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What is the Cruise Ticket Contract?

For more information regarding your cruise ticket contract, please reference our Terms and Conditions.

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Royal Caribbean International

Resuming Cruising with a COVID-19 Cruise Ticket Contract

By BirdTravels , April 11, 2021 in Royal Caribbean International

BirdTravels

The current cruise ticket contract mentions COVID-19 forty-seven times. And includes a new section solely devoted to addressing COVID-19 Policies, Procedures, and Acceptance of Risks. Here's what you are agreeing to when sailing during the restart.

4. PUBLIC HEALTH, COVID-19 POLICIES AND PROCEDURES, KNOWING ACCEPTANCE OF THE RISKS

a. Recommended Consultation with Personal Physician . Passengers are encouraged to discuss the advisability of travel with their personal physicians and to review the U.S. Centers for Disease Control (“CDC”) website for updated information. The CDC has identified elderly persons and persons with certain chronic medical conditions as being at increased risk of life-threatening complications from being infected with COVID-19. PASSENGER ACKNOWLEDGES, UNDERSTANDS AND ACCEPTS THAT WHILE ABOARD THE VESSEL, IN TERMINALS AND BOARDING AREAS, OR DURING ACTIVITIES ASHORE AND/ OR WHILE TRAVELING TO OR FROM THE VESSEL, THE PASSENGER OR OTHER PASSENGERS MAY BE EXPOSED TO COMMUNICABLE ILLNESSES, INCLUDING BUT NOT LIMITED TO COVID-19, INFLUENZA, COLDS AND NOROVIRUS. PASSENGER FURTHER UNDERSTANDS AND ACCEPTS THAT THE RISK OF EXPOSURES TO THESE COMMUNICABLE ILLNESSES AND OTHERS IS INHERENT IN MOST ACTIVITIES WHERE PEOPLE INTERACT OR SHARE COMMON FACILITIES, IS BEYOND CARRIER’S CONTROL, AND CANNOT BE ELIMINATED UNDER ANY CIRCUMSTANCES. PASSENGER KNOWINGLY AND VOLUNTARILY ACCEPTS THESE RISKS AS PART OF THIS TICKET CONTRACT, INCLUDING THE RISK OF SERIOUS ILLNESS OR DEATH ARISING FROM SUCH EXPOSURES, AND/OR ALL RELATED DAMAGES, LOSS, COSTS AND EXPENSES OF ANY NATURE WHATSOEVER.

b. Agreement to Abide by Current COVID-19 Policies and Procedures . Carrier’s COVID-19 Policies and Procedures are subject to guidance and directives of established health authorities in the U.S. and other destinations where the Vessel visits, including the CDC and other international, national and local health agencies when the Vessel is within those agencies’ jurisdiction. Passenger acknowledges that these directives may change from time to time and that Carrier’s COVID-19 Policies and Procedures may therefore change. Passenger expressly agrees to comply not only with the COVID-19 Policies and Procedures as they are described herein, but also as they are set forth on Carrier’s website at Page 4 of 16 www.RoyalCaribbean.com, at all times including pre-embarkation, while onboard, during port calls and shore excursions and/or final disembarkation. In case of any conflict between the COVID-19 Policies and Procedures described herein or on Carrier’s website, the website governs. Passenger’s agreement to abide by Carrier’s COVID-19 Policies and Procedures constitutes an integral part of this Ticket Contract.

c. COVID-19 Policies and Procedures. Passenger understands that Carrier’s COVID-19 Policies and Procedures may or will include (but are not be limited to): (1) providing an accurate, truthful and complete health questionnaire in a form and containing any and all health or travel-related questions as required by Carrier in its sole discretion, for each Passenger prior to boarding; (2) pre-embarkation and/or periodic testing and temperature checks of each Passenger; (3) modified capacity rules for activities (including but not limited to restaurants, gyms, and entertainment events onboard and for shore excursions) which may limit or eliminate the ability of Passenger to participate in particular activities; (4) mandatory use by each Passenger (except where medically contraindicated) of face coverings in most locations outside of the Passenger’s cabin while onboard, during embarkation, disembarkation and shore excursions; (5) mandatory social distancing of Passengers at any/all times while on board and during embarkation, disembarkation, and shore excursions; (6) additional restrictions during shore excursions depending on local conditions, including but not limited to denial of disembarkation at destinations unless participating in only Carrier-approved shore excursions; (7) mandatory hand [1] sanitizing by Passenger upon entry or exit of any public areas; (8) confinement of Passengers to cabins, quarantine or emergency disembarkation of Passenger if, in Carrier’s sole discretion, such steps are necessary to prevent or slow the spread of COVID-19; (9) the required completion by Passenger in a timely manner of any written authorizations or consent forms required for Carrier to carry out its COVID-19 Policies and Procedures (including but not limited to medical information, medical privacy, or personal data privacy consent forms), and; (10) other policies and procedures deemed by Carrier in its sole discretion to be necessary to reduce the risk of spread of COVID-19. Passenger acknowledges that: (i) Carrier’s Privacy Policy for Health Protection Measures (“Health Privacy Policy”) is an integral part of Carrier’s COVID-19 Policies and Procedures; (ii) the Health Privacy Policy has been made available to Passenger; and (iii) Passenger agrees to the terms of the Health Privacy Policy.

d. Mandatory Compliance with COVID-19 Policies and Procedures . Notwithstanding any other provision contained herein or in Carrier’s Refund Policy, any noncompliance by Passenger or members of Passenger’s travelling party with Carrier’s COVID-19 Policies and Procedures or this Ticket Contract shall be grounds for refusal to board, refusal to re [1] board after going ashore, quarantine onboard the Vessel, disembarkation, reporting to governmental or health authorities, or other steps deemed necessary in Carrier’s sole discretion under the circumstances to protect the health and well-being of others. Under these circumstances, Passenger shall not be entitled to a refund or compensation of any kind. Passenger will be responsible for all related costs and fines, including without limitation travel expenses and for proper travel documentation for any port, or for departure from or arrival to Passenger’s country of residence. Under no circumstances shall Carrier be liable for any damages or expenses whatsoever incurred by any Passenger as a result of such denial of boarding, refusal to re-board, quarantine, disembarkation, or other steps taken by Carrier.

e. Passenger Testing Positive for COVID-19 Pre-Cruise. Passenger agrees that if at any time within 14 days prior to embarkation, Passenger tests positive for COVID-19, exhibits signs or symptoms of COVID-19, has had close contact with a person confirmed or suspected as having COVID-19, or Carrier otherwise determines in its sole discretion that Passenger is unfit to board because of any communicable illness, Carrier will deny boarding to such Passenger. Under these circumstances, unless Carrier determines that Passenger has failed to comply with Carrier’s COVID-19 Policies and Procedures or this Ticket Contract, any Passenger denied boarding because of a known or suspected infection with COVID-19 will be entitled to a refund or future cruise credit equal in value to the Cruise Fare Passenger paid to Carrier. Carrier, in its sole discretion, may require Passenger to provide verification satisfactory to Carrier of Passenger’s positive test result if the test was administered by a provider other than those retained by Carrier. For further details, refer to Carrier’s refund and cancellation policy at www.RoyalCaribbean.com. Under no circumstances shall Carrier have any other liability for any compensation or other damages whatsoever, including but not limited to compensation for lodging or travel.

f. Passenger Testing Positive for COVID-19 During Cruise. Passenger understands and agrees that if, after boarding, and Page 5 of 16 even if Passenger has fully complied with all COVID-19 Policies and Procedures, Passenger tests positive for COVID-19 or exhibits signs or symptoms of COVID-19, Carrier may disembark, refuse re-boarding after a shore excursion, or quarantine Passenger as well as members of Passenger’s travelling party, or take other steps which Carrier determines, in its sole discretion, are necessary under the circumstances to protect the health and well-being of others. Under these circumstances, any such Passenger with a known or suspected case of infection with COVID-19 who is disembarked, refused re-boarding, or quarantined shall be entitled to a prorated refund or future cruise credit for the unused portion of the Cruise Fare. For further details, refer to Carrier’s refund and cancellation policy at www.RoyalCaribbean.com. Each such Passenger is responsible for all other related costs and fines, including without limitation travel expenses. Under no circumstances shall Carrier be liable to any such Passenger for any costs, damages or expenses whatsoever incurred by any Passenger

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Mapleleafforever

6 hours ago, BirdTravels said: (4) mandatory use by each Passenger (except where medically contraindicated) of face coverings in most locations outside of the Passenger’s cabin while onboard, during embarkation, disembarkation and shore excursions; (5) mandatory social distancing of Passengers at any/all times while on board and during embarkation, disembarkation, and shore excursions

Sounds like fun.

smokeybandit

If only we had a vaccine that would help minimize the need for facemasks.

6 minutes ago, smokeybandit said: If only we had a vaccine that would help minimize the need for facemasks.

Unfortunately, vaccines do NOT prevent you from catching COVID. They only prevent you from becoming seriously sick

and spread the disease when

you catch it.

1 minute ago, BirdTravels said: Unfortunately, vaccines do NOT prevent you from catching COVID. They only prevent you from becoming seriously sick and spread the disease when you catch it.

So, like the flu, which no one ever wears masks for.

And there's been no evidence of a vaccinated person spreading covid

not-enough-cruising

1 hour ago, BirdTravels said: Unfortunately, vaccines do NOT prevent you from catching COVID. They only prevent you from becoming seriously sick and spread the disease when you catch it.

Spread of virus on a 100% vaccinated ship would be 0.00% even un-masked.

8 minutes ago, not-enough-cruising said: Spread of virus on a 100% vaccinated ship would be 0.00% even un-masked.

This depends, not sure if this was asked before however if a lot of the crew will receive the Chinese Vaccination which is significantly less effective than PFIZER / BIONTECH or MODERNA this could also be an issue.

🤣 They covering their Saases. Thats for sure. 🤪

32 minutes ago, not-enough-cruising said: Spread of virus on a 100% vaccinated ship would be 0.00% even un-masked.

No. None of the vaccines are 100% effective. Last week they had counted 200+ fully vaccinated people in Michigan who got covid AFTER the 2 weeks following the second vaccine. And that's only the ones who were found and verified.

35 minutes ago, bouhunter said: No. None of the vaccines are 100% effective. Last week they had counted 200+ fully vaccinated people in Michigan who got covid AFTER the 2 weeks following the second vaccine. And that's only the ones who were found and verified.

And not a single one was hospitalized, had significant symptoms (many were asymptomatic) and there was ZERO transfer between vaccinated individuals.

You can’t look at all infections the same. Infection or positive test among a vaccinated individual is a completely

different thing than an inflection in an individual without pre existing antibodies.

Case in point, all 3 hospitals that I am

on staff, completely halted testing on vaccinated individuals before elective procedures, because we know it doesn’t matter, these people are safe to be in the hospital without any extra precautions. Thank you, you just proved my point.

53 minutes ago, LXA350 said: This depends, not sure if this was asked before however if a lot of the crew will receive the Chinese Vaccination which is significantly less effective than PFIZER / BIONTECH or MODERNA this could also be an issue.

Good point, my statement was based on the assumption that ships embarking from US ports would have the crew receiving a FDA or EMA approved vaccine.

33 minutes ago, bouhunter said: No. None of the vaccines are 100% effective. Last week they had counted 200+ fully vaccinated people in Michigan who got covid AFTER the 2 weeks following the second vaccine. And that's only the ones who were found and verified.

200 out of how many? Basically a statistically insignificant amount

Sounds like trying to take a vacation inside a hospital ward.

So they may or may not require a pre-cruise negative covid-19

test? I wonder what their determination factor will be for that?

Sounds like check-in will try peoples patience.

2 hours ago, not-enough-cruising said: And not a single one was hospitalized, had significant symptoms (many were asymptomatic) and there was ZERO transfer between vaccinated individuals. You can’t look at all infections the same. Infection or positive test among a vaccinated individual is a completely different thing than an inflection in an individual without pre existing antibodies. Case in point, all 3 hospitals that I am on staff, completely halted testing on vaccinated individuals before elective procedures, because we know it doesn’t matter, these people are safe to be in the hospital without any extra precautions. Thank you, you just proved my point.

I work in medical field and have seen my own number of patients who have become sick after vaccinated and some needing hospitalization and even being put on a ventilator. I have no issues with what your hospital is doing as everyone in the hospital is a medical professional and they know they need to still take precautions. The general public doesn't know this and doesn't practice safe measures no matter what as would be needed on a cruise ship where everyone is in close contact to one another.

Lets not kid ourselves - science has not caught up to this virus is real time - to say we know for sure anything about covid is like betting on a horse that ultimately breaks it leg in the final stages of a race. The best we know isn't really helping us move forward at the speeds everyone would like to go.

14 minutes ago, Stick93 said: I work in medical field and have seen my own number of patients who have become sick after vaccinated and some needing hospitalization and even being put on a ventilator. I have no issues with what your hospital is doing as everyone in the hospital is a medical professional and they know they need to still take precautions. The general public doesn't know this and doesn't practice safe measures no matter what as would be needed on a cruise ship where everyone is in close contact to one another. Lets not kid ourselves - science has not caught up to this virus is real time - to say we know for sure anything about covid is like betting on a horse that ultimately breaks it leg in the final stages of a race. The best we know isn't really helping us move forward at the speeds everyone would like to go.

Are you a physician?

1 minute ago, mek said: Are you a physician?

Yes - and I think people should take the vaccine and it will hopefully help us get through this faster. I have also taken the vaccine but still have not stopped all the safety measures I feel are right for me and have kept me safe for the past year - both at work and at in the community.

13 minutes ago, Stick93 said: Yes - and I think people should take the vaccine and it will hopefully help us get through this faster. I have also taken the vaccine but still have not stopped all the safety measures I feel are right for me and have kept me safe for the past year - both at work and at in the community.

Unfortunately, facts only sway a small percentage of opinions in todays American society.

Thanks for sharing though and keep up the good fight.

I didn't see anything about mandatory vaccinations. Did I miss something? Also, if you are tested after being vaccinated and test positive with no symptoms can they keep you from boarding the ship after an excursion? It seems to say that anyone who tests positive (vaccinated or not) can be kicked off the ship at any time (hopefully not while at sea, lol).

I have lots of questions also regarding masks. I get sick every time I wear a mask for longer than a couple of minutes. I have attributed it to breathing in my own CO2 and bacteria that my body said needs to be expelled. So, I don't wear masks anymore and wear a shield only because I have to buy food for my family. Otherwise, I do not frequent places that require masks. So, if I get sick from a mask, isn't my body telling me something? Also, I learned in Bio class in college that our immune system is built up by being exposed to germs. If I am constantly using anti-bacterial, wearing a mask and distancing myself from other people's germs aren't I lowering my immune systems response to fight off germs? These are honest questions and I am not trying to start a fight. It seems that when you ask these questions people get quite upset. I don't know why. I think that they are fair questions to ask.

I think all cruise lines will require proof of vaccination. It would be insane not to!

45 minutes ago, easy1234 said: I'm genuinely curious about something. So you are a physician, it means you went through medical school and have some form of understanding of viruses, vaccines, etc... and know that no vaccine is 100% effective (though the COVID vaccine has a higher efficacy rate than past vaccines (e.g. Polio)). I'm sure in medical school, you learned that the modern day flu evolved from the Spanish Flu, and you are smart enough to understand that we will never get rid of COVID-19. My question to you is, at what point will you believe masks and other forms of ppe are no longer required?

First of all I realize you are trolling me as this is a first post and you seem to know exactly how to use the site.

I am not forcing you to take the vaccine/treatnment and I don't force anyone to take it here or in my professional roll. I see many back seat doctors who recently stayed in a Holiday inn express have their opinions and time will tell if what you are saying will help the situation, or hurt it. Covid is something we have all never seen and have no clue how long it will stay but it could be for the foreseeable future and longer. Our politicians on either side see it as an opportunity to energize their bases and are doing a great job fanning those flames.

I believe anyone could stop wearing any form of PPE if that is what you want is permitted in your state and city in public. I keep myself safe the way I feel I want to. If that is by wearing a space suit or nothing at least it will be my decision. I don't think science has fully grasped this situation, and comparing it to what we know up until now has not tamed this beast called COVID.

You do you!

1 hour ago, easy1234 said: I'm genuinely curious about something. So you are a physician, it means you went through medical school and have some form of understanding of viruses, vaccines, etc... and know that no vaccine is 100% effective (though the COVID vaccine has a higher efficacy rate than past vaccines (e.g. Polio)). I'm sure in medical school, you learned that the modern day flu evolved from the Spanish Flu, and you are smart enough to understand that we will never get rid of COVID-19. My question to you is, at what point will you believe masks and other forms of ppe are no longer required?

When new cases goes to zero and positivity goes to zero?

54 minutes ago, jp2746 said: I didn't see anything about mandatory vaccinations. Did I miss something? Also, if you are tested after being vaccinated and test positive with no symptoms can they keep you from boarding the ship after an excursion? It seems to say that anyone who tests positive (vaccinated or not) can be kicked off the ship at any time (hopefully not while at sea, lol).

Vaccinations is a requirement for current cruises.

If you test positive, even if vaccinated, you have COVID. And you will be quarantined on the ship or kicked off.

7 hours ago, not-enough-cruising said: Spread of virus on a 100% vaccinated ship would be 0.00% even un-masked.

If you are vaccinated, you can still catch COVID. The vaccines only prevent you from getting seriously sick. If you test positive, there is enough virus to spread.

OK, posting on the original topic here, the new cruise contract doesn't say anything that I didn't already expect it to say. I want to be covid-free, not sick, and socially responsible. Having developed a respiratory infection on almost all cruises I've been on in the last several years, I will probably wear a mask during flu season even after they are not mandatory (if that every happens).

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Royal Caribbean – The fine print associated with a Royal Caribbean cruise has been updated.

Royal Caribbean informed passengers with a cruise booked that the cruise line has amended its Cruise Ticket Contract, which is the legal terms all passengers agree to when booking a cruise.

“We’re making important changes to our legal terms and simplifying the process by which these terms – which are applicable to your cruise purchase and other activities, services, and products related to your cruise – are communicated to you and all our guests from around the world,” the cruise line stated in an email to guests.

The changes went into effect on April 12, 2023, and will apply to sailings that depart on or after that date.

The changes apply to the Cruise Ticket Contract, Booking Conditions, and Global Purchase Terms and Conditions. Royal Caribbean highlighted three changes they believe are the most important.

Primary Country of Residence

The cruise line says the Cruise Ticket Contract or Booking Conditions applicable to your cruise purchase are now determined by your Primary Country of Residence. This means whichever country you live in primarily at the time of booking will be which contract applies to you. Royal Caribbean will determine the primary country of residence based on what’s indicated by you, your agent, or other representative at the time of booking the cruise or at online check-in.

COVID-19 Policy

One change is there are now less days prior to a cruise beginning to have tested positive for Covid to qualify for a refund.

Royal Caribbean changed the policy from 14 to 5 days prior to embarkation if a passenger tests positive for Covid, exhibits signs or symptoms of Covid, or has had close contact with a person confirmed or suspected as having Covid, Royal Caribbean may deny boarding.

The two changes here are 14 to 5 days, and the word “will deny boarding” to “may deny boarding”.

Unless the passenger failed to follow Royal Caribbean’s Covid policies and procedures, any passenger denied boarding under these circumstances will be entitled to either a refund or a future cruise credit equal in value to the cruise fare passenger paid.

Cruise Cancellation or Deviation Due to COVID

The updated cruise contract removed verbiage under the “Cancellation, Deviation, Or Substitution By Carrier” section related to public health emergencies. The phrase “as a result of a declaration of a public health emergency or government order” has been removed.

Why the cruise contract is important

The cruise contract is an important legal document that you agree to when booking a cruise. It encompasses protocols and policies related to guest conduct and expectations during a cruise. Every cruise line includes this as part of the agreement you make when you book a cruise.

Upon placing a deposit, Royal Caribbean adds a check box to indicate the guest has read through the Cruise Contract and agrees to everything inside.

9 Cruise Line Ticket Contract Surprises

Doug Parker

September 6, 2023

When checking in for their sailing, most passengers breeze past their acknowledgment of the cruise contract — often known as the Cruise Line Ticket Contract or Contract of Carriage and a required part of the check-in process — without bothering to read it.

When you book a cruise, you enter into a legally binding agreement with the cruise line. This agreement, called the Cruise Line Ticket Contract, outlines the terms and conditions that govern the cruise service.

It covers essential information such as the cruise line’s liability, cancellation policies, expectations of guest behavior, itineraries, the responsibilities of the cruise line, and more.

Yes, lawyers wrote a dozen pages of legalese to protect the cruise line in almost every possible scenario. Still, since your cruise vacation is governed by what you’re signing, it’s worth looking closer.

Before we begin, let’s differentiate between the cruise line ticket contract and the Cruise Line Passenger Bill of Rights.

After highly publicized cruise incidents, the Cruise Lines International Association established the Cruise Line Passenger Bill of Rights .

It explains compensation or cancellation policies for mechanical failures or the inability to disembark. It is easy to understand and focuses on ethical treatment rather than legal jargon.

On the other hand, the Cruise Line Ticket Contract is the legal agreement you enter into with the cruise line each time you sail.

We reviewed the cruise contracts for the major players, including Carnival Cruise Line, Royal Caribbean, and Norwegian Cruise Line, and found these somewhat surprising provisions.

No Liability For Medical Care Onboard

Medical equipment on a table with a monitor at a hospital.

Norwegian Cruise Line’s ticket contract states that:

Believe it or not, if you’re sick and must visit the ship’s doctor, you do so at your own risk.

Most cruise lines won’t accept any responsibility for the actions of the doctors, nurses, and other staff in the shipboard medical centers, who are typically independent contractors rather than cruise line employees, something that is normally buried within the fine print of a cruise line’s website.

FACT CHECK: Cruise Industry Illness and Cleanliness Standards

The doctors and nurses are trained, certified, and credentialed, though typically at medical colleges and universities outside the U.S., and the cruise lines have quality facilities to treat emergencies.

Still, if something goes wrong, you’ll need to often pay out of pocket or pursue relief directly from the healthcare provider or travel insurance carrier rather than the cruise line.

It’s important to look at travel insurance and if there’s a provision for medical care or emergency medical evacuation, which can run in the thousands of dollars.

Itineraries Can Change at Any Time

While it’s always in the best interest of cruise lines to operate their published itineraries, sometimes things go awry, and they are forced to skip a port or modify an itinerary.

For example, Great Stirrup Cay, Norwegian Cruise Line’s private island destination, is frequently a missed port when the seas are too rough to tender ashore.

Here’s what Norwegian Cruise Line’s ticket contract says about missed ports:

Guests who cruise during hurricane season know that the lines often change itineraries to keep the ship and its passengers out of harm’s way – cruise lines will occasionally stay at sea an extra day or two to avoid bad weather, providing guests additional time at sea at no additional cost.

But many guests don’t realize that cruise lines can change your itinerary for any reason they see fit.

Hurricane Season: What Cruisers Need To Know

There are many reasons a particular port might be skipped, from weather conditions that would make it difficult for the captain to dock to mechanical issues that impact the speed at which the ship can travel, port closure, strikes, or political unrest.

Of course, cruise lines want to minimize port changes as they impact passenger satisfaction and scheduling, so they usually keep things the same.

But when weather conditions or operational needs require an itinerary change, the cruise line will do what it needs to do to ensure the safe operation of the ship.

Remember, cruise lines will do everything possible to operate the published itinerary.

Still, a lot happens behind the scenes when ships are forced to miss a port – refunding and re-booking of shore excursions and adding unscheduled activities and entertainment options should a ship need to spend the day at sea, not to mention plans for dealing with the guests who are upset for the cruise line bypassing or substituting a destination.

Cruise Lines Can Place a Lien On Your Luggage

Carnival Cruise Line is quite clear on what happens if you run up a big onboard bill or take cash advances in the casino and your credit card gets declined, or you get a little too tipsy and damage something on the ship and don’t settle up.

The cruise line might have the right to confiscate your luggage, property, or any cash you have onboard and sell or auction it to satisfy your bill as outlined below:

You Can Be Denied Boarding

A passport in a black bag with a cruise line ticket

Like all cruise lines, Norwegian Cruise Line guests must present proper documentation to travel and are responsible for obtaining any visas for international travel. This can be particularly complicated on world cruises, where travel requirements can vary significantly from country to country.

Everyone knows that if you fly internationally, you need a passport, but it might not initially occur to some first-time passengers that you also need documentation to cruise.

Like other forms of international travel, for those cruises that depart from the US, you must have proper proof of citizenship to re-enter the country at the end of the sailing.

READ: Do I Need a Passport To Cruise?

Suppose you show up for your cruise without a valid passport or (for closed-loop sailings from the U.S.) a certified copy of your birth certificate and a valid government ID. In that case, you can be denied boarding, and oftentimes, you will not receive a refund or be allowed to reschedule your cruise.

The same applies to exotic itineraries that require specific visas, medical documentation, or proof of vaccination.

As the cruise line ticket contract outlines, the cruise line places the responsibility on the guest to explore and obtain this documentation and is not responsible for guests who don’t follow the rules.

Simply put – if your paperwork isn’t in order, you’re not cruising, so be sure to plan accordingly.

It’s Hard to Sue The Cruise Line

Cruise lines have worked very hard to establish a legal precedent that if something goes wrong on your cruise, you may not be able to have your day in court.

Here’s what Carnival Cruise Line says about any potential legal recourse should you be dissatisfied with your cruise experience:

Maritime attorney Jim Walker told us, “Cruise passengers must be aware of where the cruise line requires a suit to be filed.”

Mr. Walker told us that many Miami-based cruise lines, like Carnival, Royal Caribbean, and Norwegian Cruise Line, chose the forum in Miami. Princess Cruises has chosen Los Angeles.

Holland America Line has picked Seattle. COSTA list Genoa. Other cruise lines not based in the U.S. have designated locations throughout Europe.

He gave an interesting case of a guest injured on a vessel chartered by a U.S. cruise line, but because the ship did not stop at a U.S. port, a clause in the ticket contract stated the cruise line lawsuit had to be filed in Paris, France.

Except for personal injury or death, you probably won’t be able to sue the cruise line if something goes wrong on your vacation.

Instead, you’ll need to participate in binding arbitration, a quasi-legal process overseen by an arbitrator, usually with legal training, who hears evidence from both sides and makes what they believe to be a fair, equitable decision.

READ: Court Throws Out Drunk Cruiser’s Lawsuit

And since it’s binding arbitration, the arbitrator’s decision is final and can’t be appealed or questioned. Binding arbitration reduces risks for the cruise line, as there are no sympathetic juries awarding cruisers large sums of money, and the arbitration process usually moves faster than court trials, further reducing legal costs for the cruise line.

That said, it’s not entirely impossible to take a cruise line to court, as has been done so repeatedly. However, it is something the cruise line will work overtime to avoid.

They Can Use Your Photos For Marketing

Passengers onboard National Geographic Quest in Alaska

Did you know cruise lines can use your photos for anything they want?

Carnival Cruise Line, for instance, outlines their guidelines for using guests’ likenesses or images taken during the cruise:

If you’re having a good time on your cruise and are beaming from ear to ear while enjoying the day’s drink, the cruise line might want to snap your photo and use it in their next email or brochure.

Although this rarely happens as cruise lines tend to use models for their advertising or marketing campaigns, the thing is, they don’t have to pay you for using your image as an unsolicited testimonial in their marketing, thanks to the waiver embedded in your cruise contract.

They Can Sell Your Photos

A large wall adorned with numerous pictures.

According to Carnival Cruise Line’s ticket contract, any photos taken of you can be sold and marketed for whatever purpose they like:

Chances are, you’ll have your picture taken by the ships’ photographers multiple times a day on a cruise. Each night, those photos get posted in the photo gallery for you to see and — the cruise line hopes — purchased as a keepsake of your vacation. But did you know anyone can buy your photos?

In the interest of profits, the cruise line will sell your images to anyone interested onboard. Remember that creepy guy smiling at you from the other end of the bar? He can go home with a photo of you and your family; you can do nothing about it.

Your Cabin Can Be Searched at Any Time

A cozy cabin with two beds and a mirror.

Here’s a rule that most people don’t even realize – the cruise line can search your cabin anytime, for any reason.

Carnival Cruise Line’s ticket contract stipulates that:

FACT CHECK: Can a Cruise Ship Tip Over?

Your right to privacy on a cruise ship is far from absolute, and the line can enter your room and search you and your property at any time, for any reason. If you disagree with the search, the captain can disembark you from the ship immediately, something that most guests are completely unaware of

They Can Add a Fuel Supplement Fee

If oil prices rise, the cruise line can add a fuel surcharge , even if you’ve already paid in full.

For example, Carnival Cruise Line states that:

Fuel is one of the most expensive elements of operating a cruise ship, and the cruise lines typically budget a certain amount for this expense, just as you probably do at home.

What is the big difference between you and the cruise lines? If gas prices increase during your road trip, you must pay the added expense, while, thanks to the ticket contract, the major lines have provided themselves with a rarely used but still-available-to-them out.

And at $9 per person per day, these charges could add up – for a family of four on a seven-day cruise, that equals more than $250 for an unexpected and unplanned expense.

RELATED: 6 Hidden Cruise Costs

If the cost of oil exceeds the projected amount, you will be charged an additional fee in the form of a daily per-person fuel surcharge.

This won’t just happen before you’ve made the final payment for your cruise. It can happen up to and including the day of embarkation. You’ll have to pay or be unable to take your vacation.

Final Thoughts of the Cruise Line Ticket Contract

Queen Elizabeth cruise ship sailing in the water with a city in the background, offering a pet-friendly voyage for travelers desiring cruise lines that allow pets.

And how can cruise lines create iron-clad ticket contracts that protect the cruise line and not the guest? They have invested heavily in talented teams of lawyers and lobbyists who are dedicated to protecting the best interests of the cruise line and work diligently to make it difficult to sue cruise lines when something goes wrong.

Granted, tens of millions of guests sail without incident each year and cruising enjoys some of the highest satisfaction ratings of any travel supplier.

Hence, the odds of legal action against a cruise line are relatively remote. However, it’s essential to understand the stipulations of the ticket contract and the policies. Limitations and responsibilities of the cruise lines should you encounter a problem during your voyage.

In the end, it’s always best to expect the unexpected. Before your next cruise, be an informed consumer and take some time to scrutinize your cruise line ticket contract – you may be surprised at what you’ll find.

Read each major cruise line ticket contract :

Carnival Cruise Line
Royal Caribbean International
Norwegian Cruise Line
MSC Cruises
Disney Cruise Line
Virgin Voyages
Celebrity Cruises
Holland America Line
Princess Cruises

Frequently Asked Questions

Should i sign the cruise line ticket contract.

If you want to cruise, yes. However, before you sign a cruise ticket contract, read it carefully and understand all the terms and conditions. Ask the cruise line if you have any questions before heading to the pier.

What is a cruise line ticket contract?

A legal document that provides details of your cruise vacation, such as the cruise line, ship, itinerary, price, and cancellation policy.

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9 things you should know about your cruise contract

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Your Royal Caribbean Cruise Information

Congratulations on your upcoming Royal Caribbean cruise and thank you for selecting The Cruise Web! Here you will find important information to assist you in your preparations to your cruise vacations:

NOTICE : Health and safety protocols, guest conduct rules, vaccination requirements and regional travel restrictions are fast evolving, vary by cruise line, ship, destination and travel supplier, and are subject to change without notice. Due to evolving health protocols, imagery and messaging may not accurately reflect onboard and destination experiences, offerings, features, itineraries, protocols and/or restrictions. These may not be available during your voyage, may vary by ship and destination, and may be subject to change without notice.

Each traveler is responsible for ensuring their compliance with all passport, visa, vaccination and/or other entry/exit requirements and payment of any charges, fees, duties, taxes or assessments related to your travel.

To learn more about the latest travel requirements for Royal Caribbean, CLICK HERE .

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See if you're eligible for our exclusive 10% SAVINGS on shore excursions by calling 1-800-377-9383 .

Your Tickets:

Your e-tickets will be available online within 45 days of sailing. Please pre-register online (please click the link below for online registration) and print out your boarding pass.

Pre-registration:

Due to increased security in ports worldwide, your embarkation will be much faster and easier if all of your pertinent information is already in the cruise line's check-in system. Please CLICK HERE to pre-register online .

IMPORTANT NOTICE: By booking with The Cruise Web, Passenger explicitly agrees to the terms of the Cruise Ticket Contract ( https://www.royalcaribbean.com/content/dam/royal/resources/pdf/cruise-ticket-contract.pdf ). Please read all sections carefully as they affect the passenger's legal rights.

Identification, Passport & Visa Information:

Proof of citizenship and photo identification will be required for your vacation. A valid US passport and visa (for certain destinations only) may also be required for your travel . The United States Department of State has recently changed documentation requirements for travel outside of the United States, and continues to review these requirements. For example, when traveling to certain countries, your passport must be valid for several months beyond the date in which you expect to complete your travel and return home. Please visit the State Department website at www.travel.state.gov , for the official and most up to date documentation requirements, and also for instructions on how to renew or obtain a passport. You may also contact the National Passport Information Center toll free at 1-877-487-2778.

NOTE : Effective May 3, 2023, travelers who elect to use a U.S. state-issued driver's license must ensure that it is REAL ID-compliant , which should be indicated by the presence of a star located near the upper corner of the card.

Non-US citizens should check with their local consulate to determine the specific documents required for travel.

Shore Excursions:

Optional shore excursions are a great way to make the most of your cruise vacation, and we suggest booking yours with either The Cruise Web's third party excursion partner, Shore Excursions Group , or directly with the cruise line.

Advantages of booking your excursions with Shore Excursions Group, our preferred partner, include up to 40% savings, a money-back guarantee, more tour options, guaranteed return to ship and 24/7 traveler support at 1-866-703-0606.

NOTE : Excursions booked through Shore Excursions Group are NOT operated by the cruise line, but rather are arranged by Shore Excursions Group.

Cruise Web Exclusive : SAVE 10% on Excursions. Call 1-800-377-9383 to see if you're eligible!

To browse shore excursions from Shore Excursions Group (The Cruise Web's 3rd party tour partner), please CLICK HERE .

To browse shore excursions directly with Royal Caribbean, please CLICK HERE .

Either way, we recommend you book early for the best selection, as shore excursions and tours have limited capacity and fill up quickly!

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If your vacation package includes airfare, your airfare is subject to the carriers, dates, times, and routing selected by the cruise line or provider. You may also contact your Cruise Web cruise specialist to request Preferred Flights through Cruise Web's cruise line partners. Preferred Flights are strongly encouraged to accommodate your flight dates, times, routing, or airline choices. The cost of Preferred Flights is from $75 to $200 per person, depending on the cruise line, plus any difference in airfare.

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Royal Caribbean Cruise Tips

How much does Royal Caribbean Cruise Cost Per Person?

Planning your next trip to the Royal Caribbean and worried about the expenses? Here’s all you need to know!

Book Royal Caribbean Cruise

One of the most important things to think about while organizing a cruise trip is the cost. One of the most well-known cruise lines in the world, Royal Caribbean, provides a variety of itineraries, cabin styles, and onboard activities to suit a broad range of spending limits and tastes. This blog provides a detailed breakdown of all the expenses related to a Royal Caribbean cruise line , enabling you to plan each passenger's budget.

The total amount you will spend will begin with the base cruise charge. This cost covers the majority of the entertainment options, lodging, meals in the main dining area and buffet, and access to all onboard facilities, including swimming pools, kid's clubs, and fitness centers.

Royal Caribbean Cabin Types and Prices

Inside cabins: Depending on the route and season, they are usually the most affordable alternative, with rates ranging from $100 to $250 per person per night. For a seven-night trip to the Caribbean , this may add up to anywhere from $700 to $1,750 per person.

Oceanview cabins : These lodgings feature a window view and range in price from $120 to $300 per person per night. For a week-long excursion, the price goes up from $840 to $2,100 per person.

Balcony cabins : These lodgings are popular since they provide a private outdoor space. Prices normally range from $150 to $400 per person every night, or $1,050 to $2,800 total per person, for a seven-night trip.

Suites: Suites provide a more sumptuous experience and range in price from $300 to over $1,000 per person per night. As a result, a week-long cruise in a suite may set you back $2,100 to $7,000 or more per person.

Also Read : Royal Caribbean Cruise Ships By Age - Newest to Oldest

Additional Costs of Royal Caribbean Cruise

Even though the base price includes a portion of the trip, you should be mindful of the following additional costs:

Gratuities : On Royal Caribbean ships , gratuities are automatically added to your bill and now run about $16.50 for suite guests and $16 for those staying in basic cabins every day. This comes out to $112 per person for a 7-night cruise ($129.50 for those staying in suites).
Offers for drinks: Royal Caribbean offers a variety of drink packages to improve your abroad experience.
Traditional soda plan: This plan includes unlimited soda and ranges in price from $13 to $15 per person per day. This would come to about $91 to $105 per person for a 7-night cruise.
In addition to various non-alcoholic beverages, the refreshment package includes quality coffees, teas, bottled water, freshly squeezed juices, and mocktails. It costs between $29 and $38 per day, or $203 to $266 per person over a week.
Deluxe beverage package: This package, which ranges in price from $63 to $89 per person per day, comes with alcoholic beverages, Coke, and specialty coffees. For a seven-night trip, you should budget between $441 and $623 per person.
Gourmet cuisine: Apart from specialty restaurants that require an additional fee, Royal Caribbean has significant eating options that are part of the package. Lunch should set you back between $20 to $50 per person, though this can vary. If you plan to eat at these establishments several times throughout your journey, your total cost may go up by $100 to $300 or more per person.
Beach visits: Shore excursions give passengers the opportunity to visit ports of call, and prices vary widely. Simpler trips could only cost $50 per person. Still, more lavish experiences, including helicopter rides or private tours, can cost more than $200 per person. A seven-night cruise with three port days would cost $300 to $600 per person overall, as most cruisers believe that spending $100 to $200 per port day is reasonable.
Internet combinations: While at sea, communication is still possible, albeit at a cost. Daily rates for Royal Caribbean's Voom internet service packages typically range from $12 to $20. For a seven-night trip, this adds out to a total of $84 to $140 per person.
Spa and fitness: Spa treatments and fitness sessions usually come with extra costs. Spa services like massages and facials can cost anywhere from $100 to $250 per session, while exercise classes like yoga or spinning might cost you $10 to $20 per class.
Entertainment and activities available on board: Some events, such as escape rooms, arcade games, and some onboard talks or wine tastings, are free of charge, but some have additional fees. The cost of an activity can vary substantially, ranging from $10 to $50 or more.

Related: How much is the Royal Caribbean Drink Package?

Pre and Post-Voyage charges

In addition to the costs you will incur on your cruise, you need to factor in pre and post-voyage charges:

Transportation to Port: There will be a major increase in the cost of traveling to and from the port. The cost of a ticket varies greatly, but it can go up to $800 per person for domestic travel and considerably higher for international travel. It's also probable that you'll need transportation from the airport to the cruise terminal, which might cost anything from $20 to $50 per passenger for each trip.
Pre-Cruise Hotel: If you arrive a day early, you'll need to make arrangements for a hotel stay in order to ensure that you don't miss the ship. A night may cost anything from $100 to $300, depending on the hotel's quality and location.

The Best Way to Save Money on your Royal Caribbean cruise

To make the most of your budget, think about the following suggestions:

Pre-booking frequently results in cheaper rates and a better range of cabins.
Watch for promotions: Royal Caribbean cruise deals frequently offer discounts on drink packages, onboard credit, and free sailing for children.
Choose an off-peak time: You may be able to save a significant amount of money on your trip expenses by sailing during the off-season.
Limit specialty dining: Utilize the available meal selections and reserve specialty dining for a memorable occasion.
Plan your own shore excursions: Sometimes, it is less expensive to arrange directly with local providers than to use cruise line services.
Prepay gratuities: You can more effectively manage your budget by paying your gratuities in advance.
Use loyalty benefits: If you have previously taken a Royal Caribbean cruise, make use of the discounts and other benefits offered by the Crown & Anchor Society.

Related : Ways to Save Money on a Royal Caribbean Cruise

The basic cost of a Royal Caribbean cruise includes a ton of amenities and activities, making it an excellent way to spend your holiday money. However, additional expenses can add up quickly, so be sure you budget and plan accordingly. If you know what to watch out for and how to save money, you don't have to break the bank to have an incredible cruise trip. Royal Caribbean offers options to fit every traveler's taste and budget, making it the ideal destination for an opulent getaway.

For your next cruise trip, don't forget to check out cruisebooking.com !

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Watch CBS News

He fell ill on a cruise. Before he boarded the rescue boat, they handed him the bill.

By Bram Sable-Smith

Updated on: May 27, 2024 / 9:41 AM EDT / KFF Health News

Vincent Wasney and his fiancée, Sarah Eberlein, had never visited the ocean. They'd never even been on a plane. But when they bought their first home in Saginaw, Michigan, in 2018, their real estate agent gifted them tickets for a Royal Caribbean cruise.

After two years of delays due to the coronavirus pandemic, they set sail in December 2022.

The couple chose a cruise destined for the Bahamas in part because it included a trip to CocoCay, a private island accessible to Royal Caribbean passengers that featured a water park, balloon rides and an excursion swimming with pigs.

It was on that day on CocoCay when Wasney, 31, started feeling off, he said.

The next morning, as the couple made plans in their cabin for the last full day of the trip, Wasney made a pained noise. Eberlein saw him having a seizure in bed, with blood coming out of his mouth from biting his tongue. She opened their door to find help and happened upon another guest, who roused his wife, an emergency room physician.

Wasney was able to climb into a wheelchair brought by the ship's medical crew to take him down to the medical facility, where he was given anticonvulsants and fluids and monitored before being released.

Wasney had had seizures in the past, starting about 10 years ago, but it had been a while since his last one. Imaging back then showed no tumors, and doctors concluded he was likely epileptic, he said. He took medicine initially, but after two years without another seizure, he said, his doctors took him off the medicine to avoid liver damage.

Wasney had a second seizure on the ship a few hours later, back in his cabin. This time he stopped breathing, and Eberlein remembered his lips being so purple, they almost looked black. Again, she ran to find help but, in her haste, locked herself out. By the time the ship's medical team got into the cabin, Wasney was breathing again but had broken blood vessels along his chest and neck that he later said resembled tiger stripes.

Wasney was in the ship's medical center when he had a third seizure — a grand mal, which typically causes a loss of consciousness and violent muscle contractions. By then, the ship was close enough to port that Wasney could be evacuated by rescue boat. He was put on a stretcher to be lowered by ropes off the side of the ship, with Eberlein climbing down a rope ladder to join him.

But before they disembarked, the bill came.

The Patient: Vincent Wasney, 31, who was uninsured at the time.

Medical Services: General and enhanced observation, a blood test, anticonvulsant medicine, and a fee for services performed outside the medical facility.

Service Provider: Independence of the Seas Medical Center, the on-ship medical facility on the cruise ship operated by Royal Caribbean International .

Total Bill: $2,500.22.

What Gives: As part of Royal Caribbean's guest terms , cruise passengers "agree to pay in full" all expenses incurred on board by the end of the cruise, including those related to medical care. In addition, Royal Caribbean does not accept "land-based" health insurance plans.

Wasney said he was surprised to learn that, along with other charges like wireless internet, Royal Caribbean required he pay his medical bills before exiting the ship — even though he was being evacuated urgently.

"Are we being held hostage at this point?" Eberlein remembered asking. "Because, obviously, if he's had three seizures in 10 hours, it's an issue."

Wasney said he has little memory of being on the ship after his first seizure — seizures often leave victims groggy and disoriented for a few hours afterward.

But he certainly remembers being shown a bill, the bulk of which was the $2,500.22 in medical charges, while waiting for the rescue boat.

Still groggy, Wasney recalled saying he couldn't afford that and a cruise employee responding: "How much can you pay?"

They drained their bank accounts, including money saved for their next house payment, and maxed out Wasney's credit card but were still about $1,000 short, he said.

Ultimately, they were allowed to leave the ship. He later learned his card was overdrafted to cover the shortfall, he said. Once on land, in Florida, Wasney was taken by ambulance to the emergency room at Broward Health Medical Center in Fort Lauderdale, where he incurred thousands of dollars more in medical expenses.

He still isn't entirely sure what caused the seizures.

On the ship he was told it could have been extreme dehydration — and he said he does remember being extra thirsty on CocoCay. He also has mused whether trying escargot for the first time the night before could have played a role. Eberlein's mother is convinced the episode was connected to swimming with pigs, he said. And not to be discounted, Eberlein accidentally broke a pocket mirror three days before their trip.

Wasney, who works in a stone shop, was uninsured when they set sail. He said that one month before they embarked on their voyage, he finally felt he could afford the health plan offered through his employer and signed up, but the plan didn't start until January 2023, after their return.

They also lacked travel insurance. As inexperienced travelers, Wasney said, they thought it was for lost luggage and canceled trips, not unexpected medical expenses. And because the cruise was a gift, they were never prompted to buy coverage, which often happens when tickets are purchased.

The Resolution: Wasney said the couple returned to Saginaw with essentially no money in their bank account, several thousand dollars of medical debt, and no idea how they would cover their mortgage payment. Because he was uninsured at the time of the cruise, Wasney did not try to collect reimbursement for the cruise bill from his new health plan when his coverage began weeks later.

The couple set up payment plans to cover the medical bills for Wasney's care after leaving the ship: one each with two doctors he saw at Broward Health, who billed separately from the hospital, and one with the ambulance company. He also made payments on a bill with Broward Health itself. Those plans do not charge interest.

But Broward Health said Wasney missed two payments to the hospital, and that bill was ultimately sent to collections.

In a statement, Broward Health spokesperson Nina Levine said Wasney's bill was reduced by 73% because he was uninsured.

"We do everything in our power to provide the best care with the least financial impact, but also cannot stress enough the importance of taking advantage of private and Affordable Care Act health insurance plans, as well as travel insurance, to lower risks associated with unplanned medical issues," she said.

The couple was able to make their house payment with $2,690 they raised through a GoFundMe campaign that Wasney set up. Wasney said a lot of that help came from family as well as friends he met playing disc golf, a sport he picked up during the pandemic.

"A bunch of people came through for us," Wasney said, still moved to tears by the generosity. "But there's still the hospital bill."

The Takeaway: Billing practices differ by cruise line, but Joe Scott , chair of the cruise ship medicine section of the American College of Emergency Physicians, said medical charges are typically added to a cruise passenger's onboard account, which must be paid before leaving the ship. Individuals can then submit receipts to their insurers for possible reimbursement.

He recommended that those planning to take a cruise purchase travel insurance that specifically covers their trips. "This will facilitate reimbursement if they do incur charges and potentially cover a costly medical evacuation if needed," Scott said.

Royal Caribbean suggests that passengers who receive onboard care submit their paid bills to their health insurer for possible reimbursement. Many health plans do not cover medical services received on cruise ships, however. Medicare will sometimes cover medically necessary health care services on cruise ships, but not if the ship is more than six hours away from a U.S. port.

Travel insurance can be designed to address lots of out-of-town mishaps , like lost baggage or even transportation and lodging for a loved one to visit if a traveler is hospitalized.

Travel medical insurance, as well as plans that offer "emergency evacuation and repatriation," are two types that can specifically assist with medical emergencies. Such plans can be purchased individually. Credit cards may offer travel medical insurance among their benefits, as well.

But travel insurance plans come with limitations. For instance, they may not cover care associated with preexisting conditions or what the plans consider "risky" activities, such as rock climbing. Some plans also require that travelers file first with their primary health insurance before seeking reimbursement from travel insurance.

As with other insurance, be sure to read the fine print and understand how reimbursement works.

Wasney said that's what they plan to do before their next Royal Caribbean cruise. They'd like to go back to the Bahamas on basically the same trip, he said — there's a lot about CocoCay they didn't get to explore.

Bill of the Month is a crowdsourced investigation by KFF Health News and NPR that dissects and explains medical bills.

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Bill Of The Month

He fell ill on a cruise. before he boarded the rescue boat, they handed him the bill.

Bram Sable-Smith

On the last full day of a Bahamas excursion, Vincent Wasney had three epileptic seizures. While being evacuated, he received a bill for expenses incurred during the cruise. Kristen Norman for KFF Health News hide caption

On the last full day of a Bahamas excursion, Vincent Wasney had three epileptic seizures. While being evacuated, he received a bill for expenses incurred during the cruise.

After two years of delays due to the coronavirus pandemic, they set sail in December 2022.

Bill of the Month is a crowdsourced investigation by KFF Health News and NPR that dissects and explains medical bills. Do you have an interesting medical bill you want to share with us? Tell us about it !

It was on that day on CocoCay when Wasney, 31, started feeling off, he said.

Vincent had had seizures in the past, starting about ten years ago, but it had been a while since his last one. Imaging back then showed no tumors, and doctors concluded he was likely epileptic, he said. He took medicine initially, but after two years without another seizure, he said his doctors took him off the medicine to avoid liver damage.

But before they disembarked, the bill came.

The patient: Vincent Wasney, 31, who was uninsured at the time.

Medical services: General and enhanced observation, a blood test, anticonvulsant medicine, and a fee for services performed outside the medical facility.

Service provider: Independence of the Seas Medical Center, the on-ship medical facility on the cruise ship operated by Royal Caribbean International .

Total bill: $2,500.22.

Shots - Health News

A mom's $97,000 question: how was an air-ambulance ride not medically necessary.

What gives: As part of Royal Caribbean's guest terms , cruise passengers "agree to pay in full" all expenses incurred on board by the end of the cruise, including those related to medical care. In addition, Royal Caribbean does not accept "land-based" health insurance plans.

"Are we being held hostage at this point?" Eberlein remembered asking. "Because, obviously, if he's had three seizures in 10 hours, it's an issue."

Wasney said he has little memory of being on the ship after his first seizure — seizures often leave victims groggy and disoriented for a few hours afterward.

But he certainly remembers being shown a bill, the bulk of which was the $2,500.22 in medical charges, while waiting for the rescue boat.

Still groggy, Wasney recalled saying he couldn't afford that and a cruise employee responding: "How much can you pay?"

They drained their bank accounts, including money saved for their next house payment, and maxed out Wasney's credit card but were still about $1,000 short, he said.

Ultimately, they were allowed to leave the ship. He later learned his card was overdrafted to cover the shortfall, he said.

Royal Caribbean International did not respond to multiple inquiries from KFF Health News.

Once on land, in Florida, Wasney was taken by ambulance to the emergency room at Broward Health Medical Center in Fort Lauderdale, where he incurred thousands of dollars more in medical expenses.

He still isn't entirely sure what caused the seizures.

When a quick telehealth visit yields multiple surprises beyond a big bill

The resolution: Wasney said the couple returned to Saginaw with essentially no money in their bank account, several thousand dollars of medical debt, and no idea how they would cover their mortgage payment. Because he was uninsured at the time of the cruise, Wasney did not try to collect reimbursement for the cruise bill from his new health plan when his coverage began weeks later.

But Broward Health said Wasney missed two payments to the hospital, and that bill was ultimately sent to collections.

In a statement, Broward Health spokesperson Nina Levine said Wasney's bill was reduced by 73% because he was uninsured.

"A bunch of people came through for us," Wasney said, still moved to tears by the generosity. "But there's still the hospital bill."

The takeaway: Billing practices differ by cruise line, but Joe Scott , chair of the cruise ship medicine section of the American College of Emergency Physicians, said medical charges are typically added to a cruise passenger's onboard account, which must be paid before leaving the ship. Individuals can then submit receipts to their insurers for possible reimbursement.

Travel insurance can be designed to address lots of out-of-town mishaps, like lost baggage or even transportation and lodging for a loved one to visit if a traveler is hospitalized.

As with other insurance, be sure to read the fine print and understand how reimbursement works.

Emmarie Huetteman of KFF Health News edited the digital story, and Taunya English of KFF Health News edited the audio story. NPR's Will Stone edited the audio and digital story.

KFF Health News , formerly known as Kaiser Health News (KHN), is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism.

medical bills
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What is the Cruise Ticket Contract?
Get support by Phone or Email. 866-562-7625. Email Your Questions. Locate a Travel Agent. *Please see all applicable Terms & Conditions for Promotions here . Learn more about all the details and policies outlined in Royal Caribbean Cruise Ticket Contract.
PDF Terms and Conditions
The Cruise Ticket Contract limits rights. The Cruise Ticket Contract sets forth limitations on the time frames in which claims may be made and suits may be filed against Royal Caribbean International. It is important that guests read all of the terms and conditions of the Cruise Ticket Contract. (Copies are available upon request.) Note: The ...
PDF Guest Ticket Booklet
Your cruise ticket contract or booking conditions, and the terms and conditions for the purchase of any products, services, shore excursions, or other activities related to the cruise sailing, contain important ... The Royal Caribbean Travel Protection Plan™ is an optional
What is the Cruise Ticket Contract?
Get support by Phone or Email. +65 6675 0413. Email Your Questions. Locate a Travel Agent. *Please see all applicable Terms & Conditions for Promotions here . Learn more about all the details and policies outlined in Royal Caribbean Cruise Ticket Contract.
Royal Caribbean adds COVID-19 into cruise contract for all passengers
The contract you agree to when you book a cruise now includes additional disclosures regarding COVID-19. Royal Caribbean has updated its Cruise Contract with new language related to the current global health crisis at some point in the last few months. Section 4 of the contract used to cover simply "medical care and other personal services" has ...
Royal Caribbean updates passenger cruise contract: Covid policies
Royal Caribbean informed passengers with a cruise booked that the cruise line has amended Cruise Ticket Contract, which is the legal terms all passengers agree to when booking a cruise. In an email to guests, Royal Caribbean says the updates "simplify" the method in which guests have access to the contract.
Royal Caribbean Informs Passengers of Updated Cruise Terms
Also, beginning April 12, 2023, Cruise Ticket Contracts and Booking Conditions for all Royal Caribbean International cruises will be based on each passenger's primary country of residence.
PDF Royal Caribbean Group Refund* and Cancellation Policy for Covid-19
Cruise/CruiseTour Ticket Contract (the "Ticket Contract") for your cruise, the standard cancellation policies and penalties described in the Ticket Contract apply. The below policies are effective April 28, ... such as the Royal Caribbean Group websites or mobile phone applications. _____ *All refund requests must be made within six (6 ...
Resuming Cruising with a COVID-19 Cruise Ticket Contract
The current cruise ticket contract mentions COVID-19 forty-seven times. And includes a new section solely devoted to addressing COVID-19 Policies, Procedures, and Acceptance of Risks. Heres what you are agreeing to when sailing during the restart. 4. PUBLIC HEALTH, COVID-19 POLICIES AND PROCEDURE...
PDF Royal Caribbean CruiseCare
Royal Caribbean® CruiseCare Package of Benefits: The CruiseCare Cancellation Penalty Waiver Program waives the non-refundable cancellation provision of your crui se ticket contract and pays you the value of the unused portion of your prepaid cruise vacation in the event that you or your traveling companion need to cancel your cruise vacation (for
Royal Caribbean makes changes to passenger legal terms and COVID
Royal Caribbean - The fine print associated with a Royal Caribbean cruise has been updated. Royal Caribbean informed passengers with a cruise booked that the cruise line has amended its Cruise Ticket Contract, which is the legal terms all passengers agree to when booking a cruise.
New Term of service
Royal Caribbean International ©2023 Royal Caribbean Cruises Ltd. Ships' registry: The Bahamas. Royal Caribbean International 1050 Caribbean Way Miami, FL 33132 USA Quote ... The Cruise Ticket Contract or Booking Conditions applicable to your cruise purchase are now determined by your Primary Country of Residence.
PDF Royal Caribbean CruiseCare Package of Benefits
Microsoft Word - AEGON CruiseCare Dof#2396FA.doc. We want this to be the best vacation of your life. So to make sure you have nothing to think about except having a good time, we offer the CruiseCare package of benefits to our valued guests. We encourage you to review these programs and ask your travel agent for details, or feel free to call us ...
PDF The Travel Protection Program for Guests of Royal Caribbean
This Cancellation Penalty Waiver is an addendum to your cruise ticket contract. Through the Travel Protection Program, ... International will provide you a cruise credit equal to 75% of the non-refundable value (excluding AIR2SEA) of your Cruise Vacation prepaid to Royal Caribbean International, for your use toward a future cruise. ...
9 Cruise Line Ticket Contract Surprises
September 6, 2023. 258shares. When checking in for their sailing, most passengers breeze past their acknowledgment of the cruise contract — often known as the Cruise Line Ticket Contract or ...
Royal Caribbean International Cruise Line Refund Policies
The Refund. COVID-19 specific refunds: Royal Caribbean's policy is to issue refunds or future cruise credit, either full or prorated, for guests who test positive, have been in close contact with ...
Your Royal Caribbean Cruise Information
Information for guests booked with Royal Caribbean, including pre-registration, future cruise credits, ticket info, passport or visa requirements, travel insurance, shore excursions, preferred flights and more.
How much does Royal Caribbean Cruise Cost Per Person?
Prices normally range from $150 to $400 per person every night, or $1,050 to $2,800 total per person, for a seven-night trip. Suites: Suites provide a more sumptuous experience and range in price from $300 to over $1,000 per person per night. As a result, a week-long cruise in a suite may set you back $2,100 to $7,000 or more per person.
If you gain status for one Royal Caribbean Group brand, you get it for
Cruisers with loyalty status on Royal Caribbean International, Celebrity Cruises or Silversea Cruises can soon apply that status level to all three lines. Royal Caribbean Group, which owns the ...
Celebrity Cruises Blue Chip Club Terms and Conditions
The provisions of RCL's Ticket Contract (copies of which are available online at www.royalcaribbean.com) and Celebrity Cruises Ticket Contract (copies of which are available online at www.celebritycruises.com ) are hereby incorporated by reference. ... at any time without prior notice. ©2024 Royal Caribbean Cruises Ltd. Ships' registry: The ...
He fell ill on a cruise. Before he boarded the rescue boat, they handed
But when they bought their first home in Saginaw, Michigan, in 2018, their real estate agent gifted them tickets for a Royal Caribbean cruise. After two years of delays due to the coronavirus ...
Cruise ship medical emergency left Michigan man with an ...
But when they bought their first home in Saginaw, Michigan, in 2018, their real estate agent gifted them tickets for a Royal Caribbean cruise. After two years of delays due to the coronavirus ...

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