cruise insurance for pre existing medical conditions

Understanding pre-existing conditions and travel insurance

Choosing the right insurance policy for pre-existing conditions, purchasing travel insurance with pre-existing conditions, pre-existing conditions and travel insurance faq, how to get travel insurance with pre-existing condition coverage.

Affiliate links for the products on this page are from partners that compensate us (see our advertiser disclosure with our list of partners for more details). However, our opinions are our own. See how we rate insurance products to write unbiased product reviews.

• Most travel insurance companies offer waivers for pre-existing stable medical conditions.
• To qualify for a pre-existing condition waiver, you must buy insurance within a certain timeframe.
• Keep in mind that not all policies cover pre-existing conditions, so always double-check your policy.

Medical travel insurance is a great way to protect your health and finances when traveling. If you have a pre-existing medical condition, you might assume you can't get coverage. Luckily, many travel insurance companies offer pre-existing condition coverage in the form of a pre-existing condition waiver.

Here's everything you need to know about pre-existing conditions and travel insurance, including how to find coverage options if you have a pre-existing condition.

Most travel insurance companies define pre-existing conditions as a change in your medical record that includes tests, examinations, treatment, or changes in medication. The changes in your medical record usually result in a diagnosis, which becomes a pre-existing condition. But you do not have to receive a formal diagnosis for it to be considered a pre-existing condition.

Travel insurance companies consider medical conditions within a specified look-back period, or length of time. The medical condition must be stable to qualify for a claim. Conditions are stable if you do not need additional treatment, medication, or diagnoses.

But even if your medical condition is stable, you likely need a pre-existing condition waiver to get coverage if it suddenly worsens while you're traveling. 

Travel insurance look-back periods for pre-existing conditions

If you file a claim, the insurance company has a right to review your medical record and ensure that you did not have a condition related to the claim. This process is known as a "look-back" period since the insurance looks back through your records. 

The look-back period usually includes 60 to 180 days before you buy the policy. Before approving your claim, the insurance company wants to determine if the condition already existed.

The insurance company may approve or deny your claim based on what it discovers. To avoid dealing with the risk of denial, you can qualify for a pre-existing condition waiver instead. 

Many travel insurance companies offer coverage for travelers with pre-existing conditions. For example, Tin Leg Travel insurance , listed in our guide on the best travel insurance for best pre-existing conditions coverage, offers pre-existing condition waivers for all its plans except Tin Leg Economy. 

While there are many options for pre-existing condition coverage, the challenge is finding the right one for you. 

Comparing policy terms and benefits

When comparing insurance policies, you should pay attention to the coverage limits for emergency medical and acute onset of a pre-existing condition. You should also assess the time window in which you must purchase insurance to receive coverage for pre-existing conditions. If you've already waited a week before purchasing, you may already be ineligible for a waiver with certain companies. 

You can contact individual companies for quotes or work with a travel insurance comparison site like TravelInsurance.com, SquareMouth, or InsureMyTrip . Comparison sites allow you to review multiple quotes at once. You can usually filter results based on companies that offer pre-existing medical condition waivers. 

Regardless of which company you choose, it's important to understand the policies regarding pre-existing conditions and adhere to the requirements.

With a pre-existing medical condition waiver, you disclose your medical conditions to your insurance provider and ensure that the condition does not impact your ability to file a claim. If you have a waiver, you can even bypass the look-back period.

The waivers are set up through the travel insurance company and should not impact the cost of your policy.

Application process and documentation

You must meet the following criteria to qualify for a pre-existing medical condition waiver:

• Stable medical condition: Conditions are stable if you do not need additional treatment, medication, or diagnoses. You also need a letter from your doctor tho confirm that you are medically fit to travel on the day of your trip.
• Get coverage within a certain timeframe: You typically need to establish coverage shortly after you make your first payment towards the trip, but timelines vary by provider. 
• Coverage must equal nonrefundable costs: If there are nonrefundable parts of your trip, your travel insurance coverage must equal or exceed that amount. 

For example, if you were diagnosed with high blood pressure a few years ago, but the condition has been stable since — your medication manages the symptoms, and you have not needed additional medical support — then you likely qualify for a pre-existing condition waiver. 

Some companies do not provide coverage if you have certain health conditions, such as depression, dementia, or Alzheimer's disease, but it varies based on the provider. The coverage details of your policy depend on the plan you select. But comprehensive travel insurance usually covers baggage delays, trip cancellations, and emergency medical care. 

No, many of the best travel insurance companies offer pre-existing condition waivers, so you can get coverage with a pre-existing condition as long as you buy ahead of time. 

A company can deny your travel insurance claim based on what it discovers in the look-back period if you do not have a pre-existing condition waiver.

Obtaining travel insurance for a pre-existing condition at the last minute is unlikely, as most insurers require purchasing the policy within a set time frame from your initial trip deposit.

Disclose your pre-existing condition during the application process by providing detailed and accurate medical information as required by the insurer.

Editorial Note: Any opinions, analyses, reviews, or recommendations expressed in this article are the author’s alone, and have not been reviewed, approved, or otherwise endorsed by any card issuer. Read our editorial standards .

Please note: While the offers mentioned above are accurate at the time of publication, they're subject to change at any time and may have changed, or may no longer be available.

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Here are the 5 best cruise insurance plans

Cruise insurance can cover many situations, but you need to shop around to find the best coverage..

A cruise is an ideal vacation for anyone who likes the all-inclusive concept , where you pay one price and have just about everything taken care of, from accommodations to meals and activities. But they also aren't always cheap and a lot of things can go wrong. You could have a flight delay that causes you to miss your departure or be unable to sail because of a sickness. In these situations, cruise insurance can reimburse you for prepaid and non-refundable expenses.

CNBC Select analyzed 19 cruise insurance companies and selected the best plans for various situations. (See  our methodology  for more information on how we chose the best cruise insurance plans.)

Best cruise insurance

• Best for cruise-specific plan: Nationwide Travel Insurance
• Best for affordable coverage : AXA Travel Insurance
• Best for adventure excursions: World Nomads
• Best for pre-existing conditions: Seven Corners Travel Insurance
• Best for cancel-for-any-reason coverage: Travel Guard Travel Insurance

Best for cruise-specific plan

Nationwide travel insurance.

The best way to estimate your costs is to request a quote

Policy highlights

Nationwide's wide coverage for travel insurance allows many different types of travelers to find coverage that fits their needs. Three levels of cruise insurance coverage gives extra options to cruise passengers.

24/7 assistance available

• 10-day review period on cruise insurance policies to make sure the plan meets your needs (not available in NY or WA)
• Most basic cruise plan doesn't offer CFAR coverage

Who’s this for? Nationwide is a top choice for many travelers due to its variety of cruise-specific coverage. The insurer offers three three tiers of cruise insurance, but its standard Universal Cruise Plan should meet many needs.

Standout benefit: Nationwide's cruise-specific plans can cover things like emergency accidents, sicknesses, itinerary changes, mechanical breakdowns and other trip interruptions or on-ship disruptions. The company also offers a 10-day review period on its cruise policies (not available in NY or WA), giving you extra time to look over the policy and ensure it’s a good fit. 

[ Jump to more details ]

Best for affordable coverage

Axa assistance usa travel insurance.

AXA Assistance USA offers several travel insurance policies that include travel interruption, trip cancellation, and the option of cancel for any reason (CFAR) coverage.

• Three tiers of plans available
• Highly rated for financial strength
• Cancel for any reason only available on highest-tier coverage

Who’s this for? Budget-conscious cruisers should consider AXA . In our research, AXA's Silver Plan stood out as the top budget plan for its mix of affordable premiums and essential coverage. CNBC Select also named AXA one of the best overall travel insurance providers .

Standout benefit: AXA's Silver Plan includes the standard coverage you need to protect yourself from delays and cancellations, as well as employment layoff coverage. This benefit reimburses you for prepaid and nonrefundable travel costs if you cancel because of involuntary layoff or you are terminated from your job. You only need to have been at your current employer for one continuous year to qualify, which is generous compared to other plans that require at least three continuous years of employment for this coverage — if it's even included at all.

Best for adventure excursions

World nomads travel insurance.

World Nomads offers travel insurance for all sorts of travelers, from families to solo adventure travelers. Policies are underwritten by Nationwide and offer strong coverage of emergency accident and illness situations, as well as emergency evacuation scenarios.

• Affordable coverage for many travelers
• Coverage for adventure activities like scuba diving, bungee jumping and more
• Lower trip cancellation limits than other travel insurance we reviewed

Who’s this for? World Nomads offers insurance underwritten by Nationwide , geared specifically toward thrill-seekers. The World Nomads Explorer Plan covers over 200 adventure activities and sports. With this plan, you can take part in just about any excursion without fear of negating your coverage .

Standout benefit: The World Nomads Explorer Plan covers baggage and personal items for loss, theft or damage for up to $3,000 and $1,500 per item. Sporting equipment is included in this coverage, so you can bring your golf clubs along on your cruise without worry.

Best for pre-existing conditions

Seven corners travel insurance.

Policies provide missed and delayed tour/cruise connection coverage. Cancel for any reason coverage and pre-existing conditions waiver are also available if you buy your plan within the specified time. ***CFAR and IFAR are subject to certain eligibility criteria and are not available in all states

• High coverage limits available
• Offers group insurance (10+ people)
• Covers Covid-19 illness
• Pre-existing conditions waiver not available for the Economy plan
• Cancel for any reason not available for the Economy plan

Who’s this for? Seven Corners offers a standard Trip Protection Economy plan and a more premium Trip Protection Elite plan. The Seven Corners Trip Protection Elite plan stands out for offering generous coverage limits and an add-on option for cancel for any reason (CFAR) coverage, which both pair well with its pre-existing conditions waiver.

Standout benefit: This plan's pre-existing conditions waiver for medical coverage applies to plans purchased within 20 days of booking and paying your initial trip deposit. That's a generous window compared to some plans which can require you to purchase insurance within seven to 14 days. If you don't purchase your coverage within the waiver window, this plan only considers conditions existing within the previous 60 days, whereas other plans may look back up to 120 days.

Best for cancel for any reason coverage 

Travel guard® travel insurance.

Travel Guard offers a variety of plans to suit travel ranging from road trips to long cruises. For air travelers, Travel Guard can help assist with tracking baggage or covering lost or delayed baggage.

• A variety of plans are available to help cover different types of trips
• Not all products are available for purchase online

Who’s this for? AIG's Travel Guard Preferred plan comes with a wide range of coverages and a variety of useful add-ons for an extra fee such as pet coverage , wedding coverage and cancel for any reason coverage (CFAR).

Standout benefit: The optional CFAR insurance for this plan begins at 12:01 a.m. on the day after you pay for coverage and ends two days before departure (or when the travel is canceled). This benefit reimburses up to 50% of the trip cost (up to $25,000 maximum), which includes reimbursement for:

• 50% of change fees
• 50% of cancellation penalties for unused travel
• 50% of award travel redeposit fees

More on our top cruise insurance plans 

Nationwide universal cruise plan.

Nationwide's standard Universal Cruise Plan will be more than sufficient for many cruisers. It offers strong coverage for many different scenarios, but if you're seeking higher levels of coverage or are taking a long cruise, you can opt for the Choice Cruise Plan, or the Luxury Cruise Plan, which offers the highest level of benefits.

Trip cancellation and interruption

The full trip cost (100%) is covered for both cancellations and interruptions. This includes canceling because of a Covid-19 illness .

Covered delays of six hours or more (or at least three hours for missed connections) are eligible for reimbursement of:

• Up to $500 per day
• $500 maximum

Medical coverage and evacuation and repatriation

• $75,000 in emergency accident and sickness coverage
• $250,000 in evacuation and repatriation coverage
• $750 in emergency dental treatment coverage

Pre-existing conditions

No coverage for pre-existing conditions that fall within 60 days of your policy's start date.

Notable perks

All of Nationwide's cruise plans, including the Universal Cruise Plan, include cancel for work reason coverage, meaning you may be covered if you need to cancel because of work-related issues, as well as coverage for extension of the school operating session. The Universal Cruise Plan also provides coverage for delayed and lost baggage, which begins to kick in after delays of eight hours or more, as well as coverage for trip delays of three hours or more for missed connections or other trip delays of six hours or more. You can also get reimbursed if your trip is canceled or interrupted because of terrorism (foreign or domestic) or financial default of the travel provider (14-day waiting period applies). Itinerary changes that cause you to miss a pre-paid excursion are covered by up to $250.

[ Return to summary ]

AXA Silver Plan

AXA offers three insurance plans, with the Silver Plan being the most affordable. The Gold Plan has most of the same types of coverage with higher reimbursement limits. Meanwhile, the Platinum Plan is for anyone who prefers premium benefits, such as cancel-for-any-reason coverage.

The full trip cost (100%) is covered for both cancellations and interruptions. This includes canceling because of a Covid-19 illness.

After a 12-hour delay or more, you're eligible for:

• Up to $100 per day
• Primary medical coverage of $25,000 per (covers Covid-19)
• Evacuation and repatriation coverage of $100,000 per person

No coverage for pre-existing conditions that fall within this policy's 60-day look-back period.

AXA's Silver Plan comes with coverage for delayed and lost baggage, including $200 per person for covered delays of 24 hours or more and $750 per person ($150 per item) for lost baggage and items. You can also get reimbursed if your trip is canceled or interrupted because of terrorism (foreign only) or financial default of the travel provider (10-day waiting period applies). If a hurricane or bad weather causes your travel provider to cease services for at least 48 hours, you can be reimbursed for up to the full trip cancellation/interruption coverage. Notably, you must purchase the coverage before a storm is named.

World Nomads Explorer Plan

The Explorer Plan is World Nomads' premium travel insurance plan and covers a longer list of activities than the Standard Plan. You can review the list of covered activities here and decide if the more affordable Standard Plan works for you.

Covered up to the trip cost with a $10,000 maximum.

Covered delays of six hours or more are eligible for reimbursement of:

• Up to $250 per day
• $3,000 maximum
• $100,000 in emergency accident and sickness coverage
• $500,000 in evacuation and repatriation coverage

No coverage for pre-existing conditions that fall within 90 days of your policy's start date.

This plan includes $35,000 in rental car damage coverage (where it's valid) due to collision, theft or a natural disaster. And an accidental death and dismemberment benefit of $10,000. When your baggage is delayed for more than 12 hours, you can be reimbursed up to $150 a day ($750 maximum) for any necessary personal items you purchase.

Seven Corners Trip Protection Elite

The Seven Corners Trip Protection Elite plan has generous coverage limits for evacuation and repatriation and accident and sickness. Seven Corners Travel Insurance plans also cover Covid-related illnesses.

Trip cancellations are covered for 100% of the trip cost and interruptions are covered for 150% of the trip cost.

Trip delays of six hours or more can qualify for reimbursement of:

• Up to $300 per day
• $1,500 maximum
• $250,000 in emergency accident and sickness coverage
• $1,000,000 in evacuation and repatriation coverage
• $750 in emergency dental coverage

Pre-existing conditions are covered if you purchase coverage within 20 days of making your initial trip deposit. If you don't qualify for the pre-existing conditions waiver, there is no emergency medical coverage for conditions existing within 60 days of your policy's start date.

This plan covers baggage delays of more than 12 hours for up to $600 and covers lost, damaged or stolen bags or personal items for up to $300 per item ($2,500 maximum). It also has missed cruise connection coverage of $150 per day for accommodations and meals ($1,500 maximum).

AIG Travel Guard Preferred

The CFAR coverage is available as an upgrade on Travel Guard's Preferred and Deluxe plans. If you don't need this optional upgrade, you could save money on your premium with Travel Guard's Essential plan.

Trip cancellations are covered for 100% of the trip cost (up to a max of $150,000) and trip interruptions are covered for 150% of the trip cost (up to a max of $225,000).

Trip delays of five hours or more can qualify for reimbursement of:

• Up to $200 per day
• $800 maximum
• $50,000 in emergency medical coverage
• $500 in emergency dental coverage

A pre-existing conditions waiver applies when you purchase coverage within 15 days of the initial trip deposit.

With this plan, you'll have coverage for lost, stolen or damaged baggage or travel documents for up to $1,000. You also receive baggage delay reimbursement for delays of more than 12 hours with a coverage limit of up to $250 per day ($300 maximum). If you miss a connection, you can be reimbursed up to $1,000 for unused prepaid or nonrefundable travel you missed and transportation expenses to rejoin your trip.

When should I buy insurance for a cruise?

It's usually best to purchase cruise insurance shortly after booking. This lets you take advantage of the protections sooner and qualify for certain benefits such as pre-existing condition waivers.

Is there a difference between travel insurance and cruise insurance?

Travel insurance typically covers cruises and other types of travel, whereas cruise insurance is designed to specifically protect you while cruising or getting to your cruise.

Does cruise insurance cover missed ports?

Cruise insurance may cover missed connections, but it's important to read your policy before you purchase it. Each policy has different limits on how much you'll be reimbursed and what exactly you'll be reimbursed for.

Bottom line

Cruise insurance plans protect you in all sorts of situations when something goes wrong while you're cruising. You can be covered for emergency medical expenses, trip delays, trip cancellations or interruptions and more. Shop around and compare providers to find the best cruise insurance policy for you.

Money matters — so make the most of it. Get expert tips, strategies, news and everything else you need to maximize your money, right to your inbox.  Sign up here .

Why trust CNBC Select?

At CNBC Select, our mission is to provide our readers with high-quality service journalism and comprehensive consumer advice so they can make informed decisions with their money. Every cruise insurance   review is based on rigorous reporting by our team of expert writers and editors with extensive knowledge of travel insurance   products .  While CNBC Select earns a commission from affiliate partners on many offers and links, we create all our content without input from our commercial team or any outside third parties, and we pride ourselves on our journalistic standards and ethics. See  our methodology  for more information on how we choose the best cruise insurance plans.

Our methodology 

To determine the best cruise insurance plans,  CNBC Select  analyzed the offerings of 19 insurance companies and compared them based on various factors. These included the maximum coverage limits, optional coverages, types of coverage, premiums and what the policies cover. We also considered financial strength ratings from AM Best and Better Business Bureau ratings for customer satisfaction.

We based premium costs on a sample cruise with the following details (when applicable):

• 40-year-old male
• Living in New York, New York
• Sailing for seven days in April
• Total trip cost: $2,800
• Destination: Mexico
• Flying to the port of departure

Sample quotes assumed that payments were made on the date of quoting.

Note that the premiums and policy structures advertised for cruise insurance companies are subject to fluctuate in accordance with the company's policies.

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The Best Cruise Insurance in May 2024

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Table of Contents

What to look for in cruise insurance

Factors we considered when picking the best cruise insurance companies, an overview of the best cruise insurance, best cruise insurance options, more resources for cruise travel insurance shoppers.

Cruising is back, but many travelers are still reluctant to board ships alongside thousands of other travelers. Cruise insurance has you covered if:

You need to be reimbursed for canceling your trip.

Your flight to the port gets delayed.

You need to pay for medical care if you get sick on board.

You need to fly home in case of an emergency.

Of course, there's much more than just this list that cruise insurance can cover.

No matter the reason you might be looking for coverage, here are some of the best cruise insurance companies available to help bring you peace of mind on your next experience at sea:

World Nomads .

Berkshire Hathaway .

Travelex Insurance Services .

Travel Guard by AIG .

When shopping for cruise insurance, make sure to look for coverage that offers the following:

Trip delay and cancellation.

Medical expenses, including emergency evacuation.

The option to cancel for any reason (including COVID-19).

Adventure activities if you’re planning certain onshore excursions.

Cruise insurance isn’t much different than traditional travel insurance. Any good travel insurance should cover cruises in addition to travel by air or car.

After our analysis, we've determined these are some of the best cruise insurance options available.

» Learn more: The best travel credit cards right now

We used the following factors to choose top insurance providers to highlight:

Specifics of coverage: Including what coverage plans include and whether they offer useful coverage and benefits for cruises specifically.

Amount of coverage: Including the maximum payouts for trip cancellation and trip interruption claims.

Cost: We compared prices to determine average costs across basic plans.

Customizability: We checked to see if policies allow users to customize options to suit their specific needs.

» Learn more: The guide to cruise travel insurance

We searched for quotes from several companies for a seven-day trip in February 2023 from the U.S. to Mexico. The traveler was 35 years old, from Georgia, and planned to spend $2,500 total on the whole trip, including airfare.

The average price of each company’s most basic coverage plan was $124. These policies didn't include optional add-ons, such as Cancel for Any Reason coverage or coverage for pre-existing medical conditions .

» Learn more: Should you insure your cruise?

Here’s a closer look at our five recommendations for cruise insurance and what makes them unique.

Allianz Global Assistance

What makes allianz global assistance a top choice for cruise insurance:.

Multiple policies are available for international and domestic travel.

Plans offer trip cancellation and interruption coverage for COVID-19.

Offers emergency medical and transportation.

For our test trip, Allianz Global Assistance’s basic plan cost $106, slightly below average.

World Nomads

What makes world nomads a top choice for cruise insurance:.

Adventure activities like mountain biking and scuba diving are covered, perfect for land-based experienced (though which sports are covered varies from plan to plan).

Offers comprehensive travel insurance plans for domestic and international travel.

Larger-than-average coverage for baggage loss and delays.

For our test trip, World Nomad’s basic plan cost $63, well below average. But the actual trip cost isn’t taken into consideration for trip cancellation and interruption coverage.

Berkshire Hathaway Travel Protection

What makes berkshire hathaway travel protection a top choice for cruise insurance:.

A wide range of comprehensive plans cover cancellation, emergency medical and transportation coverage, and emergency travel assistance.

A cruise-specific plan includes some compensation for cruise disablement and the most emergency medical and evacuation coverage of any of these plans.

There are many plans available, including plans that cover adventure activities.

A Berkshire Hathaway WaveCare cruise-specific plan was $202, quite a bit more than average, but with the most medical evacuation coverage.

Travelex Insurance Services

What makes travelex insurance services a top choice for cruise insurance:.

Three comprehensive plans are available.

Kids-included pricing is available with the Travel Select plan.

There's an option to add accidental death and dismemberment coverage to the basic plan.

The Travel Basic plan from Travelex Insurance Services cost $116 for our sample trip; just below the average for plans listed here.

Travel Guard by AIG

What makes travel guard by aig a top choice for cruise insurance:.

Cancel For Any Reason coverage is available as an optional upgrade on two plans.

A pre-existing condition waiver is also available as an add-on.

Travel Guard by AIG offers a basic Essential plan for $133, just a little higher than average, but adding coverage may raise that price.

Bookmark these resources to help you make smart money moves as you shop for cruise travel insurance.

The best travel insurance companies.

The best credit cards for cruises .

What is travel insurance?

Is travel insurance worth getting?

10 credit cards that provide travel insurance .

How to maximize your rewards

You want a travel credit card that prioritizes what’s important to you. Here are our picks for the best travel credit cards of 2024 , including those best for:

Flexibility, point transfers and a large bonus: Chase Sapphire Preferred® Card

No annual fee: Bank of America® Travel Rewards credit card

Flat-rate travel rewards: Capital One Venture Rewards Credit Card

Bonus travel rewards and high-end perks: Chase Sapphire Reserve®

Luxury perks: The Platinum Card® from American Express

Business travelers: Ink Business Preferred® Credit Card

on Chase's website

1x-10x Earn 5x total points on flights and 10x total points on hotels and car rentals when you purchase travel through Chase Travel℠ immediately after the first $300 is spent on travel purchases annually. Earn 3x points on other travel and dining & 1 point per $1 spent on all other purchases.

75,000 Earn 75,000 bonus points after you spend $4,000 on purchases in the first 3 months from account opening. That's $1,125 toward travel when you redeem through Chase Travel℠.

1x-5x 5x on travel purchased through Chase Travel℠, 3x on dining, select streaming services and online groceries, 2x on all other travel purchases, 1x on all other purchases.

75,000 Earn 75,000 bonus points after you spend $4,000 on purchases in the first 3 months from account opening. That's over $900 when you redeem through Chase Travel℠.

1x-2x Earn 2X points on Southwest® purchases. Earn 2X points on local transit and commuting, including rideshare. Earn 2X points on internet, cable, and phone services, and select streaming. Earn 1X points on all other purchases.

50,000 Earn 50,000 bonus points after spending $1,000 on purchases in the first 3 months from account opening.

June 1, 2020

Due to travel restrictions, plans are only available with travel dates on or after

Due to travel restrictions, plans are only available with effective start dates on or after

Ukraine; Belarus; Moldova; North Korea; Russia; Israel

This is a test environment. Please proceed to AllianzTravelInsurance.com and remove all bookmarks or references to this site.

Use this tool to calculate all purchases like ski-lift passes, show tickets, or even rental equipment.

When Does Travel Insurance Cover Existing Medical Conditions?

Travel insurance is more than a perk or a “nice to have.” A  travel insurance plan  can save your travel investment if you must cancel your trip for covered health reasons caused by pre-existing medical conditions. But in order for this to happen, you’ll need to select a plan that offers a Pre-Existing Medical Condition Exclusion Waiver, and also meet specified conditions. Additionally,  emergency medical coverage  can reimburse you for the costs of getting covered medical treatment domestically or overseas.

What is a Pre-Existing Condition?

We know this can seem complicated. We’re here to help. Before we jump into the details of how you can obtain a travel insurance plan that can cover a pre-existing condition, let’s define exactly what we’re talking about. Quite simply, a pre-existing condition is an injury, illness or medical condition that caused someone to seek treatment, presented symptoms, or required medication. This may have taken place anytime within 120 days prior to and including the plan’s purchase date. Note that you don’t even need an official medical diagnosis from a physician for something to be considered a pre-existing condition.

How to Meet Conditions for a Pre-Existing Condition Exclusion Waiver

We know that the term is a mouthful, but the conditions needed to qualify for a Pre-Existing Condition Exclusion Waiver are fairly straightforward.

First and foremost, you must insure your full nonrefundable trip costs. From there, if you insure the full cost of your trip within 14 days of paying your first trip deposit, and you're medically able to travel when you do so, you can be covered for most existing medical conditions. We’re going to cover each of these conditions a bit more in depth below.

Note that all travel insurance plans cover existing medical conditions. Certain travel insurance products from Allianz Global Assistance do — but specific requirements apply. Below are three hypothetical examples to help you understand how to make sure your existing medical condition is covered.

For travel insurance to cover your pre-existing condition, you must be medically able to travel on the day you purchase your plan.

After suffering debilitating pain in your left knee for three years, you've finally scheduled a total knee replacement. You get the procedure done and find that your recovery goes more swiftly than expected. After two weeks of physical therapy, your doctor says she's amazed at your progress. Heartened to hear this, you book a cycling trip through the French Alps for the fall and you purchase travel insurance to protect it. If you suffer knee problems and you have to cancel the trip, are you covered?

With a pre-existing medical condition, the safest course of action is to get your physician's certification that you're fine to travel before you book your trip. Allianz Global Assistance’s travel insurance requires you to be medically able to travel on the day you buy your  plan. It doesn't matter if you expect to be able to travel in the future, or if your doctor says you should be able to travel by the time you're scheduled to leave.

Let's say you book that cycling trip and your travel insurance 12 weeks after your surgery, when you're feeling pretty good and you can take long walks around the neighborhood. Don't assume you're medically able to travel. If you end up making a travel insurance claim related to your knee, Allianz Global Assistance may review your medical records and talk to your physician to determine your condition at the time you bought insurance.

One more important thing to understand: the "medically able to travel" only applies to the people named in the insuranceplan . If your mother has uncontrolled diabetes, for instance, you need existing medical condition coverage in case you need to cancel your trip because she's in the hospital. But your mother does not need to be medically able to travel in order for you to be covered.

For a pre-existing medical condition to be covered, you must insure your full nonrefundable trip costs.

You just booked the trip of a lifetime, a two-week European river cruise with your sister. You hold out on buying your plane ticket, however, because you're hoping airfares to Paris will drop. A few weeks later, you grab that cheap ticket — whew! — but you forget to update your plan by adding the airfare cost to your coverage. Then, a week before departure, your sister (who has long suffered from hypertension) has a major change in her medication and her doctor won’t let her travel. Will travel insurance cover your trip cancellation?

Your travel companion's condition would have been considered a covered reason for trip cancellation if you had insured your full trip costs. Because you didn't, your travel insurance plan would not cover cancellations caused by pre-existing medical conditions. If you had to cancel for another covered reason — because the covered cruise operator went out of business, for instance — your travel insurance would cover the trip cancellation.

Travel insurance only covers pre-existing medical conditions if you buy your plan within 14 days (depending on your plan) of making your first trip payment or deposit.

You and your husband are both nature lovers, and to celebrate your 25th anniversary you're planning a two-week stay at a luxury eco-resort in Costa Rica. You buy travel insurance to protect your trip investment, but not until  three weeks  after the trip purchase. Because you waited, pre-existing medical conditions aren't covered. No problem, you think. You're both fit and healthy. Except your husband has had some urinary problems over the past few months, so you make him go to the urologist before the trip. Bad news: he has a prostate condition that will keep him grounded. It's treatable, but you'll have to cancel the trip. Is this trip cancellation covered?

For Allianz Global Assistance travel insurance plans, an existing medical condition is defined as an illness or injury that exhibited symptoms or was treated any time 120 days prior to purchasing your plan. In this instance, your trip cancellation due to an existing medical condition would have been covered if you had bought travel insurance within  14 days  of paying your first trip deposit.

Three more things you need to know about travel insurance and existing medical conditions

• Certain pre-existing medical conditions are excluded from Allianz Global Assistance’s travel insurance coverage, such as mental and nervous health conditions, bipolar disorder, and Alzheimer's disease.
• There's a cap on trip costs when you're buying travel insurance with pre-existing medical condition coverage, so be sure to know the amounts.
• You must be a U.S. resident to buy travel insurance with existing medical condition coverage.

We encourage customers to contact our insurance advisers at 1-866-884-3556. They'll answer your questions and help you find the travel insurance plan that's best for your unique needs. Safe travels!

Related Articles

• Emergency Medical Insurance for Travel
• Medical Travel Insurance Benefits
• How to Use Your Trip Delay Benefit and When to Cancel

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Insurance benefits underwritten by BCS Insurance Company (OH, Administrative Office: 2 Mid America Plaza, Suite 200, Oakbrook Terrace, IL 60181), rated “A” (Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: 9950 Mayland Drive, Richmond, VA 23233), rated “A+” (Superior) by A.M. Best Co., under Jefferson Form No. 101-C series or 101-P series, depending on your state of residence and plan chosen. A+ (Superior) and A (Excellent) are the 2nd and 3rd highest, respectively, of A.M. Best's 13 Financial Strength Ratings. Plans only available to U.S. residents and may not be available in all jurisdictions. Allianz Global Assistance and Allianz Travel Insurance are marks of AGA Service Company dba Allianz Global Assistance or its affiliates. Allianz Travel Insurance products are distributed by Allianz Global Assistance, the licensed producer and administrator of these plans and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage due to the affiliation between AGA Service Company and Jefferson Insurance Company. Plans include insurance benefits and assistance services. Any Non-Insurance Assistance services purchased are provided through AGA Service Company. Except as expressly provided under your plan, you are responsible for charges you incur from third parties. Contact AGA Service Company at  800-284-8300 or 9950 Mayland Drive, Richmond, VA 23233 or [email protected] .

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Travel Insurance

Best cruise travel insurance plans of May 2024

Amy Fontinelle

Heidi Gollub

“Verified by an expert” means that this article has been thoroughly reviewed and evaluated for accuracy.

Updated 12:55 p.m. UTC Jan. 3, 2024

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Editorial Note: Blueprint may earn a commission from affiliate partner links featured here on our site. This commission does not influence our editors' opinions or evaluations. Please view our full advertiser disclosure policy .

WorldTrips offers the best cruise travel insurance, according to our analysis. If you’re shopping for travel insurance for a cruise, use this guide to compare the cost and coverage of top-scoring plans.

Editor’s Note: This article contains updated information from a previously published  story .

Best cruise travel insurance companies

Axa assistance usa, travel insured, trawick international.

• USI Affinity

Why trust our travel insurance experts

Our team of experts evaluates hundreds of insurance products and analyzes thousands of data points to help you find the best product for your situation. We use a data-driven methodology to determine each rating. Advertisers do not influence our editorial content. You can read more about our methodology below.

• 1,517 coverage details evaluated.
• 280 rates reviewed.
• 5 levels of fact-checking.

Top-rated cruise travel insurance plans of 2024

Top-scoring plan

Covers covid, medical & evacuation limits per person, what you should know.

WorldTrips’ Atlas Journey Preferred offers solid cruise travel insurance coverage for a low price. With this plan, you’ll get $1 million in emergency evacuation benefits and $100,000 in emergency medical coverage. Medical coverage is secondary, meaning you’ll have to file medical claims with your health insurance provider first, but you have the option to upgrade to primary coverage.

Atlas Journey Premier also makes our rating of the best cruise travel insurance with 4.5 stars — if you’re willing to pay a little extra you can get $150,000 in primary medical coverage with this plan.

Pros and cons

• One of the cheapest cruise travel insurance plans in our rating.
• Top-notch medical evacuation coverage of $1 million.
• Very good missed connection coverage of $1,500 after a 3-hour delay.
• Covers $1,500 in lost baggage or personal items per person.
• Offers pre-existing conditions exclusion waiver if terms are met.
• Hurricane and weather delay coverage applies after 12 hours.
• No “interruption for any reason” upgrade available.
• No non-medical evacuation coverage.

If you’re worried that missed connections could disrupt your cruise, it’s worth considering TravelSafe for its excellent missed connection benefit.

• Best-in-class $2,500 per person in missed connection coverage after 3 hours.
• Superior baggage loss limit of $2,500 per person.
• Travel delay benefit of $150 per day is on the low side.

AXA Assistance USA’s Platinum offers $1 million in emergency medical evacuation coverage, $250,000 in emergency medical coverage and has a high per-person limit for baggage and personal items loss.

• Good emergency medical coverage of $250,000.
• Best-in-class lost baggage coverage of $3,000 per person.
• Very good missed connection coverage of $1,500 per person after a 3-hour delay.
• Much pricier CFAR coverage than competitors.
• Hurricane and weather delay coverage applies after a 48-hour waiting period.
• Travel delay and baggage delay coverages have a 12-hour waiting period.

Travel Insured Worldwide Trip Protector travel insurance offers $1 million in emergency evacuation coverage per person and $150,000 in non-medical evacuation per person. It also has primary coverage for travel medical insurance benefits.

• Provides a rare $150,000 in non-medical evacuation coverage.
• Very good 75% “interruption for any reason” upgrade available.
• Generous travel delay benefit of $200 per day ($1,500 max) after 3 hours.
• Missed connection coverage kicks in after 3 hours.
• Hurricane and weather delay coverage applies after just 6 hours.
• Baggage loss coverage of $1,000 is lower than most of our top-scoring plans.
• Optional “interruption for any reason” coverage begins 72 hours after your trip starts, not 48.
• Missed connection coverage caps out at $500 and is limited to cruises and tours.

Trawick International’s Safe Travels First Class policy offers top-notch medical evacuation coverage of $1 million, but its emergency medical benefit is secondary coverage. This means you’ll need to file any medical claims with your health insurance provider first.

• $1,000 missed connection coverage for cruises and tours after 3 hours.
• $2,000 in lost baggage per person.
• Emergency medical coverage is secondary.
• Hurricane and weather delay coverage only applies after a 48-hour waiting period.

Nationwide’s Cruise Luxury travel insurance plan provides excellent coverage for missed cruise and tour connections: $2,500 per person after only a 3-hour delay. It’s also one of the lower-priced plans among our top picks.

• $25,000 in non-medical evacuation coverage.
• Great missed connection coverage of $2,500 per person after a 3-hour delay.
• Excellent baggage and personal item loss coverage of $2,500 per person.
• Optional “interruption for any reason” upgrade only covers $1,000.
• Emergency medical benefit is secondary coverage.
• Hurricane and weather delay coverage applies after 24 hours, rather than 6 or 12.

USI Affinity Travel Insurance Services

USI’s Ruby plan offers well-balanced coverage that meets our standards for emergency medical and evacuation coverage. It’s also one of our more expensive top-scoring plans.

• Good emergency medical coverage of $250,000 per person.
• Very good medical evacuation coverage of $500,000.
• Baggage loss coverage of $1,000 is lower than most top-scoring plans.
• One of the higher-priced options among our top-rated plans.
• Missed connection coverage caps out at $750 and is limited to cruises and tours.
• Hurricane and weather delay coverage applies after 48 hours.

Best cruise insurance plans of 2024

Via TravelInsurance.com’s website

Methodology

Our insurance experts reviewed 40 aspects of 37 travel insurance plans to find the best cruise insurance.

We only scored plans that cover COVID-related cancellation and medical expenses, and plans that offer missed connection coverage.

The benefits we scored out of a possible 100 points include:

Cost: 50 points. We scored the average cost for each travel insurance policy — not including “cancel for any reason” coverage — for a variety of international trips and traveler profiles.

Medical expenses: 10 points. Travel insurance plans that offer travel medical expense benefits of $250,000 or more per person were given the highest amount of points.

Medical evacuation: 10 points. Travel insurance plans with emergency medical evacuation benefits of $500,000 or more per person were given the highest number of points.

Missed connection coverage: 15 points. Plans with higher reimbursement levels for missed connections scored more points.

CFAR reimbursement level of trip cost: 5 points. Policies providing 75% reimbursement were awarded full points.

Trip interruption: 5 points. Travel insurance plans with trip interruption reimbursement of 150% or more were given points.

Pre-existing medical condition exclusion waiver: 5 points. Travel insurance plans that cover pre-existing medical conditions if the policy is purchased within the required timeline received points.

What is cruise insurance and how does it work?

Cruise insurance is another name for travel insurance . If the trip you’re planning is a cruise, you might be looking for cruise insurance — but you’re really just looking for a comprehensive travel insurance policy with strong benefits for the potential problems that could mess up your cruising plans.

Cruise insurance works by reimbursing you for a certain percentage or dollar amount of the nonrefundable prepaid travel costs you lose if you experience a problem covered by your plan. 

You can buy travel insurance through a cruise line, but experts warn this may be a mistake . The coverage provided may not be as comprehensive as travel insurance you can buy separately from a third-party provider, such as those in our best cruise travel insurance rating.

What is covered by cruise insurance?

Cruise travel insurance plans bundle together several types of coverage. Here are types of coverage you might care about most when you’re planning a cruise.

Trip cancellation insurance

Trip cancellation insurance reimburses you for 100% of your prepaid, nonrefundable trip expenses when you decide not to travel for a reason your policy covers. Covered reasons vary by plan and the list can be extensive. It typically includes things like the death of a family member, illness or injury and natural disasters, to name a few.

“Cancel for any reason” (CFAR)

“Cancel for any reason” (CFAR) coverage typically reimburses you for up to 75% of your prepaid, nonrefundable trip expenses when you decide not to travel for a reason your policy doesn’t cover, such as having a vague sense of uneasiness that makes you want to stay home. 

This optional upgrade can increase the cost of your policy by 40% to 90%. It gives you increased flexibility with your travel plans, but only up to a point. You’ll need to cancel your trip at least 48 hours before your scheduled departure to file a successful CFAR claim. 

Trip interruption insurance

This coverage reimburses you for as much as 150% of your prepaid, unused, nonrefundable trip expenses (sometimes even more) if you need to change your plans after departure for a reason your policy covers. Maybe you get sick at your destination and can’t enjoy the last two days of your itinerary and have to change your flight. Or maybe you need to cut your trip short because your teenager was in a car accident. Trip interruption insurance can cover the cost of a last-minute, one-way economy ticket to get you home. 

“Interruption for any reason” (IFAR)

IFAR is an optional upgrade that only some travel insurance plans offer. This coverage reimburses you for up to 75% of your prepaid, nonrefundable trip expenses when you change your travel plans after departure for a reason your policy normally wouldn’t cover. It also covers the cost of a last-minute flight home. Adding IFAR to your policy can increase the cost of your travel insurance by 3% to 10%.

Emergency medical expense

Travel medical insurance covers the cost of non-routine health care if you get sick, including contracting COVID-19 , or being injured on your trip, up to your policy limit. It usually has no deductible. 

When shopping for travel insurance, pay attention to whether the travel medical coverage is primary or secondary — if your U.S. health insurance won’t cover you outside of the country, it would be best to have primary coverage. 

Pre-existing conditions exclusion waiver

Most travel insurance excludes pre-existing conditions from coverage unless you meet certain conditions and qualify for a waiver. A pre-existing medical conditions exclusion waiver allows your emergency medical expense coverage to pay for treatment related to conditions you’ve been treated for in the months leading up to your trip.

To get pre-existing condition coverage, you’ll usually need to buy travel insurance within 14 to 30 days of making your first trip deposit, insure the full value of your trip and be medically able to travel.

Emergency medical evacuation

This covers the cost of emergency medical transportation to the nearest facility that can provide adequate care for your illness or injury. 

Emergency medical evacuation insurance can pay to get you back to the United States if you’re abroad and can’t get the treatment you need there. It can also pay for a friend or family member to fly to you and stay with you if you’re receiving emergency care away from home.

Missed connections

Missed connections coverage reimburses you for additional costs to catch up with your itinerary after a transportation delay caused by weather, strikes, natural disasters or other covered problems. 

This coverage applies to transportation by common carriers such as airlines, buses and trains. It refunds parts of your trip that you miss because of a common carrier delay.

Baggage and personal items loss 

Baggage loss travel insurance reimburses you for lost, damaged or stolen personal items up to your policy limit. Look for caps per person, per item and per specific item. 

Items will be reimbursed at their depreciated value and baggage loss coverage is typically secondary, which means you’ll have to file a claim with your common carrier — such as the airline that lost your bag — or homeowners insurance first. 

Baggage delay

Baggage delay coverage reimburses you for items you need to buy to tide you over until your bag arrives, up to the policy limit. This coverage kicks in after a delay of a certain number of hours, usually three to 12. Look for a policy with a short waiting period and high daily and per-person limits. 

Travel delay

Travel delay insurance reimburses you for additional expenses such as meals, transportation and lodging you incur because of an unforeseen travel delay. The delay must last a certain number of hours before this coverage applies. Look for a policy with a short waiting period. 

Do I need cruise insurance?

Cruise travel insurance is a good idea if you’ve spent more on a cruise than you can afford to lose. This coverage protects you financially from unforeseen events that can disrupt your plans, both before and during your cruise. 

Travel insurance for cruises can provide coverage for a number of problems, including hurricane disruptions and medical emergencies at sea that may require you to be evacuated from the ship or port.

How to shop for the best cruise insurance

To choose the best cruise travel insurance for you, take a look at what coverage you have through the credit card you paid for your trip with, your health insurance and your homeowners insurance . See if this coverage adequately protects you financially from all the risks you’re concerned about. For example, Medicare is unlikely to cover you abroad.

Compare the types of coverage you have to what standalone trip insurance policies offer. Travel insurance is likely to be more comprehensive and might cover an important risk that hadn’t occurred to you.

“You’ll want to make sure that your policy includes both cancellation and interruption coverage as well as coverage for what we call post-departure problems,” said Daniel Durazo, director of external communications at travel insurance provider Allianz Partners USA. “Those can be as simple as lost or delayed baggage or as complex as serious medical emergencies. You’ll also want to check that your level of coverage of benefits is appropriate for your trip.”

How much does cruise travel insurance cost?

The average cost of cruise insurance is 5% to 6% of the value of your cruise vacation , which should include the cost of all prepaid, nonrefundable expenses such as flights and excursions. 

How much you’ll pay for a cruise insurance plan will depend on factors such as:

• The coverage amounts.
• The value of your trip. 
• The length of your trip.
• The age of the travelers in your group. 

The cost of cruise insurance can vary greatly by company and plan, so it’s a good idea to compare plans before buying. 

Average cost of cruise travel insurance policies 

Our team of insurance experts compared cruise insurance rates for a variety of international trips and traveler profiles. These are the average costs of cruise insurance by plan. 

Average cruise travel insurance costs are based on rates for seven international trips with a variety of traveler ages and destinations, without “cancel for any reason” coverage. Note that plans have different levels of benefits, which can account for price differences.

Travel smart and save: Cheap travel insurance options.

Frequently asked questions (FAQs)

Yes, you can get travel insurance after booking a cruise. But it’s best not to put off this purchase.

“There are a handful of benefits that come with purchasing a travel insurance policy right after making an initial trip payment, with the major perk being maximizing the coverage period,” said James Clark, a spokesperson for the travel-insurance comparison site Squaremouth, which is also the company behind Cat 70 and Tin Leg travel insurance. 

“When a travel insurance policy is purchased, it goes into effect at midnight of the next day,” Clark said. “This means that the longer travelers have the policy, the longer they have protection in the event that problems arise leading up to their trip.”

If you don’t have travel insurance and cancel your cruise, you might be eligible for a refund. It depends on the terms of your agreement with the cruise line. 

A typical cruise refund policy might entitle you to a full refund if you cancel far enough in advance — which might mean 90 days or more before your departure date. If you want to cancel within 14 days of departure, you might not be able to get any refund at all. And if you cancel somewhere in between 14 and 90 days, you might get a partial refund.

You should be able to find the information you need in your booking confirmation email (if you’ve already booked your trip) or on the cruise ship’s website. If you booked your cruise through a travel agent, ask your agent about the refund policy that applies to your trip.

For the most flexibility to cancel your cruise, look into “cancel for any reason” travel insurance .

More: Should you buy travel insurance through a cruise line?

Yes, your credit card may provide some travel insurance for a cruise. However, the coverage might be limited. For example, your credit card may not provide any medical coverage.

“Cruise travelers should look for a product that offers high coverage limits for trip cancellations and for medical emergencies,” Durazo said. “In the unlikely case that you become seriously ill or injured far from home, you’ll also need enough emergency medical transportation coverage to get you safely to an appropriate medical facility, even on an air ambulance if necessary.”

Compare the trip insurance that’s included with your credit card with standalone travel insurance policies . Standalone policies tend to be more comprehensive and offer more coverage. You’ll pay for these benefits, of course, but the cost may be worth it. You won’t know unless you compare your options.

It’s best to do this comparison before booking your trip or as soon as possible after booking. Certain aspects of standalone travel insurance policies only apply when you buy the policy far enough in advance of your departure date.

Our top-scoring cruise travel insurance plans do not have a deductible for any type of coverage, including travel medical insurance .

To learn whether there are deductibles for a specific cruise insurance plan you are considering, ask for a sample policy to review before making a purchase. Then, just to make sure you have the coverage you want, review your actual insurance contract issued directly to you by the carrier as soon as you buy the policy.

“Don’t hesitate to call your insurance provider if you have questions about your policy,” Durazo said. “You should have up to 15 days to adjust your policy, exchange it for a different product or even cancel it for a full refund.”

If there is any conflict between what an insurance provider tells you and what your contract says, the contract is what you should rely on.

Important cruise-specific travel insurance coverages to look for include:

• Emergency medical. Squaremouth recommends at least $100,000 in travel medical benefits.
• Emergency medical evacuation. Squaremouth recommends at least $250,000 in emergency medical evacuation benefits.
• COVID-19. All of the insurers in our best cruise insurance rating offer medical coverage for COVID .
• Missed connection. All of the companies in our best cruise insurance rating offer missed connection benefits. TravelSafe Classic and Nationwide Cruise Luxury each offer $2,500 per person after a three-hour delay.

Cruise insurance typically covers hurricanes, as long as the storm is not named until after you buy the policy, making it an “unforeseen” event.

Trip cancellation insurance can reimburse you if bad weather at home or at your destination prevents you from taking your trip.

Cruise insurance will cover the cost of prepaid, nonrefundable shore excursions, as long as you include them in the value of the trip you are insuring.

Your travel insurance can cover any prepaid cruise expenses that are nonrefundable, including food and beverage packages and onboard entertainment.

More cruise insurance resources

• Travel medical insurance
• Emergency medical evacuation travel insurance
• What does travel insurance cover?
• “Cancel for any reason” travel insurance  
• Average cost of travel insurance

Editor’s Note:   This article contains updated information from previously published stories:

• Coronavirus: Royal Caribbean pauses operations globally, major cruise lines suspend US ships
• Taking a Carnival cruise from Florida but don’t want to get vaccinated? Buy travel insurance
• Want to cruise from Florida but don’t want to get a COVID vaccine? Royal Caribbean says buy travel insurance
• When will it be safe to cruise again? These signs that will help you decide when to sail
• Royal Caribbean, Virgin Voyages, Disney, Carnival cancel additional sailings amid COVID-19 pandemic

Blueprint is an independent publisher and comparison service, not an investment advisor. The information provided is for educational purposes only and we encourage you to seek personalized advice from qualified professionals regarding specific financial decisions. Past performance is not indicative of future results.

Blueprint has an advertiser disclosure policy . The opinions, analyses, reviews or recommendations expressed in this article are those of the Blueprint editorial staff alone. Blueprint adheres to strict editorial integrity standards. The information is accurate as of the publish date, but always check the provider’s website for the most current information.

Amy Fontinelle has more than 15 years of experience helping people make informed decisions about their money, whether they’re refinancing a mortgage, buying insurance or choosing a credit card. As a freelance writer trained in journalism and specializing in personal finance, Amy digs into the details to explain the products and strategies that can help (or hurt) people seeking greater financial security and wealth. Her work has been published by Forbes Advisor, Capital One, MassMutual, Investopedia and many other outlets.

Heidi Gollub is the USA TODAY Blueprint managing editor of insurance. She was previously lead editor of insurance at Forbes Advisor and led the insurance team at U.S. News & World Report as assistant managing editor of 360 Reviews. Heidi has an MBA from Emporia State University and is a licensed property and casualty insurance expert.

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Cruise travel insurance: What it covers and why you need it

What does cruise travel insurance cover? And does it pay to buy cruise travel insurance?

The answer is not always clear-cut, as we'll discuss in this guide. But consider this: It's not always smooth seas when it comes to cruising. Even the best-laid plans for a cruise vacation can sometimes be thrown off course by an unexpected event.

You might need to cancel a cruise in advance due to the sudden onset of an illness, such as COVID-19 or the flu. Or, maybe you fall ill during the cruise and need emergency medical attention. Maybe your flight to your ship gets canceled, and you miss the vessel's departure. Or your ship is late arriving in port at the end of a voyage, and you miss your flight home.

In all of these situations, you might benefit from having cruise travel insurance — keyword "might."

Cruise insurance policies vary widely, and not every policy covers every type of mishap. That's why it always pays to read the fine print in a travel insurance policy before you purchase it to know what you're getting in advance.

It's also why you should read this introduction to everything you need to know about cruise insurance. It has many details, but the next time something unexpected happens on your cruise vacation, you'll be glad to be educated and covered by a comprehensive travel insurance policy.

What does travel insurance cover when you cruise?

The typical cruise insurance policy covers a wide range of circumstances that can go wrong in conjunction with a vacation at sea — both before and during the sailing.

For starters, policies often will reimburse you for the cost of canceling a cruise due to a last-minute crisis. They will also often cover costs related to an interruption of a cruise (maybe your ship breaks down, requiring you to fly home mid-voyage ). These two elements are known as trip-cancellation and trip-interruption insurance, and they are bundled into a typical travel insurance policy.

Some policies will also cover out-of-pocket costs related to a flight delay or cancellation that results in you missing your cruise departure (for instance, the cost of catching up to the ship at its next port). Expenses related to baggage delays and loss are often covered as well.

But perhaps most importantly, many travel insurance policies will cover medical expenses you incur while on a cruise. Some will even cover the cost of evacuating from a foreign destination if you are in the midst of a medical crisis.

Travel insurance giant Allianz Global Assistance reports that 53% of all cruise-related "billing reasons" for claims are because of illness for the insured person, while 14% are for an injury. Another 8% are for the illness of a family member, 4% for the death of a family member and 4% for the illness of a traveling companion, among other reasons.

Those percentages include illness and accidents that happen to cruisers just before a trip, making travel impossible. But, in many cases, such claims result from illness and injuries that occur during voyages.

"People often take risks during vacation that they might not take back home, whether riding a jet ski, zipping around on a motorized scooter in a city they don't know well or hiking unfamiliar terrain," James Page, senior vice president and chief administration officer of AIG Travel, told TPG .

Some policies also cover the financial default of a travel provider. In such cases, if your cruise line goes out of business before you sail, you could get all — or at least some — of your money back.

Cruise travel insurance policies don't cover everything. For instance, standard travel insurers generally will not reimburse you for the cost of a cruise you cancel due to worries about an outbreak of an illness. That's true even if a U.S. government agency such as the U.S. Centers for Disease Control and Prevention issues a recommendation that you don't cruise due to an illness outbreak, as it did during the COVID-19 pandemic .

If you want the ultimate flexibility to cancel for such a reason or any other, you'll want to look into a more expensive cancel for any reason travel insurance upgrade.

Related: Avoiding outbreaks isn't covered by most travel insurance policies

Where to find a cruise travel insurance policy

You can buy a travel insurance policy directly from your cruise line when booking your trip or through your travel agent (if you're using one, which often is a good idea when booking a cruise). You also can go directly to a third-party travel insurance provider or a travel-insurance aggregator site, such as InsureMyTrip or TravelInsurance . Your credit card might even give you some travel protections.

Here's what you need to know about each type of cruise travel insurance.

Third-party insurance companies

Third-party insurance companies that specialize in writing travel insurance include AIG Travel, Allianz Travel Insurance, Travelex Insurance and American Express Travel Insurance.

One reason to use a travel agent or a travel aggregator: They can help you find a policy that offers added coverage specific to cruising.

Related: The Points Guy's guide to the best travel insurance companies

"Many plans now offer benefits that will specifically appeal to cruise travelers, such as missed connection, missed port-of-call and cruise disablement coverage," Stan Sandberg, cofounder of TravelInsurance.com, said.

Missed connection coverage reimburses cruisers for a set dollar amount if they need to rebook travel to catch up with their cruise at the next port. Missed port-of-call coverage pays a benefit if the cruise ship misses a scheduled port of call due to weather, a natural disaster or a mechanical breakdown.

Cruise disablement coverage pays a benefit if the traveler is confined on a ship for more than five hours without power, food, water or restrooms.

As noted, policies vary widely. It's a good idea to compare plans and make sure the one you buy has the elements that are most important to you. One size doesn't fit all.

Credit cards with travel benefits

Some premium credit cards offer valuable travel protections comparable to what you might get from a standard travel insurance plan. For example, the travel insurance provided when you pay for travel with select cards can reimburse you for expenses if your baggage is damaged, you're stranded overnight due to a flight delay or cancellation, or you have to return home to handle a family medical emergency.

The Chase Sapphire Reserve card, for example, offers trip delay reimbursement, trip cancellation and interruption insurance, emergency medical coverage and even medical evacuation coverage , among other benefits. And yes, cruise lines are considered common carriers just like airlines.

If you're planning to rely on a card like the Chase Sapphire Reserve or The Platinum Card® from American Express * (among others) for travel insurance, just be sure to recheck your card's benefits and limits carefully against regular travel insurance. You must pay for at least part — and sometimes all — of the trip with that credit card to take advantage of its protections.

*Eligibility and benefit level varies by card. Terms, conditions and limitations apply. Visit americanexpress.com/benefitsguide for details. Policies are underwritten by New Hampshire Insurance Company, an AIG Company.

Related: The best credit cards for booking cruises

Find out if your credit card protection includes travel accident insurance or covers preexisting medical conditions, and figure out when it will pay you back. Other questions to ask: What are the coverage limits? Will you have to pay for a foreign hospital bill upfront and then seek reimbursement later?

Cruise lines

Cruise lines often ask consumers booking a cruise to buy the line's own protection at the time of purchase. If specifics about the coverage are lacking, always ask the line for details in advance, review coverage perks and limits; then, compare those to one or two independent travel insurance policies or your credit card's insurance benefits.

Related: A beginners guide to picking a cruise line

Cruise line travel insurance policies sometimes have quirks. Many cruise companies will only offer a travel voucher or credit for future use in the event of a covered cancellation, not an outright refund.

Also, financial default may not be a covered event in a cruise line-sold policy, but it's typically covered with plans from third-party travel insurance companies.

Cruise line policies also can be more restrictive.

"Cruise line insurance seems to have become better and has more widespread coverage than in the past, but it typically won't cover air or pre- and post-travel [arrangements] unless those elements are purchased through [the line]," said Debra Kerper, a Cruise Planners travel adviser from Carrollton, Texas, who books travel and sells private insurance. "This is when private insurance coverage becomes so very important."

How much does cruise insurance cost?

Expect to pay anywhere from 4% to 8% of your total prepaid, nonrefundable trip expenses for a travel insurance policy. That's a wide range, we know, but it reflects the wide range of products out there.

You'll also find some basic plans that cost even less than 4% of your trip expenses, while some super-premium plans that cover just about any conceivable issue can cost as much as 12% of your trip expenses.

Related: What's included in your cruise fare?

All reputable insurance companies will offer a "free-look period" during which you can receive a 100% refund on your premium. This allows you to review the policy you've selected and return it for any reason within the period allotted — usually for a small administration fee of less than $10.

Under normal circumstances, you don't need to purchase a so-called "cancel for any reason" add-on to your cruise travel insurance policy unless you really need the flexibility. The upgrades are significantly more expensive.

You can receive a quote and purchase a policy online in minutes with any credit card. Although you may think travel insurance should code as "travel" when paid on a credit card and thus be eligible for bonus points on certain cards, that isn't always the case. Your points earnings will depend on the individual underwriter's merchant code. When in doubt, expect the purchase to fall under the insurance category for earnings.

Should I buy travel insurance for a cruise?

Whether you buy travel insurance is a personal decision that will depend on many factors. Would you be willing to absorb the loss of canceling a cruise on short notice due to an illness or accident? Could you afford an evacuation flight from a far-off port if you suddenly became seriously ill? Only you can answer those sorts of questions.

Here are some things to consider as you make that decision.

You might not be covered by regular medical insurance while cruising

If you're a U.S. citizen traveling internationally (which will be the case for most cruises), you may find that most private medical insurance plans in the U.S. won't cover you.

Additionally, Original Medicare only covers people traveling outside U.S. borders in limited circumstances.

While certain Medicare Supplement Plans do have some foreign emergency medical benefits, not all do. Be sure to talk to your Medical Supplemental Plan provider to see if you're covered, what's covered, what the limits are and how the bill is paid.

Also note that, in some countries (particularly those in Central and South America), travelers may not be discharged from a hospital until their bill is paid in full.

Related: Trip wrecked: 7 ways to prepare for any kind of travel disaster

Plus, if you have a medical incident overseas, you could find yourself stuck in a shared hospital room without air conditioning or a private bathroom. The level of care may not be what you expect.

"For people traveling internationally, it's crucial to know beforehand where to go for any treatment … and how they're going to pay for that treatment," Page said.

Getting evacuated for a medical condition is expensive

Most airlines won't accept seriously ill passengers, those carrying bulky medical equipment or those requiring a full medical team.

Even a low-cost weekend getaway on a cruise to the Bahamas out of Miami can turn costly if you suffer a serious accident or illness requiring medical treatment or an emergency medical evacuation.

Related: Do cruise ships have doctors, nurses, medical centers or hospitals?

Being flown back to the U.S. from a far-flung overseas location in a private, medically equipped aircraft, with a professional medical team on board, can run between $70,000 and $180,000, according to Mike Hallman, president and CEO of Medjet, a medical transport membership company.

"Domestic transports, which we cover as well, can cost upwards of $30,000," Hallman said.

Without proof of medical evacuation coverage, foreign providers will also want that money upfront. Hallman said that regular travel insurance will typically get you to an acceptable overseas hospital and even to a higher-level care facility if "medically necessary." Alternatively, medical evacuation coverage means you can fly home to your own hospital, doctors and family — without claim forms, cost caps on transports or surprise bills.

The tandem approach — buying both travel insurance and a separate medevac transport membership — is a good option, Hallman said.

"We always recommend travel insurance, as it covers trip interruption, which is important, as well as medical coverage for the hospital and treatment costs," he said. "We pick up where they leave off."

You can't predict the weather

Cruising is a great way to explore multiple destinations in one trip. But it's good to remember that unexpected delays, interruptions or cancellations due to weather can happen during cruises, particularly during hurricane seasons in places such as the Caribbean and Asia (where hurricanes are called typhoons).

During a typical hurricane season (June 1 to Nov. 30), Allianz pays about 6,000 claims from customers whose travel plans in the Caribbean, Gulf of Mexico and southeastern U.S. are affected by the storms, according to a spokesperson for Allianz Global Assistance USA.

If you're hoping to insure against a storm-related disaster, it's good to buy travel insurance as early as possible. Once a storm or hurricane is named, it's too late to buy travel insurance to cover it.

Of course, cruise lines will move ships away from a weather threat. When the port lineup is adjusted or the cruise shortened, the company will offer the guest an onboard credit, onboard gift or future cruise credit rather than any refund. It depends on the circumstances of that specific voyage. You won't be able to make a claim on your cruise travel insurance policy just for a minor itinerary change .

Related: Everything you need to know about cruising during hurricane season

Costs can mount quickly when things go wrong

Even if the cruise line does provide a full or partial refund or cruise credit for an itinerary change or some other interruption, travelers could have to swallow the cost of other travel elements not purchased through the line. That could include nonrefundable flights , prepaid resort or hotel nights, nonrefundable tour fees and more.

Travel insurance can cover those, plus help with flight delays or cancellations, baggage loss or theft.

If a winter storm causes you to miss your flight to where the ship is boarding , "travel insurance could help you get to the next port to join the cruise, so you don't miss your entire trip," Page said.

In fact, 13% of "billing reasons" for claims to Allianz are for common carrier delays (such as a flight delay), while weather and natural disaster-related claims account for about 3%.

The government probably won't bail you out

While cruise ships have medical facilities, they're usually not equipped to treat serious illnesses. If you experience a serious medical problem on a vessel, you may have to get off the ship in a foreign port to seek treatment at a hospital. In such a case, if you don't have medical evacuation insurance, you may then find yourself stranded in that port awaiting a medical evacuation.

Don't expect Uncle Sam to step in and help foot the bill.

The U.S. Department of State's Bureau of Consular Affairs clearly states the importance of buying travel insurance.

"The U.S. government does not provide medical insurance for U.S. citizens overseas," the bureau says on the website. "We do not pay medical bills. You should purchase insurance before you travel."

You may need more assistance than you think

If you're injured or become severely ill during a cruise, especially in a foreign country, it may be difficult to access help without the assistance of trained professionals that comes with many insurance plans.

Many travel insurance companies provide around-the-clock assistance with locating overseas clinics and pharmacies, getting to a doctor or hospital, refilling lost or depleted prescriptions, assisting with up-front payments to hospitals, and arranging flight changes so you can get home.

Travel insurance companies also can arrange for an air ambulance, a nurse escort, oxygen and a lie-flat seat on a flight home if your medical condition warrants it.

You want to be careful if you have preexisting conditions

When you cruise, it's important to be fully covered, which means having comprehensive medical coverage that includes any preexisting conditions. Otherwise, if you head into a doctor's office overseas, have any tests completed, or visit an urgent care center or emergency room, you might not be covered.

Here, timing is extremely important. Cruisers seeking coverage of preexisting conditions, as well as cancel for any reason insurance, generally must book within seven to 21 days of the first payment they make for a trip. The timing varies by insurer.

Bottom line

Cruise insurance isn't for every traveler — or even for every sailing. It's not inexpensive. However, it can bring a lot of peace of mind if you're about to head out to sea. Do your homework, compare plans and always assess the risks.

Planning a cruise? Start with these stories:

• The 5 most desirable cabin locations on any cruise ship
• The 8 worst cabin locations on any cruise ship
• A quick guide to the most popular cruise lines
• 21 tips and tricks that will make your cruise go smoothly
• Top ways cruisers waste money
• 12 best cruises for people who never want to grow up
• The ultimate guide to what to pack for a cruise

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Whether you’re sailing on the seas or a river, we’ve designed our cruise travel insurance to keep you protected onboard and ashore. With no upper age limit and cover for pre-existing medical conditions, we cover potential issues that are specific  to cruise travel.

What is cruise travel insurance and do you need it?

Just as cruises provide a unique style of holiday, they can also potentially come with their own unique issues. For example, bad weather could mean missed excursions or, if you get particularly unwell on a cruise, it could cost tens of thousands of pounds to airlift you for medical treatment. That’s why our cruise travel insurance covers you for any cruise-specific issues you could encounter.

For example, cruise insurance means you’re financially protected for costs from:

• Missed departures. Traffic jams always happen when you need them least, but this shouldn’t hinder your holiday. Cruise insurance means we’ll compensate you if you miss your cruise departure.
• Cabin confinement for any reason. It’s tough enough being cooped up, let alone having to worry about the money you’ve already spent. Cruise cover means you’ll get some money back for every day you’re confined to your cabin. 
• Any money spent on unused excursions. If you miss an excursion for any reason, such as bad weather or illness, cruise cover means you’ll be compensated. 
• Flights back to the mainland in case of illness. A 2010 study found that more than 12% of injuries aboard cruise ships are reported as serious . If you suffer a serious injury, you want to make sure you are covered for medical transport to a hospital if needed
• Repatriation back to the UK. In extreme cases, you may need to be flown back to the UK for treatment, which can be costly. Cruise insurance policies will cover you for this.

Some cruise providers require you to have comprehensive travel insurance arranged to travel – just one more reason to make sure you’re fully covered.  To get cruise travel insurance, you’ll need to buy travel insurance and add the cruise cover option while you’re looking at the quote.

What does InsureandGo’s cruise travel insurance cover?

What’s covered.

• Cabin confinement : If you’re feeling a bit poorly and need to be confined to your cabin, make sure you confirm it with the ship’s medical officer so we can help with your compensation cover. We’ll pay £100 for each day you’re trapped inside, up to a limit of £1,000. If this confinement is due to a pre-existing illness you must have disclosed and discussed this with us before your cruise insurance purchase.
• Cruise interruption : If your cruise is interrupted because you need unexpected hospital treatment, we’ll cover up to £1,000 to help get you to the next port to rejoin the cruise and continue your holiday. Alternatively, our insurance for cruise holidays covers repatriation where necessary.
• Itinerary changes : If your cruise ship misses a port due to poor weather or timetable restrictions, our cruise insurance will cover you for up to £100 per port for up to 5 ports.
• Missed cruise ship on port : No one’s holiday deserves to be lost at sea! If you missed your cruise due to problems with public transport, experienced a vehicle breakdown or were affected by an accident-induced traffic jam en route to the port – we’ll cover up to £1,000 to get you to the next docking port point to meet your cruise.
• Unused excursions : If you missed out on some great activities or excursions that you’d booked and paid for before suddenly being taken ill and confined to your cabin, our cruise travel insurance will cover you up to £500.

(Note: The above is only available on our Silver, Gold and Black policies, and only when you pay the extra premium for cruise cover)

For more details on what you’re covered for, see our full cruise travel insurance policy breakdowns.

Anything else?

All our yearly holiday insurance policies include:

• Emergency medical expenses
• Cover for cancellation of your trip
• Personal belongings and baggage cover
• Personal money, passports and travel documents cover

The excess and amount of cover available varies depending on the level of travel insurance you buy. Make sure you have a look at our policy wording to see the full terms and conditions.

What’s not covered?

We aim to provide as much cover as we can on our policies. However, there are some situations no travel insurance will cover. For example:

• Events or reasons to claim which took place before you booked the trip or the insurance was purchased cannot be covered. Insurance exists to cover unexpected events outside of the insured’s control.
• Claims which are less than the excess for that section of cover. For example, you cannot claim a £40 lost item if your baggage excess is £60
• All of our cruise travel insurance policies include cover for cancellation of your trip, but there may be some exclusions. For example, you won’t be covered to cancel if you simply decide not to go.

Remember that to get cruise insurance, you need to book travel insurance and add cruise cover to that policy.

The best travel insurance for your cruise

Cruise insurance can be added to another type of travel insurance, and we have plenty of options to suit your holiday style. Wherever you’re travelling, and however long for, we’ll have a policy for you: 

• First time cruising? Simply add cruise cover to a single-trip insurance policy. Easy peasy. 
• Doing multiple holidays or cruises this year? It might work out better to get annual travel insurance and add cruise cover to that. 
• Enjoying later life? Cruise travel insurance can be added to plans that suit your needs better, whether that’s travel insurance for over 50s , or even travel insurance for over 80s .
• Have a pre-existing health condition? Make sure your medical travel insurance covers your cruise
• Cruising along multiple stops? Depending on your cruise destinations, you might need worldwide travel insurance or travel insurance for Europe .

Choose a cover level to suit your travel needs

Which destinations are covered by our cruise travel insurance.

Our travel insurance policies are based on the following four groupings:

• Europe (plus countries bordering the Mediterranean Sea, plus Madeira and The Azores)*.
• Worldwide (except the USA , Canada, Mexico and the Caribbean).

*Europe includes: Albania, Andorra, Armenia, Austria, Azerbaijan, Azores, Balearics, Belarus, Belgium, Bosnia And Herzegovina, Bulgaria, Canary Islands, Croatia, Cyprus, Czech Republic, Denmark, Egypt, Estonia, Faroe Islands, Finland, France, Georgia, Germany, Gibraltar, Greece, Hungary, Iceland, Ireland, Israel, Italy, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia, Madeira, Malta, Moldova, Monaco, Montenegro, Morocco, Netherlands, Norway, Poland, Portugal, Romania, Russia, San Marino, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Tunisia, Turkey, Ukraine.

If you’re already insured for a particular geographical group but want to make changes or add in new countries, we can always alter that for you. Just give us a ring, or send us an email .

How to buy travel insurance for cruises

We know your to-do list for your next trip can be a long one, so we make getting cruise insurance as simple as possible:

1. Let us know a little info

We need to know a bit about your cruise, who you want to cover and when you want the policy to start. We will also ask you for information regarding any pre-existing medical conditions so that we can ensure we provide you with the right level of cover. 

It’s quick and easy to give us this information, either online or by calling our team:

2. Get your quote

Once we have all the details we need, we will send you your quote. At this stage, you can go ahead and buy your policy, or save the quote for the future.

“Cruise cover is an absolute must-have for anyone taking a cruise because it covers for issues you might face, like a missed departure or being confined to your cabin. Regular travel insurance doesn’t cover these, so specific cruise cover is super important. Without it you won’t have any cover while on a cruise.” Russell Wallace – Travel insurance expert

Cruise travel insurance with pre-existing medical condition cover

We cover a wide range of medical conditions on our policies, including those with insurance for a cruise, and we will never refuse to cover a diagnosed pre-existing medical condition without prior consideration. 

We consider pre-existing medical conditions to be any illness or condition that has occurred before you take out an insurance policy, ranging from asthma to cancer . We can usually cover any medical conditions, often with no additional premium, and medical cover on your cruise holiday is no exception.

All you need to do is disclose your pre-existing condition during your quote, and we’ll sort the rest.

Frequently asked questions on cruise travel insurance

Why do i need special insurance for a cruise.

You need special insurance for cruises in case you run into any cruise-specific complications. These include things like cabin confinement if you are unwell, missed departures for any reason, and unused excursions, as well as typical holiday issues like delays or cancellations. 

Some normal travel insurance plans might cover some of these problems, like delays or cancellations, they won’t cover cabin confinement and might not cover repatriation.

Do you need travel insurance for a domestic cruise?

Whatever the destination of your cruise, you will need to add cruise cover to your travel insurance – even if it’s a cruise around the UK. Cruise travel insurance makes sure you’re fully covered and includes elements of cover that are specific to cruises, such as being airlifted to the mainland.

While typical UK travel insurance usually covers land-based holiday issues, they won’t cover many of the issues you could face on a domestic river or sea cruise holiday.

Can I buy travel insurance after booking a cruise?

Some travel operators may require you to buy your insurance at the same time as booking your cruise holiday. Others are more flexible as long as you purchase your cruise travel insurance before you set sail.

It is a good idea to check with your cruise provider before booking insurance. Some cruise providers have specific requirements for travel insurance, such as having a certain amount of medical and COVID-19 cover.

How much is cruise insurance?

Insurance for a cruise doesn’t have to be expensive. The price you pay will depend on where you’re going, how long for, and whether you have any medical conditions. Choose either a single-trip or annual multi-trip policy and you’ll be given the chance to add cruise travel insurance to your policy.

Will my EHIC or GHIC cards cover my cruise?

The GHIC, or EHIC as it was previously known, does not cover specific costs that you might encounter when on a cruise, and it does not cover repatriation costs either. 

Although the GHIC covers some of the medical costs when travelling in Europe, the UK Government website recommends that all UK travellers take out appropriate travel insurance when travelling abroad. It’s also important to note that the GHIC will not cover other cruise-specific issues, such as missing the departure or cabin confinement.

Does regular cruise insurance cover medical expenses?

Our cruise travel insurance covers emergency medical bills, as well as other complications, like delays, cancellations and missed departures. 

 Be sure to check the wording on your policy to find out exactly what is covered and what is not.

Who can buy an InsureandGo cruise insurance policy?

All our annual travel insurance policies are available to UK residents. This means:

• Someone who has been living in the UK or the Channel Islands for at least six of the last 12 months
• They must be in the UK at the time of buying
• All trips must start and end in the UK

Unfortunately, we can’t provide cover to anyone who doesn’t fit this description. 

Get a quote online or browse our policy documents for more information. To choose the right cruise travel insurance policy for you, get a quote online or read our policy documents for more information.

Frequently asked questions

If you’ve got more questions about how our cruise travel insurance works, or more general travel insurance queries, have a read through our FAQs .

Travel advice

Our travel advice section offers handy tips and guides to specific countries, from what documents you need to what you might visit while you’re there.

Travel insurance reviews

If you want to know what our customers think of us, and why they rate us so highly, have a read through some of the reviews they’ve left us.

• Unlimited emergency medical expenses available on Black level policies.
• InsureandGo’s Gold achieved a Which? Best Buy.

• Travel Insurance

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How To Get Pre-Existing Conditions Covered By Travel Insurance

Updated: Oct 4, 2023, 7:04am

Table of Contents

What is a pre-existing condition for travel insurance, how to get coverage for a pre-existing condition, which travel insurance companies offer coverage for pre-existing medical conditions, pre-existing conditions not eligible for a coverage.

You’re planning a once-in-a-lifetime trip to Europe with your parents to celebrate their 40th anniversary. You know that travel insurance is important in case of a medical emergency, but you’re worried about getting coverage for your father because of his diabetes. You’ve been told that most standard travel insurance policies won’t offer coverage for this and other pre-existing medical conditions unless he meets certain requirements.

While your father’s diabetes is controlled, you know it’s risky to purchase a policy knowing his diabetes might not be covered if he requires treatment while travelling and you need to file a claim.

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Rest assured, there are options for travellers with pre-existing conditions to ensure they are eligible for reimbursement if they encounter health issues during your trip.

In general, a pre-existing condition is defined as any sickness, injury or medical condition that existed before the start of your coverage, whether or not diagnosed by a physician, that you showed signs or symptoms of or received medical attention for.

Each insurance company will have its own requirements, typically of seven, 30, 80, 180 or 365 days, that your condition must remain “stable” or unchanged before your coverage takes effect. This is either the day you leave on your trip (for emergency medical or trip interruption) or the day your policy takes effect (for travel coverage, such as trip cancellation).

While each insurer has its own definition, essentially a medical condition or injury is considered “stable” when all of the following are true:

• There has been no deterioration of the medical condition.
• There have been no new symptoms or more frequent symptoms.
• There has been no change in treatment or alteration of medication.
• There has been no treatment received, prescribed or recommended by a physician or other registered medical practitioner.
• There is no pending lab results or diagnostics.
• There has been no hospitalization or referral to a specialist.

Travel insurance companies normally exclude pre-existing conditions from coverage, which ranks among the most frequent reasons for denial of travel insurance claims. What’s more, you don’t need an official diagnosis from a health care professional to have something designated a pre-existing condition for travel insurance purposes. If your medical record reveals you reported symptoms of a condition that was later diagnosed, that is enough to have that condition deemed ineligible for coverage.

To determine what qualifies as a pre-existing condition, a travel insurance company can review your medical records for the stipulated number of days before the day the policy was purchased. If you had any changes in your medical status during that period, such as a new diagnosis, a decline in health or the addition of new prescription medication, the condition will be considered pre-existing.

For example, say you were diagnosed with and prescribed medication for high blood pressure on January 15 and you plan to take a trip to Mexico on March 19, or 63 days later. Based on your age, your travel insurance provider requires a 30-day stability period before you leave on your trip for your condition to be covered for emergency medical insurance. As long as your symptoms and treatment of your high blood pressure do not change during that time, it should be covered by your medical insurance.

However, if, for example,  you receive a change of dosage of medication, either an increase or decrease, during those 30 days, your condition is now not considered stable and will be ineligible for reimbursement without additional coverage. Keep in mind that you are still eligible for medical treatment if something else happens on your trip even with a medical exclusion. For example, if you fall down some stairs and break your wrist, those medical expenses are covered.

Without pre-existing condition coverage, a travel insurance company won’t pay for medical bills or claims related to your recent medical history if you require emergency treatment due to that condition.

But don’t panic. If you’re looking for travel insurance that offers comprehensive coverage regardless of your medical history, there are several coverage options for travellers with a pre-existing conditions. Keep in mind that not all insurers offer these options.

Pre-existing medical condition waiver : If you purchase your policy within a set timeframe, you insure the full nonrefundable costs of the trip and you’re able to travel on the date of purchase, this waives any pre-existing condition exclusions. There is typically no extra cost for the waiver.

Individual underwriting: Some insurance companies offer a separate and personalized individual underwriting application option where you complete a more detailed medical questionnaire and then the medical underwriter reviews your responses and, if approved, you are provided with  customized travel insurance coverage.

Reduction of stability period: Typically sold as an add-on (also known as an endorsement or rider), this option reduces the amount of time that your pre-existing condition needs to be considered stable before being eligible for coverage. There is typically a maximum benefit amount that is lower than the emergency medical benefit payout. For example, AMA Travel Insurance offers $5 million in emergency medical, but a maximum of $200,000 in coverage for the pre-existing conditions rider.

Pre-existing condition exclusion: A pre-existing condition can push up the price of your insurance significantly. In addition to a reduction of stability period option, Tour+Med offers an innovative Optional Exclusion option where you can  exclude an organ or complete system that’s affected by the pre-existing condition in return for a lower premium. For example, if you have asthma that does not meet the “stable and controlled” conditions, you can choose to have your asthma excluded, which would also exclude the entire respiratory system. So if you were to get sick with bronchitis, that also would not be covered.

Personalized pre-existing conditions packages : Some insurers feature customized packages for travellers (often over a certain age) with coverage for pre-existing medical conditions. Rather than purchase this as an add-on to an existing insurance policy, this is a separate policy, such as Manulife’s TravelEase insurance coverage or RBC Insurance’s TravelCare package.

While pre-existing conditions are an exclusion for all standard travel insurance policies, these travel insurance companies offer the following coverage options:

• AMA Travel Insurance : Pre-Existing Condition Rider that offers up to $200,000 in emergency medical coverage and reduces the stability period to seven days.
• BCAA Travel Insurance : Optional Pre-Existing Condition coverage that offers up to $300,00 in emergency medical coverage and reduces the stability period to seven days.
• Pacific Blue Cross : Optional Pre-Existing Condition Benefit offers coverage for pre-existing conditions and reduces the stability period to seven days.
• CAA Travel Insurance: Pre-Existing Condition Rider that offers up to $200,000 in emergency medical coverage and reduces the stability period to seven days.
• Desjardins Travel Insurance : Stable for 3 Months add-on reduces your stability period from 182 days to 90 days.
• Goose Travel Insurance : Unstable Pre-Existing Medical Condition endorsement shortens your stability period to seven days.
• Manulife Financial: TravelEase insurance package covers many fully disclosed pre-existing medical conditions with up to $5 million in benefits.
• Medipac Travel Insurance : Individual Underwritten Application for travellers who do not otherwise qualify for standard coverage.
• RBC Travel Insurance : For travellers over age 75, the TravelCare package may cover pre-existing conditions, depending on your answers to a medical questionnaire.
• Scotiabank Travel Insurance : Individual Medical Underwriting Plan for travellers of any age who would like their pre-existing medical conditions covered with no stability requirements.
• Tour+Med : For travellers under 86 years old, a Reduced Stability Period option reduces the stability period from three months to 30 days before departure (for travellers under age 69) and from six months to 30 days (for travellers 70 to 85 years old). There’s also an Optional Exclusion option to remove an organ or complete system from coverage.
• Travel Guard : Pre-existing Medical Condition Exclusion Waiver that waives any pre-existing medical condition exclusion if the policy is purchased within 15 days of the initial trip payment, any additional payments are insured within 15 days of purchase and you are medically able to travel when you pay your premium.
• TravelSafe : Pre-existing Medical Condition Exclusion waiver that waives any pre-existing medical condition exclusion if the policy is purchased within 21 days of the initial trip payment, all prepaid costs are insured and any additional payments are insured within 21 days of purchase and you are medically able to travel when you pay your premium.
• TuGo : Unstable Pre-Existing Medical Condition add-on that can be purchased in addition to the emergency medical insurance plan that provides coverage for a pre-existing medical condition that was not stable up to seven days before your departure date.

The terms and conditions vary by company, so be sure to read your policy carefully. Most insurers offer a minimum 10-day right to examine period where you can review your policy to ensure it meets your needs and cancel for a full refund if you’re not completely happy.

Even with a waiver or optional endorsement, some conditions likely won’t be covered by travel insurance, such as:

• Alzheimer’s disease or dementia
• Anxiety, depression or other mental health disorders
• Complication-free pregnancy or childbirth
• Illness or injury related to alcohol or drug abuse
• Heart conditions treated with nitroglycerin
• Lung conditions treated with prednisone or prednisolone

In addition, some insurance companies have a list of medical conditions that make you ineligible for coverage, especially over a certain age. For example, travellers over age 55 hoping to get Blue Cross Travel Insurance are ineligible for coverage if they:

• Have received medical advice not to travel
• Suffer from a medical condition in a terminal stage
• Suffer from kidney failure treated with dialysis
• Have been diagnosed with or treated for metastatic cancer in the last five years
• Have been prescribed or treated with home oxygen in the past 12 months

The Bottom Line

Be sure to carefully read the fine print of your travel insurance policy (especially the exclusions section) to see what’s covered and what’s not when it comes to pre-existing conditions, or ask your travel insurance agent or broker for help. Also, be aware of the policy’s limits for travel medical insurance and medical evacuation coverage, to avoid any surprises.

Also, even if you’re worried about not being offered coverage due to a pre-existing condition, be sure to answer the medical or health questionnaire completely, honestly and accurately. Most travel insurance companies reserve the right to deny or limit your coverage reimbursement if you are found to have lied or omitted information on your questionnaire.

• Goose Travel Insurance Review
• CAA Travel Insurance Review
• TuGo Travel Insurance Review
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• Medipac Travel Insurance Review
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• TD Insurance Travel Insurance Review
• Johnson MEDOC Travel Insurance
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• TD Bank Travel Insurance
• CUMIS Travel Insurance Review
• AMA Travel Insurance
• GMS Travel Insurance Review
• CIBC Travel Insurance Review
• BMO Travel Insurance Review
• Desjardins Travel Insurance Review
• Travelance Travel Insurance
• Scotia Travel Insurance Review
• Should You Buy Travel Insurance And Is It Worth It?
• Why Travel Medical Insurance Is Essential

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Travel Insurance Guide For Pre-Existing Condition Medical Coverage (2024)

Planning to travel but have a pre-existing condition? Get travel medical coverage with a top provider below.

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Sarah Horvath is one of the home service industry’s most accomplished writers. Her specialties include writing about home warranties, insurance, home improvement and household finances. You can find her writing published through distributors like HouseMethod, Architectural Digest, Good Housekeeping and more. When not writing, she enjoys spending time in her home in Orlando with her fiance and parrot.

Tori Addison is an editor who has worked in the digital marketing industry for over five years. Her experience includes communications and marketing work in the nonprofit, governmental and academic sectors. A journalist by trade, she started her career covering politics and news in New York’s Hudson Valley. Her work included coverage of local and state budgets, federal financial regulations and health care legislation.

Traveling with a pre-existing medical condition can add stress to the trip-planning process, especially if you suffer from a chronic condition that affects your daily life or have symptoms that can influence your plans. While most travel insurance policies exclude pre-existing conditions from medical expenses and evacuation coverage, you may be able to obtain coverage with a pre-existing conditions waiver.

A pre-existing conditions waiver extends your travel medical insurance to include conditions and illnesses present when you enrolled in coverage. This type of coverage is a bit more expensive but can provide you with peace of mind when traveling. Read on to learn more about pre-existing medical conditions travel insurance and which top providers offer coverage.

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What Is a Pre-Existing Condition for Travel Insurance?

Although each travel insurance company has its own definition, a pre-existing condition refers to a medical condition you have before leaving for a trip. Your malady may not have to be formally diagnosed to qualify as pre-existing. You may have a pre-existing condition if you’ve sought treatment, had symptoms or taken medication within a few months before your trip for an injury, illness or medical situation.

For example, say you see your doctor for an annual physical two months before your trip to Spain . At your appointment, the doctor checks your blood pressure and diagnoses you with hypertension. Your doctor prescribes medication to lower your blood pressure. Most travel medical insurance companies consider high blood pressure a pre-existing condition.

Other common pre-existing conditions include:

• Heart disease
• High blood pressure
• Chronic illnesses, such as lupus

Medical travel insurance can be an important protection if you or a loved one plan to travel with one of these conditions — or some other pre-existing medical condition. A pre-existing condition could put you at higher risk of other medical issues. For example, if you have an autoimmune disorder, you’re likely at higher risk of contracting diseases while traveling.

How To Get a Waiver for Pre-Existing Conditions

If you have a pre-existing medical condition, it’s important to purchase travel insurance shortly after making your initial trip payment. Based on our quote collection process, we found that you usually need to be within 10 to 21 days of your first trip payment to qualify for a pre-existing conditions waiver. If you buy your travel insurance after this point, you usually will not qualify for pre-existing conditions coverage.

Depending on the insurance provider, you may need to meet additional conditions beyond your purchase date for pre-existing medical conditions coverage. Additional stipulations you may need to meet include:

• Trip coverage: In most cases, you’ll need to insure 100% of your trip cost and add medical coverage to your policy to receive a pre-existing condition waiver. This means that policies that offer pre-existing conditions waivers are usually more expensive. However, these policies also include more extensive coverage, which can be helpful in the event of an emergency.
• Health status: While most travel insurance companies do not require you to undergo a medical exam before buying coverage like with life insurance, your health condition can still play a role in your ability to qualify for a waiver. You might need to answer a health questionnaire before purchasing coverage, or you may need to list any medical diagnoses within the previous 60 to 90 days. If you have a major medical condition with active symptoms, like cancer or Alzheimer’s disease, you may be denied coverage.

If you qualify for coverage, your insurance provider will include the waiver with your coverage at no additional cost. Be sure to review the details of your coverage after you’re approved so you fully understand the terms and conditions.

How To Qualify for a Pre-Existing Medical Condition Exclusion Waiver

To qualify to get a pre-existing conditions waiver, you’ll need to meet a few conditions related to the policy-buying process and determine the right coverage for your health.

You cannot purchase travel insurance that covers pre-existing conditions at any time — most policy providers require you to be within 14 to 21 days of your initial trip deposit to qualify. For this reason, we suggest you consider travel insurance as you’re comparing other travel bookings like hotels, airfare and event tickets. This will allow you to purchase insurance shortly after booking, giving you access to more policies with coverage for pre-existing conditions.

Choose the Right Plan

Next, compare the coverages included with each policy offered by your preferred travel insurance provider and identify those that include pre-existing conditions waivers. Most travel insurance companies limit waivers to policies with more inclusive coverage terms and 100% cancellation insurance. If a provider does not offer pre-existing conditions coverage, request quotes from a different company.

Review Coverage Limitations

If you qualify for a pre-existing conditions waiver, your insurance provider will include it under your coverage terms. Review your coverage and any excluded conditions. Contact a representative from the insurance company if you have questions about coverages and limitations.

Documentation Needed for a Pre-Existing Conditions Waiver

Depending on your coverage provider, you may need to submit a letter from your doctor confirming you’re medically fit to travel. This is especially true if you need coverage for a chronic condition under control by medication or if you’ve recently had corrective surgery. Documentation requirements vary by provider, so be sure to review your specific coverage terms to learn more.

Travel Insurance Companies That Cover Pre-Existing Medical Conditions

Not every travel insurance provider offers pre-existing conditions waivers and those that do have varying policies regarding the timeline for enrollment in order to qualify. The following are a few of our recommended travel insurance providers covering pre-existing conditions and how you can qualify for coverage.

• Nationwide: Nationwide offers customers an option to qualify for pre-existing conditions coverage across multiple plans. While many insurance providers limit pre-existing conditions waivers to only the most expensive policy, Nationwide allows you to qualify for pre-existing conditions coverage 10 days from your initial purchase with the Essential Policy. You may also qualify up to 21 days after your initial trip payment with the Prime Plan. Read our full review of Nationwide travel insurance .
• Trawick: Trawick offers six unique policies with the option to include coverage for pre-existing conditions, which is more than most other providers. This range of options can make Trawick a strong choice for customers looking to customize their coverage. You must add coverage no more than 14 to 21 days after your initial trip payment, depending on your selected plan. Read our full review of Trawick travel insurance. 
• Seven Corners: To qualify for pre-existing coverage with Seven Corners, you’ll need to opt for the Trip Protection Choice, which includes benefits like 150% trip interruption coverag e and up to $2,000 in trip delay benefits. You must buy this coverage no less than 20 days after your initial trip payment. Read our full review of Seven Corners travel insurance .
• Generali Travel Insurance: While Generali does not offer the longest purchase period for pre-existing conditions, travelers looking for concierge-level benefits may want to consider the company. To qualify for a pre-existing condition waiver, you must be within 24 hours of your initial trip payment, which means most shoppers will need to consider insurance as they’re actively planning a vacation to qualify. Read our full review of Generali travel insurance .

Types of Travel Insurance for Pre-Existing Conditions

There are four main types of travel insurance:

• Trip cancellation
• Baggage coverage
• Medical travel insurance
• Cancel for any reason (CFAR) coverage

Trip Cancellation Insurance

Trip cancellation insurance is a type of travel insurance that helps cover nonrefundable costs if your trip gets canceled due to an unexpected or uncontrollable event. For example, a trip cancellation policy might cover nonrefundable costs if you find out right before your trip you’ve been summoned for jury duty. Or, say you have to cancel a trip due to an unexpected storm that interrupts your flight. Travel insurance will reimburse you for the flight and any corresponding lodging costs.

Trip cancellation insurance usually does not cover changes in pre-existing medical conditions. If your arthritic knees cause pain that makes you cancel your trip two weeks out, the insurance company may deny your claim. However, you may qualify for a pre-existing condition waiver to use for trip cancellation coverage.

Baggage Coverage

Baggage insurance generally covers the loss, theft, delay, or damage to baggage and personal belongings while traveling. For instance, your luggage is stolen from your hotel room while you’re at dinner. Depending on your policy, your baggage insurance could help pay to replace necessary items, like clothing and shoes. Other policies will ensure the full value of items in your bags, with certain restrictions.

Baggage insurance can offer peace of mind that you can replace your belongings if they’re lost, stolen, or damaged. Pre-existing conditions don’t affect baggage insurance coverage.

Medical Travel Insurance

Medical travel insurance is one of the most common types of travel insurance. A medical travel policy helps pay for emergency medical care when traveling. Say you fall ill with a fever and need to go to the emergency room while abroad. Your medical travel insurance generally covers the cost of treatment up to your plan’s limits.

If you’re considering travel health insurance plans and have a pre-existing condition, you’ll want to carefully read the fine print of your policy. In most cases, you’ll need to obtain a pre-existing conditions waiver before traveling. Without a waiver, your policy may not cover medical expenses you incur while traveling.

Cancel for Any Reason Insurance (CFAR) Coverage

With a few exceptions, CFAR travel insurance lets you cancel a trip for a partial refund of prepaid, nonrefundable expenses outside the reasons listed in your policy. Common reasons to use a CFAR policy include a family member getting sick, fear of illness at your destination or your new passport doesn’t arrive in time to travel. Unlike regular trip cancellation or medical travel insurance, CFAR coverage does not require a pre-existing conditions waiver for coverage. That means if your chronic condition flares up before your trip and you decide to cancel within the effective date of coverage, you could get a partial refund (typically between 50%-75%) of your nonrefundable trip expenses.

Although CFAR coverage is a good way to secure pre-existing medical insurance for travel cancellation or interruption, it’s not usually offered as a stand-alone policy. You typically have to add CFAR coverage to your standard travel insurance policy for an extra cost.

How Much Does Travel Insurance for Pre-Existing Conditions Cost?

Generally, adding pre-existing conditions coverage will not increase your policy cost if you qualify for a waiver. Based on our research, a travel insurance policy costs between $160 to $300 , depending on your chosen coverage and provider. In our review, we found that the average couple will pay about $221 for a travel insurance policy from one of our recommended travel insurance providers.

How To File a Pre-Existing Medical Condition Travel Insurance Claim

If you have to file a travel insurance claim for a pre-existing condition that your policy covers, you can improve your chances for reimbursement with strong documentation. Whether you must cancel your trip at the last minute or you need coverage for an emergency room visit while on vacation, the process of filing a travel insurance claim is generally the same. The claims process typically looks like this:

• File your claims form, which will commonly ask for your name, policy number, the reason for the claim and other important details.
• Submit your claims form with all necessary documentation, such as a doctor’s note, flight delay or baggage notices, police reports, and any other related documents.
• Your travel insurance company reviews your claim and supporting documentation. The insurance company may request more details or documents supporting your claim.
• If the company approves your claim, you’ll receive reimbursement, up to your policy limits.

The claims process is straightforward, but missing documents or lack of evidence could lead to the insurer denying your claim. Having the right documentation is more important if you’re filing a medical claim and have a pre-existing condition. The insurance company will want to confirm you have a pre-existing condition waiver on file before approving a claim. The company likely will ask for specific written documentation relating to your claim from a doctor.

For example, say you have a respiratory disorder managed by daily medication and receive a pre-existing condition waiver for a trip. While traveling, you get into an accident requiring emergency medical care. When you file a claim for medical travel insurance, you’ll want to make sure you have the right documents, including:

• Proof of your trip and insurance
• Written documentation from your attending physician
• Copies of your medical file and bill from the emergency care

Frequently Asked Questions About Travel Insurance for Pre-Existing Conditions

Can you get travel insurance with pre-existing conditions.

Yes, you can get travel insurance with pre-existing conditions. The key to getting travel insurance coverage with a pre-existing condition is to apply for a pre-existing conditions waiver or exclusion waiver. This waiver includes notice from your doctor that you’re fit to travel and prevents the travel insurance company from using your pre-existing condition to exclude you from coverage.

What is a waiver of lookback in travel insurance?

A waiver of lookback is another name for a pre-existing conditions waiver for travel insurance. The lookback period of a travel insurance policy refers to the time before the trip in which the insurance company might look back at your medical history if you file a claim.

For example, say you have an unexpected medical condition that forces you to cancel your trip. You file a claim for trip cancellation insurance and your insurance company can review your past medical records (usually up to 60 to 180 days, depending on the policy). If the company finds a record of your pre-existing condition, such as a doctor’s visit to change medications, it could deny your claim. A waiver of lookback prevents the insurance company from doing this.

What counts as a pre-existing condition?

Every travel insurance company defines pre-existing conditions differently, but there are a few common factors. A pre-existing condition for travel insurance usually refers to any medical condition, illness or injury that you have before your trip. You may not have to be diagnosed for the condition for it to be considered pre-existing. But if you seek treatment for a condition, take medications or suffer symptoms, then it’s usually considered pre-existing.

What is the difference between a pre-existing condition and a chronic condition?

Pre-existing conditions are any injury, illness, or medical condition that existed before you sought insurance. A chronic condition is different. Chronic conditions are ongoing health conditions or illnesses that are long-term. Doctors manage chronic conditions with medication or regular treatments, but these conditions aren’t curable. For travel insurance, almost all chronic conditions are considered pre-existing conditions.

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Need to know

• You must declare a pre-existing medical condition if you want it covered by insurance
• Insurance cover for pre-existing medical conditions varies widely
• You may have to pay more to get cover for your pre-existing medical condition

Travel insurance is essential in the case of illness or injury while travelling. Overseas medical costs can be extortionate, and if you have an existing medical condition, it increases the chance you may need medical attention on your trip – that's why insurers charge you extra. 

So if you can get cover for your pre-existing medical condition, it'll take a bit of worry out of your trip. But even if you're willing to pay extra, getting cover for an existing condition isn't always easy.

On this page:

What is a pre-existing medical condition?

What's covered, and what's not, comprehensive policies that may cover your pre-existing medical condition, travel insurance for seniors with pre-existing medical conditions, pregnancy and travel insurance, credit card travel insurance and pre-existing medical conditions,  what to do if you can't get cover for a pre-existing medical condition.

A pre-existing medical condition is a medical condition that you had before you bought your travel insurance.

Different travel insurers will have their own specific definitions, but it's usually a diagnosed medical condition that you've had or received any form of medical advice, treatment or medication for, in a specified time period before you bought your policy.

Most insurers would cover a condition if it hadn't led to treatment in the one to two years before you booked your trip, but others may specify five years or longer

The 'specified time period' wording is worth paying attention to. If, for example, your condition last showed symptoms 18 months ago, but the time period specified by the insurer is 12 months, then you'll be covered subject to the other conditions of the policy.

The insurance contract regulations set the time period as six months by default. Unfortunately, insurers can get around this six-month rule and exempt themselves simply by burying an exclusion or limitation in the product disclosure statement (PDS).

Insurers' definitions vary as to what the specified time period is. Most insurers would cover a condition if it hadn't led to treatment in the one to two years before you booked your trip, but others may specify five years or longer.

There are often a lot of hoops to jump through to get cover for pre-existing conditions. 

Insurers can:

• exclude pre-existing medical conditions altogether
• include a list of accepted pre-existing medical conditions (specified in the PDS)
• restrict cover for generally accepted conditions depending on other conditions you might have, or only cover some symptoms (for example, allergies may be covered, but not anaphylaxis)
• subject you to an assessment for cover of your medical condition and charge a fee to complete this assessment (whether you get cover or not)
• deny you cover for a medical condition on application.

Even if you survive that minefield, you may then have to fork out several thousand dollars for the privilege of getting cover for your condition.

Below is a list of conditions that might usually be covered, with specific restrictions. 

• Allergies 
• Blindness and low vision
• Corneal graft
• Coeliac disease
• Ear grommets
• Gastric reflux
• Hiatus hernia
• High cholesterol/hypercholesterolaemia
• High blood pressure/hypertension
• Hip replacement
• Knee replacement
• Macular degeneration
• Underactive thyroid/overactive thyroid
• Chronic lung conditions
• Cardiovascular disease
• Reduced immunity
• Cancer (some policies automatically cover skin cancer but not melanoma)
• Heart-related medical conditions
• Medical conditions you're travelling to seek medical treatment or review for
• Conditions involving drug or alcohol dependency
• Conditions for which you're awaiting surgery, treatment, investigation or procedures
• Conditions with a terminal prognosis

This also includes any travel booked or undertaken against the advice of a medical practitioner.

Check the insurer's PDS for a specific list of conditions. If a condition is not listed as automatically covered, then you may be able to apply to the insurer to cover your condition.

For the specified time period, the lower the number, the better. Read on below the table for more information.

* The time period before booking your trip that a medical condition, that isn't specifically excluded, would be covered if it has not given rise to symptoms or required medication or treatment. 

If your medical condition is on the insurer's 'Covered Conditions' list, then the time period might be longer than what's specified above. 

For example, Go Insurance's specified time period is 90 days (3 months), but if your condition is on their 'Covered Conditions' list, and you've been hospitalised for that condition within 24 months of booking the trip, then it may not be automatically covered. You'll need to fill out a form to apply for cover.

CHOICE tip: Filling out assessment forms for your medical condition can be time-consuming and frustrating, but try at least three different insurers because premiums and cover vary widely.

How you're assessed for a pre-existing medical condition

Many Australian insurers use a 'black box' risk rating system to assess your condition, such as that provided by insurance technology firm Verisk.

The systems may contain a list of health conditions, each of which is assigned a risk factor. Depending on how high this risk factor is, the insurer can choose to rule out cover, or offer cover for an extra premium.

Older and wiser travellers with pre-existing medical conditions can still get travel insurance for their international travel. The drawback is that you'll have fewer policies to choose from, and you'll pay more for it. 

Many travel insurance policies have age limits, over which they either don't offer cover, or they may offer restricted cover with lower benefit limits or a higher excess. 

Cost of travel insurance for seniors

Our analysis of premiums across age groups shows that an older single traveller going to Bali for around 11 days to two weeks will on average pay more for their cover as they age, with premiums generally increasing more noticeably from age 50. 

Travellers aged over 70 could pay up to 3.5 times more for their travel insurance than people in their 60s

In particular, travellers aged over 70 could pay up to 3.5 times more for their travel insurance than people in their 60s, prior to further underwriting and premium adjustments by insurers for coverage of pre-existing medical conditions.

Visit our travel insurance comparison and use the filter to find travel insurance policy options for people across a range of ages up to 100 or even unlimited.

Pregnancy cover will protect you in circumstances such as if you need to cancel your trip due to doctor's advice, or if you're on holiday and incur medical costs that are a result of unexpected complications (something that you weren't already being treated for or had no history of).

Note that travel insurance won't usually cover you for childbirth or for medical costs relating to your newborn if you give birth while on holiday.

Different policies will cover you up to different stages of your pregnancy, so which provider you go with will depend on when you plan to travel (and return home). Not all policies will cover IVF or similar medically assisted pregnancies.

CHOICE tip: Check with your airline before you travel – many airlines will only let you fly up to a certain stage in your pregnancy, and may require medical certificates or other documentation.

Some credit cards come with travel insurance policies that may cover pre-existing medical conditions. 

However, policies that come with credit cards vary just as much as standalone travel insurance policies, so you need to read the terms and conditions carefully to understand whether you're automatically covered, whether you need to apply for cover, or if there's no cover at all for pre-existing medical conditions.

Bear in mind that some credit card travel insurance policies require you to activate your insurance before you leave. Some people may find this a bit of a pain, but with pre-existing medical conditions it may actually be an advantage, since it will prompt you to check your cover.

If you're denied cover for your pre-existing medical condition, or if you can't afford the extra premium, you may still be able to buy a travel insurance policy. 

You'll need to declare your condition to your insurer. They may then offer you travel insurance cover, but will issue a certificate that says you won't be covered for any claim that arises because of your pre-existing medical condition.

Stock images:  Getty, unless otherwise stated.

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Cruise Travel Insurance

Cruise insurance designed for people with pre-existing conditions by medical travel insurance experts.

£10,000,000 Medical Cover

£10,000 Cancellation Cover

£2,000 Baggage Cover

from £50 Policy Excess

Cover limits are per person, per trip.

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Home » Travel Insurance » Cruise Travel Insurance

Cruise travel insurance covering pre-existing medical conditions

If you're planning a cruise holiday, we have a specialist policy extension to ensure you are fully covered which includes a range of cruise specific benefits. Cruises are covered as standard on our policies however you can add the cruise extension to gain additional cover benefits if your trip is under 60 days in duration or if you're purchasing annual cover.

Our single trip cruise extension will cover trips of any duration, to both European and Worldwide destinations. The available single trip duration will vary depending on age, full details of which can be found in our policy wording .

If you have multiple trips planned, including a cruise, our annual multi-trip policies might be the best option for you. They will cover you for unlimited travel up to 31 days per trip, or 45 days if the trip extension is also selected from our policy options.

If your trip is eligible, cruise cover will be presented and should be added during the quote journey once you reach the options page. This will then be displayed on your policy schedule. If you already have a Freedom policy and wish to add the cruise extension, you can do so by phoning us on 01223 446 914.

Get An Online Quote

OR 01223 446 914

Add the cruise option to your Freedom policy to gain additional cover benefits

Cruise travel insurance benefits

What does the cruise extension cover?

- If you miss your port we will cover up to £1,500

• We will pay up to the amount shown in the summary of cover for each missed port in the event of cancellation of a scheduled port visit due to adverse weather or timetable restrictions. 

- If you are unable to participate in your planned excursions we will cover up to £1,500

• We will pay up to the amount shown in the summary of cover for the cost of pre-booked excursions, which you were unable to use as a direct result of being confined to your cabin by the ship’s medical officer for medical reasons.

- If you are confined to your cabin we will cover up to £1,000

• We will pay up to the amount shown in the summary of cover for each 24-hour period that you are confined to your cabin for medical reasons on the advice of the ship’s medical officer.

- If you miss your departure we will cover up to £1,500

• We will pay up to the amount shown in the summary of cover for necessary additional travel and accommodation (room only) expenses required to reach your booked cruise at the next embarkation point, if you are late arriving for your scheduled departure time at the first international departure point as a result of any scenario outlined in the policy wording.

Excess amounts will vary depending on the level of cover chosen. Visit our policy wording for further details. 

Cruise cover trusted by thousands

"Excellent company and great service. I have used Freedom for many years. Peace of mind that we are covered for medical conditions and can enjoy our holiday. Very easy to use, online quotes and staff on the phones are very helpful, thanks."

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Applying for cruise travel insurance with pre-existing medical conditions

You can apply here online or over the telephone; it’s quick, simple and totally confidential. To provide you with a quote, you’ll need to let us know where you are travelling to, and for how long. Make sure to declare all your pre-existing medical conditions for all travellers.

You will be guided through a medical screening questionnaire, where a series of relevant questions will be asked to assess your health and each individual condition. These questions should be answered accurately and to the best of your knowledge.

You will then be presented with available policy options at which point you will need to select the cruise extension for your Freedom policy to cover cruising.

Our team of friendly, medically aware travel insurance agents are here to help

Adding the cruise extension

If you're travelling on a cruise, be sure to select the cruise extension on the options page. This cover can be added to retrospectively by calling the team on 01223 446 914 

Cover your whole trip

You need to cover your whole trip, taking into account the day that you arrive back in the UK

Destination

On a single trip we are able to rate on the country that you are travelling to, which enable us to offer a fairer price

Medical travel insurance frequently asked questions

Generally, Freedom is unable to offer cover for people on a waiting list for surgery but there are exceptions to the rule. Talk to the Freedom Call Centre on 01223 446 914 where we can look if there are any options available , it may be that we can find you a policy that excludes cover for the medical condition relating to the pending surgery.

Should your pre-existing medical conditions, directly or indirectly disrupt your holiday plans, maybe causing you to cancel or possibly resulting in emergency medical treatment abroad, providing you have told us about your medical conditions and cover has been agreed, you will be able to recover your expenses (excesses may apply).

You'll be presented with the cruise extension during our quote journey. Be sure to select this if you'd like to gain additional and cruise specific cover benefits for your trip.

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A Practical Guide to Buying Travel Insurance

Travel insurance could be the difference between a huge medical bill or a modest copay. use these tips to find the best policy for your trip..

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It’s far better to buy travel insurance and never use it than to not be covered in an emergency.

Courtesy of Shutterstock

For many, travel insurance seems like an unnecessary additional expense. But if you get stuck in a costly situation—a medical emergency, a canceled trip due to a pandemic , a stolen camera—it suddenly becomes a totally worthwhile investment that saves, not costs, you money.

This was the case for writer Chris Ciolli. After years of traveling without a safety net, she invested in travel insurance on a recent trip during which she was rushed to the hospital at 3 a.m. for a slew of just-in-case tests. She ended up with an underwhelming diagnosis of gastritis, but also a slow trickle of medical bills—a few hundred dollars here, a thousand there—that totaled nearly $6,000. Fortunately, her monthlong $185 World Nomads policy covered everything after an initial $80 copay.

But even if you understand the benefits and you’re committed to buying travel insurance, choosing the right policy for your needs—and even knowing what those needs are—can be tricky. To help you choose the best travel insurance for your trip, we’ve consulted a number of travel agents, insurance industry professionals, and lifelong travelers for advice. In this guide, you’ll find everything you need to know, from travel insurance reviews and comparisons to common questions answered, to pick the best policy for your next trip.

What is travel insurance?

Travel insurance is a plan, similar to health or auto insurance, that protects you from expenses incurred during unforeseen mishaps while traveling, such as lost luggage, trip cancellations, or medical emergencies.

Although your current homeowner’s, renter’s, auto, or health insurance may cover you for certain things while traveling, it usually doesn’t cover everything—especially on international trips. A good travel insurance plan will cover the gaps.

Where do you get travel insurance?

Some very basic forms of travel insurance are included if you booked your trip with a credit card such as World MasterCard, Capital One Venture Rewards, and Chase Ink and Sapphire cards. With these plans, you may be protected regarding some delay, luggage, and travel accident expenses, but the coverage is usually pretty basic.

You can also purchase it as an add-on while booking flights, cruises, or hotels. These plans are also limited and will only cover you in the event of an unavoidable cancellation due to events such as a natural disaster or a death in your family. “While it may seem less expensive, it may not cover all of the components of your trip,” says Andrew David Harris, vice president and COO of Harris Travel Service . While both of these are better than nothing, the most comprehensive and best travel insurance policies are sold by providers such as World Nomads, Allianz Global Assistance, Seven Corners, or TravelEx. You can purchase these plans through your travel agent, but it’s often less expensive to book directly with the travel insurance provider or through a comparison website, like SquareMouth .

What does travel insurance cover?

Every traveler and trip is different, which is reflected by the variety of travel insurance plans on the market. No matter what plan or provider you choose, below are some common things travel insurance covers. Experts agree that before you buy, you should absolutely look for specific exclusions in the fine print on potential policies. If you’re unsure about something, reach out. A good insurance company will be responsive and willing to clarify your questions.

Trip cancellation and interruption

Most travel insurance policies will include some form of trip cancellation and interruption coverage to reimburse you for nonrefundable expenses, like a prepaid hotel or plane ticket. Unless you add cancel for any reason (CFAR) insurance to your plan, there will be a limited set of acceptable reasons to claim this. Illness, death of an immediate family member, and weather are commonly accepted reasons.

Trip delays and missed connections

Also common is reimbursement for additional expenses incurred if a trip is delayed and meets criteria set out by the provider. With World Nomads, your flight must be delayed by at least six hours to qualify.

Baggage and personal effects

Most plans will cover the cost of lost or damaged luggage and personal belongings as well as the cost of purchasing additional items if your luggage is delayed.

Emergency medical and dental care

This covers the cost of medical care when you get sick or have an accident in another country and usually includes medical evacuation. However, travel insurance isn’t a substitute for regular health insurance so nonemergency medical expenses (physicals, anything cosmetic, eye exams) aren’t covered. Childbirth isn’t covered either, even for pregnant travelers who go into labor prematurely.

Shannon O’Donnell, 2013 National Geographic Traveler of the Year and blogger at A Little Adrift , mentions another coverage gap travelers miss: “You’re only covered for what you’re licensed to do back home—if you don’t have a permit for a motorbike and you drive one in Southeast Asia, you might not be covered in an accident.”

Emergency medical evacuation

This covers the cost of an emergency transfer (in an ambulance or helicopter, for example) from an area with inadequate medical care to the nearest medical center with the services you need. It’s costlier but essential in isolated and politically unstable parts of the world.

Accidental death and dismemberment and repatriation

Experts say that “truckloads of coverage for hospital costs and medical repatriation home” are the most important things to look for. “The rest is just window dressing.” A lot of basic plans won’t include this in their coverage, but you can easily add this on with an upgrade to a more premium tier.

Concierge and 24/7 service

Daniel Durazo, director of Marketing and Communications for Allianz Global Assistance , says that “a good policy includes a 24/7 contact line for both medical and travel emergencies.”

Common travel insurance add-ons to consider

A basic plan is usually enough for most travelers, but it may not cover everything you need if you’re older, have pre-existing medical conditions, participate in sports while traveling, book an expensive trip, or travel with expensive gear (such as a high-end camera). If you fall into any of these categories, consider an add-on or upgrade.

Upgrade lost luggage, trip delay, and cancellation amounts

“Standard travel insurance levels cover more modest belongings and lodging,” advises Annette Stellhorn, president and Group Luxury Travel designer at Accent on Travel . If you’re traveling with expensive gear or spending a lot on your trip, consider upgrading to a tier that covers your costs adequately.

Additional coverage for adventure and high-risk travel

Stellhorn also notes that adventure and high-risk travel “require higher benefit amounts for medical evacuation, which can run more than $250,000.” And Judy Perl at Judy Perl Worldwide Travel says that “most insurance companies will not insure high-risk travel at all, with the exception of big companies like First Allied and Travelex .” Even fewer risky activities and sports may only be covered to a limit: that is, climbing to certain heights and diving to certain depths.

Most sports are covered up to a certain level of intensity; any higher and you may have to purchase a different tier of insurance. World Nomads, for example, will cover a slew of adventure travel activities and sports, but at an additional cost on top of its basic insurance.

Cancel for any reason (CFAR) insurance

It’s important to read the fine print of any insurance plan because, even if it includes trip cancellation coverage, this often only kicks in under certain circumstances. As many travelers found out recently, trips canceled due to the recent coronavirus pandemic were not covered unless they had a CFAR add-on .

Jennifer Wilson-Buttigieg, co-owner and copresident at Valerie Wilson Travel , explains that these plans “only cover 75 percent of trip expenses [and only] if travelers cancel their trips at least 48 hours in advance.”

Does travel insurance cover pandemics?

No. “Once actual events have unfolded, such as the coronavirus outbreak, they are considered known or foreseeable events and are no longer covered by most travel insurance policies,” says Afar’s Michelle Baran . The exception is if you chose to upgrade your plan to include a CFAR add-on.

What are the best travel insurance policies?

The best travel insurance policy will depend on you and your trip. You’ll want to make sure you have a plan that covers the cost of your entire trip and the activities you want to do and won’t leave you in the dark if you have preexisting conditions. The following are some of the best travel insurance partners to consider:

Best for: Older travelers and those with preexisting conditions.

While Allianz provides great travel insurance for any traveler, it’s especially appropriate for those with pre-existing conditions, since those are covered in every one of its plans. However, its basic coverage only covers up to $500 in lost or damaged baggage, so consider an upgrade if you’re traveling with more expensive equipment.

Get a quote: allianztravelinsurance.com

Best for: Medical coverage only

GeoBlue’s Voyager basic medical coverage is not a comprehensive travel insurance plan that covers a slew of scenarios; rather it provides travelers with basic medical travel insurance. The deductible is a high $500, but at $19 to $35 per trip, it’s an inexpensive way to protect yourself in case something catastrophic happens. If you’re adequately covered for travel mishaps like lost luggage or stolen goods by other insurance (like your credit card or homeowner’s insurance), this might be the plan for you.

Get a quote: geobluetravelinsurance.com

Best for: Traveling with kids

With TravelEx, travelers can choose between a basic or select travel insurance package with options to customize it according to their needs. Both plans cover standard things like trip cancellation and emergency medical services and are an all-around comprehensive option. However, its Travel Select plan also includes free coverage for any children under 17 traveling with you. For families, TravelEx Select is a great money-saving option.

Get a quote: travelexinsurance.com

How much does travel insurance cost?

Complete travel insurance packages can cost as little as $8 per day but vary depending on the length of the trip, destination(s), and the tier of travel insurance you choose. Some, but not all, travel insurance may also cost more for travelers with pre-existing conditions or older adults.

As a comparison, here are some examples of travel insurance costs for a 45-year-old traveler on a $5,000, one-week trip to Mexico:

• $138 for an explorer plan with World Nomads
• $179 for a basic plan with Allianz
• $248 for an essential plan with AIG
• $261 for a basic plan with Travelex

While some of these plans may seem expensive, keep in mind that if they provide you the coverage you need, they can be a huge money saver. Insurer World Nomads says that its average claim amount for 2017 was $1,634, and its most expensive claim—a medical evacuation of a child from Sitka, Alaska, to Seattle—was nearly $200,000. Suddenly, that $8 per day makes travel insurance worth it . But, as Michael Holtz, founder and CEO of the travel agency SmartFlyer , says, “People don’t think they need it until they need it.”

How do I buy travel insurance?

You should always buy travel insurance from an official, reputable provider or website, such as purchasing directly through the insurance provider, a travel agent, or a comparison website; these “offer a way to search, compare, and purchase from a wide array of plans,” says Stan Sandberg, cofounder of TravelInsurance.com .

Comparison sites to buy travel insurance include:

• Travelinsurance.com
• SquareMouth
• Insuremytrip

Sandberg strongly recommends consumers speak with a licensed agent when they are unsure about benefits. The website Elliott Report is another good resource and features a list of reputable travel insurance companies compiled by consumer advocate Christopher Elliott.

When to buy travel insurance

Generally, you should book your travel insurance as soon as you can after booking your flights and hotels. If you’re traveling to a destination affected by hurricanes , book sooner rather than later, because you can’t buy insurance to cover delays or cancellations related to a storm that already has a name.

People with preexisting conditions need to consider other factors. Most insurers will cover only expenses related to prior illnesses in very specific circumstances; travelers with preexisting conditions must book coverage within a specific time frame, usually between 14 and 21 days, following their initial trip reservation, and they must be medically able to travel on the date they purchase the insurance.

Your travel insurance policy period should be for the duration of your trip from door to door (no gaps or shortcuts, please) and cover you for every place you plan to visit, whether it’s in-state, out-of-state, or international. Some destinations are at higher risk than others, so insurers don’t offer the same coverage for the same price everywhere.

What does your existing insurance cover while traveling?

While your existing health, auto, renter’s, or homeowner’s insurance may cover a few things while you’re traveling, it likely doesn’t cover everything.

• Health insurance: Many U.S. health-care policies, including Medicare, don’t cover travelers on international trips. Some plans will cover you abroad, so check with your provider. If your health insurance only covers you domestically, both the Centers for Disease Control and the U.S. State Department recommend purchasing medical travel insurance.
• Travel insurance: Credit cards can provide limited coverage of some delay, luggage, and travel accident expenses, as well as part of your rental car insurance.
• Homeowner’s and renter’s insurance: Home contents or rental insurance may cover some lost, stolen, or damaged valuables or even offer a reasonably priced floater policy (an add-on to your regular policy that covers easily moveable property) if you travel with expensive equipment.
• Auto insurance: Within the United States, your primary auto insurance will almost always cover rental vehicles. There are a few exceptions for domestic rentals, like if your current auto insurance has low coverage limits. International car rentals are a different story. In Mexico, for example, rental car insurance is mandatory , even if you have insurance at home. Always be sure to check local rules before you reserve a rental car.

Tips for filing claims and getting reimbursed

Unlike most domestic health insurance policies, travel insurance doesn’t typically have a deductible. Some inexpensive policies will require you to pay a small, nonrefundable, initial policy excess amount before further costs up to the benefit limit are covered. Many policies work on a reimbursement plan: You pay upfront, save your receipts, and file a claim, then after processing, your insurance company pays you back for covered expenses.

Most policies require you pay non-emergency expenses out of pocket and submit your claim for reimbursement afterward. In a non-life-threatening emergency, call your insurer for instruction if you’re able; it will make the claims process easier, and the insurer may be able to direct you to a hospital or medical center where your care can be billed directly to it.

Hannah Logan, of the blog Eat Sleep Breathe Travel , says this step is especially important because the small print on many policies “reads that calling the contact number [may be] a requirement for coverage.”

No matter what, document everything. Whether it’s lost baggage, a medical expense, or damage to your rental car, gather and keep anything that can help your claims case: your original rental car agreement, receipts, photos, medical paperwork, a copy of your boarding pass.

Buying travel insurance is a little like packing a suitcase: It can seem overwhelming at first, but eventually it becomes routine and a necessary part of every trip. Once it does, you can travel worry-free, secure in the knowledge that you’ve saved yourself from a possible $6,000 mistake.

This article originally appeared online in 2018; it was updated on June 19, 2020, and on May 15, 2024, to include current information.

World Nomads provides travel insurance for travelers in over 100 countries. As an affiliate, we receive a fee when you get a quote from World Nomads using this link. We do not represent World Nomads. This is information only and not a recommendation to buy travel insurance.

GOBankingRates works with many financial advertisers to showcase their products and services to our audiences. These brands compensate us to advertise their products in ads across our site. This compensation may impact how and where products appear on this site. We are not a comparison-tool and these offers do not represent all available deposit, investment, loan or credit products.

3 Reasons You Should Get Cruise Insurance and 1 Reason You Should Avoid It

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20 Years Helping You Live Richer

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Trusted by Millions of Readers

Cruising the high seas is a favorite way to explore the world for many. 31.7 million travelers took a cruise last year, according to  Statista , and by 2027, that number is expected to climb to 39.4 million. Cruises are a fun way to meet new people and enjoy delicious food and onboard activities while experiencing new travel adventures.

It all sounds great — until there’s a problem. What if there is a delay, interruptions, medical situation, or other problems during the cruise? You can always check with the cruise company to see what’s covered on their end and read the fine print. However, cruise insurance might be the answer for most cases except one.

Trip Cancellation, Delays and Interruption

Anything from unexpected sickness to severe weather conditions can interfere with your cruise. “This kind of coverage is essential any time of the year, but especially during hurricane season when storms can impact your travel plans,” per U.S. News and World Report.

Medical Emergencies

Nobody ever plans for a medical emergency on vacation, but it can happen. Health insurance often won’t cover medical costs while traveling, especially internationally.

According to the  U.S. Department of State , “The U.S. government does not provide insurance for U.S. citizens overseas. We do not pay medical bills or unexpected medical costs. We highly recommend that you buy insurance before you travel.”

So having cruise insurance that covers medical emergencies could save you big bucks.

Lost, Stolen or Delayed Baggage

Not having your luggage on a cruise is not a great way to start a vacation, but having insurance can give you peace of mind. “Coverage for baggage is important for cruises just like any other trip,” according to U.S. News and World Report. “This type of insurance can pay for essential items you need to buy if your bags are lost or stolen and don’t make it on the ship.”

Credit Card Travel Insurance

You may not need to buy cruise insurance if your credit card offers travel insurance. Many cards provide this service, but the Chase Sapphire Reserve card has the best travel insurance overall, according to  AP.

Benefits include the following:

• Up to $10,000 per person and $20,000 per trip for trip cancellation coverage
• Up to $10,000 per person and $20,000 per trip for trip interruption coverage 
• Trip delay coverage is worth up to $500 per ticket (a six-hour delay is required)
• Baggage delay coverage worth up to $100 daily for five days
• Up to $3,000 per passenger for lost luggage reimbursement
• Up to $1 million for travel accident insurance 
• Up to $75,000 for primary rental car coverage 
• Up to $2,500 when you’re at least 100 miles from home for emergency medical and dental benefits 
• Up to $100,000 for emergency evacuation coverage

Buying travel insurance for your cruise can be worth it to help alleviate concerns and with the right plan can protect you if things go awry.

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How to get long-term care insurance with pre-existing conditions

By Aly Yale

Edited By Angelica Leicht

May 8, 2024 / 9:58 AM EDT / CBS News

Aging Americans face hefty healthcare costs. In fact, the typical nursing room costs seniors $104,000 annually — and that's for a shared room. Even in-home services can come with huge price tags, ranging from $5,720 to $6,292 per month, according to data from Genworth.

Long-term care insurance policies can be a solution for covering these costs. The key is getting a policy before your health turns south, as this can make it difficult to qualify or make your premiums significantly more expensive.

"Long-term care insurance policies require medical underwriting, where insurance companies evaluate your health history and current medical condition," says Susana Zinn, an independent life insurance agent in Miami Beach, Fla. "Pre-existing conditions will surely affect eligibility for coverage."

Still, it's not impossible. Are you considering getting long-term care insurance coverage but already have a pre-existing condition or two? Here's what experts say to do. 

Compare your long-term care insurance options online now .

If you want to purchase a long-term care insurance policy with pre-existing conditions, it may help to do the following:

Understand what would qualify as a pre-existing condition

The first step is to understand what medical conditions might — and might not — impact your long-term care insurance options . 

"High blood pressure — controlled — is probably not a big deal for any type of long-term care policy," says Mike Raines, owner of Raines Insurance Group. "But a history of cancer, dementia, or diabetes can be difficult to get approved for with traditional long-term care policies."

According to Mark Baron, owner of Baron Long-term Care Planning, taking anti-anxiety or cholesterol medications is likely fine, too. You should also consider how your conditions combine together, Baron says. 

"Long-term care insurance is available to those with many pre-existing conditions, but it depends on what the condition is," Baron says. "Some conditions that would normally be insurable may not be when combined with another insurable condition. These are called comorbid conditions."

This might include having diabetes and heart disease simultaneously or having a history of COVID-19 and some sort of respiratory condition. 

"Then there are some issues that are an outright decline by all companies," Baron says. "If someone has been diagnosed with Multiple Sclerosis, Alzheimer's, dementia, Parkinson's, AIDS, and several other medical issues, they can't buy long-term care insurance."

Find out what your best long-term care insurance choices are online now .

Compare insurers

Insurers vary on what they consider pre-existing conditions — and how they treat them — so if you have any sort of pre-existing issue, you'll want to shop around before deciding who to apply with.

"Different insurers have varying underwriting criteria," Zinn says. "Look for insurers who specialize in high-risk applicants or have more lenient policies on pre-existing conditions." 

According to Baron, insurers also have different approaches to long-term care insurance pricing when it comes to pre-existing conditions. While some price-based on your health and the conditions and medications you have, others use a pass-fail system, with a single price for all those who "pass." These approaches can result in two very different premiums, depending on your conditions. 

For this reason, you may want to use an independent insurance agent when shopping around for your policy. 

"An experienced broker can guide you to insurers more likely to accept applicants with pre-existing conditions and help navigate the underwriting process," Zinn says.

Look to your employer

In addition to comparing long-term care insurance companies and talking to an independent agent, you should also work with your employer's human resources department if you're still working. 

"Some employers or organizations offer group long-term care insurance," Zinn says. "These may have less stringent underwriting or guaranteed acceptance." 

Guaranteed acceptance policies don't require medical underwriting or any exams. Even applicants with pre-existing conditions are approved automatically.

If you are approved

If you are approved for a long-term care insurance policy , set your expectations. For one, you might get a higher premium than you'd like. 

"It's likely that premiums will be higher for those with pre-existing conditions," Zinn says. "The additional risk associated with these conditions leads insurers to increase premiums to cover potential future claims."

You also might face waiting periods for coverage of certain conditions or treatments. These typically last anywhere from six months to two years, depending on this issue. 

The bottom line

If you want an affordable long-term care insurance policy, the best option is to apply early — at a young age and before you start having health issues. And if you're worried you won't qualify or get a premium you can afford, explore other options. Many life insurance policies offer long-term care benefits these days, and there are also annuities you can use in a similar fashion. 

These can be easier to qualify for than long-term care policies and are often more affordable. "If the client dies healthy, there will also be a death benefit lump-sum of money that is income-tax-free for the beneficiaries," Zinn says.

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Berkshire Hathaway Travel Protection Review 2024

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Berkshire Hathaway is a multinational conglomerate currently helmed by Warren Buffett. It has a particularly robust insurance department, operating widely known auto insurer GEICO . It also provides a wide variety of travel insurance policies fitting for a major player in insurance market. 

This review will help you understand what Berkshire Hathaway Travel Protection has to offer and guide you toward the right insurance package for your needs.

Berkshire Hathaway Travel Insurance Review

Berkshire Hathaway offers a whopping eight plans that cover a wide variety of trips, whether you are planning a road trip, taking a cruise , or focusing on luxury or adventure. If you're unsure of what you need, the flagship ExtraCare product covers the essentials.

With such a variety of plans, Berkshire Hathaway landed a spot in our guide on the best travel insurance companies . It offers low cost options and generally keeps premiums low, even for older travelers. Additionally, all of its policies, excluding its air travel-only plan, offer pre-existing medical condition coverage.

That said, there are a few key exclusions that hold Berkshire Hathaway back. For one, its cancel for any reason coverage is reserved for the most expensive LuxuryCare tier, and it only covers 50% of trip costs when most of the best CFAR travel insurance policies offer 75% back. Additionally, Berkshire Hathaway's claims system is reportedly spotty, and the company rarely engages with its customer reviews

Types of Policies Offered by Berkshire Hathaway

Berkshire Hathaway offers several travel insurance policies for diverse needs. 

The most popular policy, ExactCare, will work for most travelers. ExactCare's travel-agnostic insurance package offers 3 coverage tiers: ExactCare Value, ExactCare, and ExactCare Extra. Each of these policies covers up to 100% of trip cancellation costs, a minimum of up to $750 in luggage losses, and 24/7 worldwide travel insurance. 

Additional coverage options from Berkshire Hathaway

Category-specific insurance plans are available as well for the following types of travel:

Road trip coverage (ExactCare Lite): ExactCare Lite is a low-coverage policy for nonrefundable costs on domestic road trips such as hotel rooms, attractions, and event tickets. ExactCare Lite also includes emergency medical and medical evacuation coverage for covered events occurring more than 100 miles away from your home.

Importantly, if you have pre-existing conditions that require ongoing care such as diabetes, high blood pressure, etc., a preexisting conditions waiver can be purchased within 15 days of the initial trip payment. Similarly, coverage for your kids can be included if purchased within 15 days of the initial trip payment.

Cruise coverage (WaveCare):  WaveCare covers nonrefundable costs and medical emergencies on cruises, covering cancellations up to $25K per person and medical evacuation coverage up to $750K, which is important since sea to land evacuations can be costly. 

Adventures and activities coverage (AdrenalineCare): If you're taking a bucket list trip with increased risk, higher costs, or complex travel details, take a look at AdrenalineCare. This comprehensive policy offers higher coverage ceilings for trip cancellation or interruption, equipment delay, license fee refunds, medical emergencies, lost baggage, and medical evacuation.

This product is especially useful if you're planning a trip with tight connections for transit, such as short times between connecting flights or a risky transfer from a vehicle to a boat or plane since the plan includes coverage for missed connections. Coverage for pre-existing conditions, financial default, and terrorism is included.

Flight coverage (AirCare): AirCare covers expenses specific to aviation travel including unexpected aircraft and tarmac delays, equipment failure, lost luggage, flight diversions, and late-night travel delays. This product is a good fit for travelers who are comfortable managing other aspects of travel risk on their own but want additional peace of mind in the event of flight-related hiccups.

AirCare sells a standalone policy or as an add-on alongside Berkshire Hathaway's lower-tier travel insurance plans.

Berkshire Hathaway Travel Insurance Cost

The premium you pay will depend on various factors, including the age of the travelers, destination, and total trip costs. The  average cost of travel insurance  is 4% to 8% of your travel costs.

After inputting some personal information, such as your age and state of residence, along with your trip details, like travel dates, destination, and trip costs, you'll get an instant quote for Berkshire Hathaway plans available for your trip. And from there, it's easy to compare each option based on your coverage needs and budget.

Now let's look at a few examples to estimate Berkshire Hathaway's coverage costs.

As of 2024, a 23-year-old from Illinois taking a week-long, $3,000 budget trip to Italy would have the following

travel insurance quotes:

• ExactCare Value: $61
• ExactCare: $112
• ExactCare Extra: $99
• LuxuryCare: $121
• AdrenalineCare: $115

Premiums for Berkshire Hathaway plans are between 2% and 4% of the trip's cost, well within the average cost of travel insurance.

Berkshire Hathaway provides the following quotes for a 30-year-old traveler from California heading to Japan for two weeks on a $4,000 trip:

• ExactCare Value: $135
• ExactCare: $178
• ExactCare Extra: $178
• LuxuryCare: $247
• AdrenalineCare: $233

Once again, premiums for Berkshire Hathaway plans are between 3.4% and 6.2% of the trip's cost, within and below the expected range of travel insurance costs.

A Texas family consisting of two 40-year-old parents with a 10-year-old and 4-year-old on a two-week trip to Australia for $20,000:

• ExactCare Value: $509
• ExactCare: $430
• ExactCare Extra: $771
• LuxuryCare: $972
• AdrenalineCare: $933

Quotes for this trip cost between 2.15% and 4.9%, within the average cost of travel insurance. 

A 65-year-old couple looking to escape New Jersey for Mexico for two weeks with a trip cost of $6,000 would have the following quotes:

• ExactCare Value: $272
• ExactCare: $526
• ExactCare Extra: $462
• LuxuryCare: $582
• AdrenalineCare: $584

Premiums for Berkshire Hathaway plans for older-age travelers are between 4.5% and 9.7%, which is well within the average cost for travel insurance. While it's certainly more expensive than coverage for younger travelers, it's on the lower end of what travel insurance companies often quote for older travelers. 

How to Purchase and Manage a Berkshire Hathaway Policy

Berkshire Hathaway's online quote generator is intuitive and easy to use. You'll need to provide the following information for a quote: 

• Destination country
• Travel dates
• Date of booking
• Traveling method (Car, plane, ship)
• Number of flight segments
• Postal code
• Number of travelers
• Traveler(s) age 
• Trip cost per traveler
• Email address

Once you submit those details, you'll get a list of eligible travel insurance policies and the cost comparison. If you're traveling by air, you'll have to input your flight information. You can also add bonus coverage options and riders to your insurance shopping cart before completing the transaction online.

Note: You'll have a 15-day free look period in which you can cancel your plan and receive a refund.

How to File a Claim with Berkshire Hathaway Travel Insurance

Berkshire Hathaway customers can file a claim through the claims portal, by emailing claims [email protected], or calling (844) 411-2487 and choosing option 5 (+1 (715) 303-6333 for people abroad). Customer service representatives are available between 7 a.m. and 7 p.m. Central Time, Monday through Friday, and the company is closed for national holidays. Callers can also reach an emergency operator 24/7 for travel or medical assistance by selecting options 1 or 2.

You can also file a claim using the dedicated app, available for both iOS and Android devices. That said, customer reviews have mentioned that the app doesn't work, so a more traditional route may be more reliable.

Customers have a year from when the loss occurred to file a claim, though Berkshire Hathaway encourages claimants to file as soon as reasonably possible. For certain types of claims, such as lost baggage, you only need to submit a photograph of the claim you filed with the airline in addition to some basic information about the situation.

Berkshire Hathaway Customer Service and Claims Experience

Berkshire Hathaway boasts an average of 4.31 stars out of five on its Squaremouth page. Most of the positive customer reviews center around peace of mind. Customers were glad they had their policy but didn't have to file a claim. Many of these reviews focus on the buying process, which is fast and customer service is responsive. Reviews note easy processing if you need to push your trip back (and use the same policy for your new trip).

That said, reviews where a claim was involved were more checkered. Customers reported difficulty reaching Berkshire Hathaway's claims team and long wait times, which may be more pronounced during high travel seasons.

While reviews allow customers to air their grievances or sing the praises of their insurance company, they're also a great way for customers to get a response from a company when all other communication methods fail. Many travel insurance companies regularly respond to customer reviews on SquareMouth, Trustpilot, and the Better Business Bureau. Unfortunately, Berkshire Hathaway is not one of these companies. 

Compare Berkshire Hathaway Travel Insurance

Learn more about how Berkshire Hathaway compares to top travel insurance providers.

Berkshire Hathaway Travel Protection vs. Nationwide Travel Insurance

Berkshire Hathaway is ranked favorably next to Nationwide, which is one of the most popular travel insurance providers in the market. You can't go wrong picking a plan from either company. Both offer similarly priced and customizable policies for different types of travelers. These plans are highly ranked by both the Better Business Bureau and thousands of positive customer reviews.

Read our Nationwide Travel Insurance review here.

Berkshire Hathaway Travel Protection vs. WorldTrips Travel Insurance

If you're in the market for one of Berkshire Hathaway's budget insurance policies, you may also want to consider options from WorldTrips. Like Berkshire Hathaway, WorldTrips is an industry leader providing low-cost plans with great coverage for most trips at competitive rates.

If you need travel medical insurance for a study abroad program, WorldTrips offers an international policy designed to meet students' needs. Keep in mind, WorldTrips has exclusions for pre-existing conditions on many policies. So if you're planning on being abroad for an extended period, you should make prior arrangements for things like diabetes, asthma, or other chronic conditions.

Read our WorldTrips Travel Insurance review here.

Berkshire Hathaway Travel Protection vs. Credit Card Travel Insurance

If you're considering the ExactCare Lite or AirCare travel plans from Berkshire Hathaway, you might find equal or even superior credit card travel protection .

Some credit card providers offer travel insurance benefits with sizable payouts. This includes reimbursements for lost or delayed baggage far exceeding Berkshire Hathaways coverage limits. Similarly, some of the best credit cards offering travel insurance also advertise generous ceilings for medical insurance and evacuation benefits extending coverage into the million-dollar range.

Read our guide on the best credit cards with travel insurance  here

Berkshire Hathaway Travel Protection FAQs

Does berkshire hathaway travel insurance cover international destinations.

Yes, Berkshire Hathaway offers plans for international travelers such as its ExactCare, ExactCare Extra, ExactCare Value, and LuxuryCare.

Can I add coverage for adventure sports with Berkshire Hathaway?

Berkshire Hathaway has a plan for adventure sports and activities called the AdrenalineCare plan.

How user-friendly is the claim process with Berkshire Hathaway?

Customer reviews on Berkshire Hathaway's claims process are very mixed. Some customers reported a quick and simple claims process while others report having gone over a month without resolution or communication. 

Are pre-existing medical conditions covered by Berkshire Hathaway policies?

Yes, almost all of Berkshire Hathaway's policies offer pre-existing medical condition waivers . 

What sets Berkshire Hathaway's travel insurance apart from competitors?

Berkshire Hathaway is known for its reliable coverage options, comprehensive plans for various travel needs, and a strong reputation in the insurance market.

Why You Should Trust Us: How We Reviewed Berkshire Hathaway Travel Insurance

To review Berkshire Hathaway Travel Protection, we looked at coverage limits, cost, customer service, claim limits, how plans can be customized, and much more. Then we compared these factors with the best travel insurance companies .

We named Berkshire Hathaway as a top pick in Insider's best travel insurance companies guide because of the company's long-standing reputation in insurance. Berkshire Hathaway's travel insurance policies provide a slew of coverage options at different price points for various types of travelers. Furthermore, the company offers great customer support, intuitive resources, and a big name giving customers peace of mind.

Learn more about how we rate travel insurance companies .

If you enjoyed this story, be sure to follow Business Insider on Microsoft Start.

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Help! Our Cruise Operator Went Bankrupt and We Are Out $17,905.

A couple purchased an Arabian Sea voyage, but Vantage, the cruise company, went under. Their travel insurance was supposed to cover financial default, but the claim was repeatedly denied.

By Seth Kugel

Dear Tripped Up,

In September 2022, I booked a 17-day Arabian Sea cruise through Vantage Travel Services to celebrate my 80th birthday with my wife. The cruise was to set sail in October 2023. I used my credit card to leave a $2,000 deposit and paid the remaining $17,905 shortly afterward by bank transfer. I also bought the Worldwide Trip Protector plan from Travel Insured International (for $1,954), in part because it covered financial default and bankruptcy of cruise lines. Vantage then canceled the cruise and offered me an alternative date I could not make; I also declined their offer of credit and asked for a refund, which they agreed to. But no refund ever came, and they stopped answering the phone. My credit card returned the $2,000, and I filed an insurance claim for $17,905. It was denied, as was my first appeal. Then Vantage filed for bankruptcy, and my second appeal was denied too. The reasons given by the insurer were outrageous. They cited a vague parenthetical phrase in the policy’s bankruptcy clause, claiming I wasn’t covered because I purchased the cruise directly from the cruise line (rather than, say, through a travel adviser). Then they said my policy lapsed when I canceled the trip. But I did not cancel; Vantage did. I also filed a complaint with the New York State Department of Financial Services, which was rejected. Can you help? Michael, Smithtown, N.Y.

Dear Michael,

When Boston-based Vantage filed for bankruptcy last year, it owed thousands of customers a total of $108 million for cruises and other travel products they had paid for but never received. The company’s former owner is facing lawsuits in New York and Pennsylvania. But you had purchased an insurance policy to cover just such a risk, a smart move. Or so you thought until the insurance company, Travel Insured International, denied your claim and then used exasperating logic to fend off your two appeals, first interpreting the policy’s financial default and bankruptcy clause in a maddening way and then twisting the meaning of the word “cancel.”

You made a few mistakes as well — most notably, by making a claim based on a financial default that had not yet happened. But after speaking with law professors, insurance experts and competing insurance companies, I believe Travel Insured International was wrong, at least by the time of your second appeal, and should pay up.

What does it have to say for itself? For nearly five months, Travel Insured International and its parent company, Crum & Forster, did not respond to my detailed inquiries. Days before publication, however, a spokeswoman, Amy Whilldin, sent the following statement:

“The claim was properly considered, and the correct determination was made based on the facts of this claim, which was to the satisfaction of both the New York Department of Financial Services and the New York State attorney general.”

Ms. Whilldin is correct about the state’s financial services department . An examiner with the department, which regulates the insurance industry, rejected your complaint. “After a review of the policy language," he wrote, “we do not find they are acting in an arbitrary or capricious manner,” referring to Travel Insured International. I disagree with that determination, as we are about to get into.

But the attorney general’s office was not satisfied. You had complained to its Department of Consumer Frauds and Protection, and they did not receive a response from the company. “Despite our repeated efforts,” an employee wrote, “they have failed to respond.” The letter goes on to recommend you consider suing the company.

I have a better idea. You should file a formal grievance with Travel Insured International, which under your policy allows you to submit new evidence, and if that fails even argue your case in person. (You told me you are not interested in a third option, to accept travel credits under the conditions offered by the Australian company that bought Vantage’s assets.)

In the meantime, your story provides great lessons on how travelers should choose the appropriate travel insurance policy, and what can go wrong even when they do.

In your initial claim to Travel Insured International, filed in late 2022, you cited Vantage’s “very poor record” in refunding its customers and your “assumption that the company is in default in making payments.”

This was an error: Your policy defines financial default as “the total cessation of operations,” and Vantage at the time was running at least some cruises. Travel Insured International’s response simply said that “your travel supplier canceling your trip is not a covered reason.” True.

When you first appealed in April, Vantage was two months short of declaring bankruptcy outright, and was not yet in financial default as defined by the policy. But it was teetering. (That one of its cruises left at all made headlines in The Boston Globe .) This time, Travel Insured International denied your claim, citing the bankruptcy clause, which protects policy holders in case of “Bankruptcy or default of an airline, cruise line, tour operator or other travel provider (other than the Travel Supplier, tour operator, travel agency, organization or firm from whom you purchased your travel arrangements).”

That parenthetical says you are not covered if the organization that sold you the cruise goes bankrupt. You purchased the cruise directly from Vantage, so you are not covered, according to the claims adjuster’s reasoning. (Why the company even cited this clause, if the cruise line was not yet in default, remains a mystery.)

Similar clauses appear in many travel policies, but that’s not what they’re supposed to mean, said Loretta Worters, vice president for media relations at the Insurance Information Institute , an industry group.

Such provisions, she explained, are intended to exclude coverage for an unscrupulous or financially flailing middleman that goes belly-up after collecting your money but before passing it along to the actual travel provider.

“Some of these are fly-by-night, travel-agencies-in-their-kitchen kinds of things,” Ms. Worters said. ( We encountered one such agency in a previous Tripped Up column .)

Guess who agreed with Ms. Worters: The agent who answered the phone when I called Travel Insured International’s customer care line as a potential customer. I asked about the clause and she agreed it was ambiguous, checking with a supervisor before saying: “If you are booking directly with the company and the company itself goes under default or bankruptcy, you would be able to file a claim for the nonrefundable portion of your trip.”

Ms. Whilldin, the spokeswoman for Travel Insured International, did not specifically answer my question about this apparent conflict. But it seems their claims adjuster made a mistake, aided by the ambiguous language of the underwriter who wrote the policy. (That’s United States Fire Insurance, another Crum & Forster company.)

Now, let’s discuss the second appeal. “Once you cancel your trip, the coverage under the plan ends,” Travel Insured International said. Your argument is that you did not cancel; Vantage did.

I think almost anyone who isn’t a lawyer would agree with you. But Oren Bar-Gill , a professor at Harvard Law School and the author of “Seduction by Contract: Law, Economics and Psychology in Consumer Markets,” explained to me the opposing argument. Vantage was contractually allowed to change the dates or offer credit, and you refused, the equivalent of canceling.

But, he added, when Vantage agreed to refund your cruise, it could be “considered a waiver of their contractual rights,” weakening the argument that you canceled your contract.

In a lawsuit New York State filed against the now-defunct Vantage and its former owner, Henry Lewis, the issue also comes up: The suit says Vantage “deceptively” mislabeled cancellations as “postponements.”

Even Travel Insured International admitted that Vantage had canceled, in its original letter rejecting your claim. “It is our understanding that your travel supplier, Vantage, canceled your cruise,” the claims adjuster wrote. Somehow, however, by the third response you had gone from cancelee to canceler.

You also missed a red flag when you chose your policy. Suzanne Morrow, the chief executive of InsureMyTrip , where you found your plan, told me you called the company within minutes of your purchase and asked an agent to point you to the bankruptcy clause. (You confirmed this to me.)

That means you’re not the typical insurance customer blindsided by small print you never read. If you were so concerned about the cruise line’s solvency, you could have canceled your plan during the insurer’s “free look” period and chosen one with more straightforward language — I found several on the InsureMyTrip website.

What lessons can we take away from your debacle?

To begin with, pay for everything with a credit card when your credit limit allows. Because of an odd quirk in a 1974 law , card issuers are required to reimburse you if the company you interacted with goes bankrupt.

Beyond that, the basic advice for travel insurance remains unchanged: Shop for a plan separately through a provider you trust or an aggregator like InsureMyTrip, rather than adding trip protection by checking a box just before you purchase a big-ticket item. Read the policy summaries fully and click through to the actual policy document to read fine print on issues that concern you most (say, bankruptcy protection or medical coverage for pre-existing conditions).

If you don’t understand anything, call the company. If it cannot answer satisfactorily and follow up in writing, choose another provider.

If you need advice about a best-laid travel plan that went awry, send an email to [email protected] .

Follow New York Times Travel on Instagram and sign up for our weekly Travel Dispatch newsletter to get expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places to Go in 2024 .

Seth Kugel is the columnist for “ Tripped Up ,” an advice column that helps readers navigate the often confusing world of travel. More about Seth Kugel

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