Traveling Abroad as an LGBTQ+ Individual or Couple: The Estate Planning Documents You Need for Health, Safety, and Family Protection

International travel can be exciting, restorative, and deeply meaningful—but for LGBTQ+ individuals and same-sex couples, it also raises unique legal and healthcare risks that are often overlooked.

Even if you are legally married in the United States, your relationship, parental rights, and decision-making authority may not be recognized abroad. In a medical emergency, political crisis, or sudden death, the absence of proper legal documents can mean hospitals, governments, or courts default to biological relatives or local law—rather than the family you chose.

Estate planning is not just for when you pass away. For LGBTQ+ travelers, it is a critical safety tool.

Below are the most important estate planning documents LGBTQ+ people should have before traveling internationally to ensure medical decisions are respected, loved ones are protected, and families are honored.

Why LGBTQ+ Travelers Face Different Legal Risks Abroad

Many countries:

  • Do not recognize same-sex marriage

  • Do not recognize non-biological parents

  • Default medical decisions to “next of kin” under local law

  • Restrict hospital visitation to legally recognized family members

  • Disregard U.S.-based domestic partnerships or parental agreements

If something happens while you are abroad, your U.S. rights may not travel with you—but your documents can.

1. Health Care Proxy (Medical Power of Attorney)

This is the single most important document for LGBTQ+ travelers.

A Health Care Proxy allows you to appoint the person you trust to make medical decisions if you are unable to do so.

Without it:

  • A hospital may turn to biological family

  • Your spouse or partner may be excluded

  • Your wishes may be ignored

Why it matters abroad

In many countries, hospitals require clear written authority before allowing someone to speak on your behalf—especially if the relationship is not legally recognized.

Best practices for travel

  • Name your spouse or partner as primary agent

  • Name a backup agent

  • Carry a copy with you

  • Keep a digital copy accessible by phone

2. HIPAA Authorization (Medical Information Release)

Even if someone is allowed to make decisions, they may be blocked from receiving medical information without a HIPAA authorization.

This document allows your partner, spouse, or chosen family to:

  • Speak with doctors

  • Access medical records

  • Coordinate care and evacuation

HIPAA authorizations are especially helpful when:

  • Dealing with language barriers

  • Communicating with U.S. providers from abroad

  • Coordinating medical transport back to the U.S.

3. Living Will / Advance Directive

A Living Will documents your wishes regarding:

  • Life-sustaining treatment

  • Artificial nutrition and hydration

  • End-of-life care

For LGBTQ+ individuals, this document reduces the risk that:

  • Estranged family members override your wishes

  • Cultural or religious norms are imposed on your care

  • Decisions are made based on assumptions rather than instructions

When traveling internationally, clarity matters.

4. Durable Power of Attorney (Financial)

If you become incapacitated abroad, someone may need to:

  • Pay rent or mortgage

  • Access bank accounts

  • Handle insurance claims

  • Arrange travel or medical evacuation

  • Deal with U.S.-based legal or business matters

A Durable Power of Attorney allows your chosen person to act immediately, without court involvement.

Without it, your partner may have no authority at all—even if married.

5. Will or Trust (Especially if You Have Children)

If you die while traveling:

  • Local authorities may get involved

  • Your remains, assets, or children may be subject to delays or disputes

  • Family members you did not choose may assert control

If you have children, this is critical

Your estate plan should:

  • Clearly identify parents

  • Name guardians

  • Establish trusts for minor children

  • Prevent challenges to non-biological parents

A properly drafted will or revocable living trust ensures your family is protected even if death occurs abroad.

6. Guardianship & Parental Rights Documentation

For LGBTQ+ parents, especially those with:

  • Children conceived via assisted reproduction

  • Adoption

  • Surrogacy

  • Blended families

You should travel with:

  • Adoption decrees

  • Judgments of parentage

  • Guardianship designations

In some countries, only biological parents are recognized unless documentation is clear and official.

7. Emergency Travel & Identity Packet

Before leaving the country, we recommend preparing a travel estate planning packet that includes:

  • Copies of all estate planning documents

  • Passport and ID

  • Insurance information

  • Emergency contacts

  • U.S. embassy contact information

  • Attorney contact information

Both partners should know where this is stored and how to access it.

Married vs. Unmarried LGBTQ+ Couples: A Reality Check

Marriage does not guarantee protection abroad.

Even married same-sex couples may:

  • Be treated as legal strangers

  • Be denied hospital access

  • Be excluded from decision-making

Unmarried couples face even greater risk. Estate planning is not optional—it is essential.

When Should LGBTQ+ Travelers Update Their Documents?

You should review your plan if:

  • You are traveling internationally

  • You have never updated documents post-marriage

  • You had children or adopted

  • You moved states

  • Your relationship or family structure changed

  • Your documents are more than 3–5 years old

Planning Ahead Is an Act of Care

Estate planning for LGBTQ+ travelers is not about fear—it’s about freedom.

When your documents are in place, you can travel knowing:

  • Your partner will be respected

  • Your children will be protected

  • Your wishes will be honored

  • Your family will not be questioned

How Adelman Bodner Helps LGBTQ+ Clients Travel with Confidence

At Adelman Bodner, we work with LGBTQ+ individuals, couples, and families to create estate plans that function in the real world—including across borders. Click here to schedule a complimentary 15-minute discovery call to find out how I can help:

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Checklist of Essential Estate Planning Documents for LGBTQ+ Couples with Kids