank World Elite Mastercard as the best credit card for insurance in Canada. If you make a booking with points, you’ll also be covered, which is another one of the card’s mainstay features.

HSBC World Elite Mastercard

The HSBC World Elite Mastercard has historically been another staple in Canadians’ wallets, due to its lack of foreign exchange fees.
However, following the announcement that RBC would acquire HSBC, the card has subsequently been closed to new applications as of October 2023.

It’s unclear what the future holds for this and other HSBC cards, but if you’re currently a cardholder, then it’s business as usual until we hear otherwise.

This is good news, as the HSBC World Elite Mastercard also has quite a generous policy when it comes to emergency medical coverage for seniors.

For people 65 years of age or older, you receive emergency medical coverage for up to 21 consecutive days after you leave your province of residence. This is an improvement over the length of coverage from the National Bank World Elite Mastercard, and there’s no upper limit specified for age, which is outstanding.

While HSBC has a more favourable inclusion list, the insurance coverage is less, at $2,000,000 instead of the $5,000,000 offered by National Bank.

Combined with no foreign transaction fees, competitive earning rates, and generous insurance policy for seniors, it’s no wonder the HSBC World Elite Mastercard was such a popular choice among Canadians.

Desjardins Odyssey Visa Infinite Privilege

A less talked about card that deserves a spot on this list is the Desjardins Odyssey Visa Infinite Privilege Card, which has a similar insurance structure to the National Bank World Elite Mastercard.

If you’re 65 or older, you’re eligible for emergency medical coverage for up to 15 days from when you leave the province in which you reside. However, once you turn 76, you would no longer be eligible for any coverage.

You’ll be covered up to a maximum of $5,000,000 per person, excluding situations where you have a pre-existing condition, in which case, you won’t be covered if your accident while travelling is related to said condition.

Note that your pre-existing condition window goes back 182 days from date of departure.

Unlike the other cards on this list, the Desjardins Odyssey Visa Infinite Privilege is a cash back card, rather than a travel-focused card. It has an annual fee of $295 (CAD) for members, or $395 (CAD) for non-members, which is a fairly steep fee to pay.

CIBC Aeroplan® Visa Infinite Privilege* Card

When it comes to emergency medical coverage, especially for those older than 65, the CIBC Aeroplan® Visa Infinite Privilege* Card comes out ahead of its premium Aeroplan co-branded credit card counterparts.

The CIBC Aeroplan® Visa Infinite Privilege* Card offers 10 consecutive days of coverage for people 65 or older, which is more than its TD counterpart’s four days of coverage.

As usual, pre-existing conditions exclude you from coverage if your emergency is related or indirectly related to your existing condition.

However, keep in mind that unlike the National Bank World Elite Mastercard or the Desjardins Odyssey Visa Infinite Privilege Card, there’s no specified age maximum for coverage. Therefore, you’ll still be eligible for insurance, even if you’re over the age of 76.

This card is a great addition to your wallet if you tend to make shorter trips away from home, and want to remain in the Aeroplan ecosystem.

You’ll also enjoy benefits like lounge access, priority services, and a free checked bag when travelling with Air Canada.


While most credit cards don’t offer travel insurance coverage for travellers over the age of 65, and even fewer cover those who are 76 and older, there are still a few standout cards that extend emergency medical protection to travellers in their golden years.

Having emergency medical coverage while you’re travelling is an important way to stay safe and healthy, and to provide yourself and your loved ones with peace of mind.

No matter your age, there’s a card out there that will extend some sort of coverage to you, so make sure to keep that in mind before embarking on your next adventure.

  1. Cal

    Go through the insurance with a highlight marker, and then mark your concerns. Get answers to your questions before you go. For pre-existing conditions, some only allow them to be stable for 3 months beforehand, others 6 months.

    Thanks for the article

  2. Bylo Selhi

    Speaking as a senior, I would never rely on a credit card for emergency medical travel insurance. Most seniors are on some sort of medication and/or have pre-existing conditions. Most travel insurance, both CC and private, has a long list of conditions and exclusions. You usually only find out about them AFTER you make a claim.

    If you’re concerned about emergency medical situations when you travel outside Canada, then find a travel insurer who will cover you without excluding pre-existing conditions or at least make sure they tell you beforehand what you’re actually covered for based on your specific medical conditions. Naturally, expect to pay more, perhaps a lot more, than younger people for coverage that you can actually rely on should you need it.

    Otherwise you’re just gambling.

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