An international exchange program can involve a change in nutritional routines, causing symtoms of Bulimia and Anorexia to develop or to spin out of control. It is possible though for participants with Bulimia or Anorexia to successfully complete international exchange, whether they come into the program with a diagnosed condition or if they develop symptoms after departure.
When traveling internationally, you may need electrical converters/adaptors for respiratory equipment. Also airline personnel may request detailed information about its operation and use. Know your settings and how to do basic setup and problem-solving, and learn other tips for traveling safely.
Participants who receive funding for a personal assistant through Medicaid or other government support are not able to use that funding once outside their home country. Travel insurance companies typically do not pay for personal assistants for daily care overseas or durable medical equipment that is not related to a first occurrence of an illness or injury overseas.
Since these costs are unlikely to be covered for people with existing needs, exchange programs or institutions should work with a participant to cover the costs.
By removing health insurance barriers, you can support diverse students to safely participate in your international exchange programs.With these options in place, it shouldn’t prevent qualified individuals from participating in exchanges and alleviate some of the difficult health cost issues that exchange staff and students need to deal with during the program.
If you are a Medicaid recipient, you may be dropped from enrollment in the medical plans if you do not keep a U.S. state residence or address or if you lose your SSI eligibility (see our tipsheet on "SSI, SSDI & International Exchange" for more). Loss of enrollment creates a gap of coverage upon return home from traveling abroad, especially if the travel health insurance does not cover you in your home country.
Know what options exist or how to plan for health coverage while on an exchange program if you have pre-existing conditions or need ongoing medications and treatment while abroad.
Plans offered to international exchange participants for less than a year of coverage are not fully licensed products so changes to U.S. health laws through the Patient Protection and Affordable Care Act (ACA) do not apply. These plans can increase costs, have pre-existing condition exclusions, or deny enrollment to an individual based on health status.
Most international exchange participants are issued a J-1 or F-1 visa in order to enter the United States. Most of the rules and regulations for visas are the same for participants with or without disabilities, but there are also some additional considerations that people with disabilities should know. Find out how visa regulations may be impacted by a chronic illness, a pre-existing health condition, or personal assistance.
Use these at-a-glance tips for going abroad with specific chronic health or systemic health conditions, such as chronic fatigue to environmental sensitivities and more. Don't forget to browse our resource library for more detailed advice on many of these topics!
From health care coverage to stress-busters, prepare for issues that might arise when traveling with a chronic health condition.
"Being disabled doesn't mean I have to give up on my dreams," explains Emily Block, who studied abroad in over a dozen countries on the Semester at Sea program, all while managing a rare chronic health condition.
As a person with a chronic or acute health condition, also known as systemic disability, you have the right to apply for the same kinds of life-changing experiences overseas as everyone else!
“If I expect the program to fully include me, then I need to provide them with as much information as possible," says Betsy Valnes, who has a brain injury and has participated in several overseas programs. "In my experience, people are more understanding about my need to excuse myself for a while if they know my reasons for fatigue."
You know your own medication dosages and medical history the best. So, it's up to you to research how to manage your medications when traveling outside your country. Talk with your home doctor and insurance company who can answer questions. In some cases, you may have an international travel clinic or travel insurance providers to consult.
Some international programs make it a policy to include a confidential health history and clearance form signed by a medical provider and/or an accommodation request form in the acceptance packet sent to each participant. These forms encourage the individual to talk with the medical provider about what is needed while on the program, and allows participants the option to disclose disability information and request accommodations they may require while abroad with the program staff.
Reputable exchange programs should have health, safety, security and risk management plans in place. When deciding on a program or assessing it after you are accepted, ask questions about plans for crises or emergencies abroad and how information about your disability will be shared and accommodated in a crisis event.