Reviewed from source documents

AXA Assicurazioni S.p.A.

AXA Assistance

AXA Assistance is a travel insurance for the Italy market with online purchase and 24/7 assistance.

Last verified Aug 31, 2026Reviewed by: Boleron EUTerms & conditions: 2023-10Underwritten by: Inter Partner Assistance S.A. – Rappresentanza Generale per l'Italia
Online purchase24/7 helpline

Direct payment

AXA Assistance's 24/7 Centrale Operativa can settle eligible urgent medical, hospital and surgical expenses directly with the treating provider abroad, so the insured does not need to pay upfront, provided the Centrale Operativa is contacted and authorises treatment in advance; otherwise only reimbursement, subject to sub-limits and a €50 deductible, applies.

Geographic scope

Coverage applies to the destination profile selected at purchase: Italy, Europe (including the Mediterranean basin and the Russian Federation), or Worldwide (excluding or including USA/Canada/Mexico depending on option chosen).

Assistance and medical expense benefits apply within the destination selected in the policy; the Assistenza Parenti a Casa and Assistenza all'Abitazione benefits apply only in Italy.

Unique selling points

  • Top tier (Schermo Totale) pays actual medical/hospital/surgical costs with no fixed ceiling, going beyond the fixed € 100,000/€ 500,000 caps of the other tiers.
  • Direct payment of urgent medical bills abroad via the 24/7 Centrale Operativa, so travellers do not have to advance cash for hospital treatment.
  • Home emergency assistance (electrician, locksmith, plumber) at the insured's home in Italy is included from the Media tier upward — a benefit many standard travel policies do not offer.
  • Optional trip cancellation cover up to € 10,000 can be added to any of the three tiers for extra flexibility.
  • Repatriation of remains and funeral expenses up to € 5,000 is guaranteed at the same level across all three tiers, including the entry-level Protezione Base.

Coverage limits

Medical expenses abroad

Not established from the insurer's documents

Direct payment (or reimbursement if the Centrale Operativa was not contacted) of urgent medical, hospital and surgical expenses: € 100,000 under Protezione Base, € 500,000 under Protezione Media, and actual costs with no fixed ceiling under Schermo Totale.

SourceThird-party source, not the insurer's document

Emergency medical/surgical treatment abroad

Not established from the insurer's documents

Same benefit as Spese Mediche in Viaggio: urgent, non-deferrable medical/surgical treatment received during the trip, capped at € 100,000 (Base), € 500,000 (Media) or paid at actual cost with no ceiling (Schermo Totale).

SourceThird-party source, not the insurer's document

Hospitalization abroad

Not established from the insurer's documents

Hospital stay costs are covered within the same Spese Mediche limits (€ 100,000/€ 500,000/actual costs); direct payment is operative for a maximum of 50 days of hospitalization in Italy/Europe and 100 days in the rest of the world.

SourceThird-party source, not the insurer's document

Outpatient visits and pharmacy expenses

Not established from the insurer's documents

Reimbursement of medical visits and/or pharmaceutical expenses following prescription, diagnostic tests or outpatient care in viaggio: € 500 (Base), € 1,000 (Media), € 1,500 (Schermo Totale).

SourceThird-party source, not the insurer's document

Emergency dental care

Not established from the insurer's documents

Reimbursement of urgent dental expenses, but only if the need arises from an accident occurred during the trip: € 100 (Base), € 200 (Media), € 500 (Schermo Totale).

SourceThird-party source, not the insurer's document

Transport to first-aid centre

Not established from the insurer's documents

Reimbursement of transport costs from the place of the event to the nearest first-aid/emergency centre: € 2,500 (Base), € 5,000 (Media and Schermo Totale).

SourceThird-party source, not the insurer's document

Medical transfer / sanitary repatriation

Not established from the insurer's documents

If the Centrale Operativa's medical service recommends it, sanitary transfer to a more suitable facility or repatriation to Italy is organised, with all costs, including any air ambulance, medically-equipped scheduled flight, first-class train or ambulance, borne by the Company with no stated ceiling.

SourceThird-party source, not the insurer's document

Repatriation of remains and funeral expenses

Not established from the insurer's documents

In case of death of the insured during the trip, the Company organises and pays for transport of the remains to the place of burial in Italy plus funeral-related costs, up to € 5,000, the same limit across all three tiers.

SourceThird-party source, not the insurer's document

Search and rescue costs

Not established from the insurer's documents

The policy explicitly excludes search costs for the insured in the sea, lake, mountains or desert.

SourceThird-party source, not the insurer's document

COVID-19 treatment

Covered

Le spese mediche legate al COVID-19 sono coperte nei limiti indicati nell'attestazione di assicurazione, ossia entro gli stessi massimali previsti per le spese mediche generali della polizza sottoscritta (che variano da un minimo di 100.000 EUR fino a copertura illimitata a seconda del piano). È incluso anche il rimpatrio sanitario per cause legate al coronavirus e la copertura resta valida anche per assicurati vaccinati.

Source

Pre-existing conditions

Not established from the insurer's documents

Medical expense cover is not due for illnesses that are the expression or direct consequence of chronic or pre-existing pathological conditions at the start of the trip.

SourceThird-party source, not the insurer's document

Winter sports cover

Not established from the insurer's documents

Under the Infortuni di Viaggio/Volo (accident) sections, winter sports accidents are excluded unless the relevant supplement has been paid; the medical-expense exclusions do not separately exclude winter sports.

SourceThird-party source, not the insurer's document

Extreme/adventure sports

Not established from the insurer's documents

Medical expenses arising from air sports and extreme sports practiced outside organised sporting bodies and without prescribed safety criteria are excluded; the accident sections list a long roster of specific extreme sports (e.g. free climbing, base jumping, canyoning) that are excluded outright.

SourceThird-party source, not the insurer's document

Pregnancy complications

Not established from the insurer's documents

Covered up to the 26th week of gestation; natural or caesarean childbirth, pathological states arising after the 26th week/puerperium, and voluntary termination of pregnancy are excluded.

SourceThird-party source, not the insurer's document

Third-party liability

Not established from the insurer's documents

Only included with Schermo Totale: € 150,000 for personal injury/death and € 50,000 for damage to property/animals, with a € 150 deductible per claim for property/animal damage; not available with Protezione Base or Protezione Media.

SourceThird-party source, not the insurer's document

Finding a lawyer

Not established from the insurer's documents

The Centrale Operativa helps locate a local lawyer for the insured, with related costs covered up to € 750 (Base), € 1,000 (Media) or € 1,500 (Schermo Totale); this is a lawyer-sourcing service, not a legal-defence-costs guarantee.

SourceThird-party source, not the insurer's document

24/7 Operations Centre

Not established from the insurer's documents

The Centrale Operativa is available 24 hours a day, every day of the year, to provide telephone medical consultation, dispatch a doctor/ambulance, arrange sanitary transfers and coordinate all other assistance benefits.

SourceThird-party source, not the insurer's document

Key conditions

Assistance call deadline

All assistance and medical-expense benefits require the insured (or someone acting on their behalf) to contact the Centrale Operativa before receiving treatment; costs above € 500 without prior contact/authorisation are excluded outright.

Unauthorized treatment

No reimbursement is granted at all without any contact with the Centrale Operativa; if the insured refuses recommended sanitary transport/repatriation, further medical costs from the day after the refusal are not covered.

Purchase while abroad

The policy must be taken out before the trip begins, for trips not yet started and with return tickets already purchased; if issued after the departure date, the Company will not honour assistance or reimbursement claims.

Chronic conditions

Chronic diseases and their direct consequences, pre-existing at the start of the trip, are excluded from medical-expense cover.

Pregnancy

Pregnancy is covered up to the 26th week of gestation; childbirth (natural or caesarean) and voluntary termination of pregnancy are always excluded.

Pre-existing condition exclusions

Illnesses that are the expression or direct consequence of chronic or already-existing pathological situations at policy inception are excluded.

Coverage duration limit

Single-trip cover lasts a maximum of 100 days, reduced to 45 days for travellers who have already turned 65 at the time of purchase; the policy can only be underwritten for insureds up to 75 years of age (validity continues to expiry for those turning 76 during the contract).

Where to buy

Documents

IPID – Protezione Base (pre-contractual information set)

IPID

Open

DIP Aggiuntivo Danni – Protezione Base

Other document

Open

IPID – Schermo Totale (pre-contractual information set)

IPID

Open

DIP Aggiuntivo Danni – Schermo Totale

Other document

Open

Terms and Conditions – Viaggio Singolo/Annuale (Base, Media, Schermo Totale, Annuale) Ed. 10/2023

Terms & conditions

Open

Benefits and Sums Insured Table (Garanzie per Prodotto e Massimali)

Table of benefits

Open

Policy specifics

Medical expenses maximum limit

Coverage limit for medical expenses during travel set at €500,000 for Protezione Media variant

Source

Baggage loss and theft coverage

Reimbursement for baggage loss, theft, robbery, fire and non-delivery by carrier up to €750

Source

Family assistance at home

Support and assistance services for family members remaining at home during travel

Source

Home emergency assistance

Dispatch of plumber, electrician or locksmith in case of damage to home while traveling

Source

Optional trip cancellation guarantee

Optional coverage for trip cancellation reimbursement if unable to travel, must be added at policy purchase

Source

Direct payment of medical expenses

Insurance covers medical expenses through direct payment to healthcare providers rather than reimbursement to policyholder

Source

24/7 Operational Centre support

24-hour assistance available through operational centre for medical emergencies, dispatching doctors, ambulances and medical support

Source

Travel duration and age restrictions

Not established from the insurer's documents

Maximum travel duration up to 100 days (45 days for ages 65-75); age limits apply particularly for pre-existing conditions

SourceThird-party source, not the insurer's document

Pre-existing conditions exclusion

Pre-existing health conditions are excluded from coverage (high-risk activities and conditions not covered by contract terms)

Source

Policy effective date and minimum duration

Not established from the insurer's documents

For single trip: minimum duration 2 days, maximum 30 days from stated start date; coverage becomes effective upon premium payment

SourceThird-party source, not the insurer's document

Medical expenses deductible

Not established from the insurer's documents

Reimbursement claims under Spese Mediche in Viaggio are settled net of a fixed € 50 deductible per claim.

SourceThird-party source, not the insurer's document

Claims notification deadline

Not established from the insurer's documents

The insured must notify the Company within 30 days of returning from the trip for any reimbursement claim.

SourceThird-party source, not the insurer's document

Sources