Cruise travel insurance protects you from (almost) all of the things that might go wrong on vacation. But is it worth the cost? What does it even do?

Missed flights, lost luggage, accidental injuries, sudden illness, and job loss shatter the perfect trip.

Consequently, every cruiser needs travel insurance.

What Cruise Does Travel Insurance Do?

Ever known someone who had to cancel a vacation because a family member got sick, or had to work?

Got injured on vacation and spent most of it in a hospital? Stranded in a foreign country due to a medical emergency?

Lost baggage and suffered flight delays?

Of course, these things happen, but we don’t want to think about that when planning a fun vacation.

Ultimately, travelers get travel insurance policies that cover all the crazy things that can happen. 

Travel insurance covers a lot of mayhem:

  • Trip cancellations
  • Trip delays/interruptions
  • Medical emergencies
  • Medical evacuations
  • Lost baggage
  • Lost passport/wallet/ID/credit cards

Now, let’s take a look at this in detail.

Medical Emergency

Medical emergencies happen on cruises, so, it’s one of the most important parts of a travel insurance policy.

Even if you have medical insurance (private insurance and Medicare) at home in the US, it will not be accepted overseas.

Common causes of medical emergency treatment:

Road accidents

Road accidents can happen traveling to the port, driving on a road in a foreign country, part of a tour group, or being hit by a car as a pedestrian.

Accidents on an excursion

Not all excursions are safe.

Some require a waiver of liability since there’s a good chance of injury. Below are a few examples. Not all are from cruise excursions, but can happen on cruise excursions.

Medical evacuation

A heart attack/stroke/other major event requires immediate treatment, so medical evacuation is necessary.

Your health insurance at home does not cover the evacuation. Neither does the cruise line. Neither does your credit card.

Med-evac is very expensive. According to USA today, “medical evacuation and transport costs typically start at $25,000 and can exceed $250,000.” It’s a safe bet that it will cost at least $100,000.

Ship’s Medical Facilities Are Very Limited

Although cruise ships have a physician on board, they are only equipped to treat minor conditions.

Suppose your child broke an arm jumping off a table. The medical office may not even be able to take x-rays.

Therefore, your child would have to wait until your ship arrived in port, or be med-evac’d to the mainland for treatment at the nearest hospital.

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Trip Cancellation

People often cancel their cruise vacations for a variety of reasons. Here are a few common ones.

Medical cancellation

You or your traveling family member have a medical emergency (illness or accident) and have to cancel. This happens more than you’d think.

First, many people share stories of a loved one falling ill before the cruise and canceling. 

Second, some bury loved ones who planned to attend the cruise.

Third, the primary cruiser has an accident or illness that puts them in the hospital, so there’s no way they’d be well enough to cruise.

Without travel insurance, you lose 100% of your cruise investment. Also, you also lose all of the non-refundable airfare and other non-refundable reservations/deposits you made. That’s a painful hit to take.


What if your work had an emergency and required you to stay home and miss the cruise? That’s covered if your policy includes work-related cancellations.

Other reasons to cancel

  • Job loss after you made your travel reservations
  • An official evacuation from the place where you’re headed
  • Passport or visa doesn’t arrive before you leave
  • Natural disaster (hurricane, tornado, flood, blizzard)
  • Disaster in your home, like a fire or a flood
  • Travel supplier with went out of business
  • Jury duty or called as a witness
  • Military deployment
  • Terrorism

Anything reason not included above would be covered under a travel policy with Cancel For Any Reason terms.

PRO TIP: Single Supplement

If your cruise partner cancels and you still want to go, the cruise line may penalize you with a single supplement fee.

Single supplement is the additional fee cruise lines charge when a solo traveler books a cabin intended for double occupancy.

Travel insurance typically covers this fee if your partner cancels.

Labadee, Haiti beach
Even paradise has hazards.

Non-Refundable Fees

Cruise planning comes with a variety of non-refundable fees. Some might include:

  • Cruise deposit
  • Final fare payment
  • Hotel reservations
  • Flight reservations
  • Train reservations
  • Pre-booked excursions
  • Rental car reservations
  • Day pass resort reservations

Trip Interruption

Travel insurance is great for covering annoying, headache-inducing delays that happen during your trip.

Some of the travel delays you may be compensated for:

  • Missing flight due to weather, airline strikes, etc.
  • Missed flight connection
  • Accident on the way to the airport or cruise port
  • Miss your cruise because of delayed flights
  • Get sick/injured during the cruise and must leave the ship
  • Family member’s death
  • Must leave cruise ship due to emergency at home
  • Injury or illness during cruise and miss part of it to stay for medical care
  • Lost/stolen passports/documents
  • Kenneling pets for longer than expected
  • Meals and hotel room if delayed overnight
  • Reimbursement for unused part of your trip

Lost Luggage

Travel insurance also covers lost and damage luggage:

  • Actual cash value of bags and contents at time of loss
  • Cost to repair bag or contents
  • Some exclusions
Oasis of the Seas zipline
Zip lines can be found on both land and ships.

Accidental Death & Dismemberment

Remember the woman I mentioned earlier who lost her legs on a boat in the Bahamas? That’s an example of dismemberment. Travel insurance covers the loss of limbs.

Think about it — she’s a dancer, so that’s how she makes her living. Her legs are literally her income. Without them, she has no way to earn an income until she is well enough to learn new job skills.

If she had a travel policy, she could have potentially claimed:

  • Accidental dismemberment
  • Emergency medical evacuation
  • Accident and sickness medical expense
  • Trip interruption – loss of money spent on the trip (cruise fare, payment to boat operator, air fare, etc)
  • Return transportation home (medical repatriation), possibly on a private jet staffed with a doctor or nurses

PRO TIP: Disability Income Insurance

Furthermore, if the dancer also owned a disability income insurance policy at home, she receives an income during her disability as well. Insurance is there to help you when life throws you bad dice.

How Do I Use Cruise Travel Insurance?

Save all of your receipts and invoices for reimbursement.

However, in the event of expensive medical or emergency treatment, present a copy of your policy to medical personnel.

Most travel insurers guarantee payment for services so they will admit you. Included services are emergency evacuation, emergency room treatment, tests, and surgeries.

PRO TIP: Be prepared.

Bring a paper copy of your travel policy with you on the cruise.

Credit Card Travel Benefits

Your credit card may offer some benefits, but it is not a comprehensive policy that covers everything a travel insurance policy does.

On the contrary, card benefits usually focus on luggage loss, electronics warranties, travel assistance, card replacement, rental car damage and loss, and travel accidents.

Relying on card benefits alone lacks:

  • Payment for trip cancellation
  • Med-evac coverage
  • Guaranteed payment for major health treatments
  • Comprehensive medical coverage from physicians to tests or scans
  • Reimbursement for credit cards, travel documents, passports/visas, eyeglasses, contacts
  • Guaranteed transport home after a medical event

Travel insurance can do all of the above and more.

Ultimately, think of credit card benefits as a nice added bonus, not primary coverage.

Cruising within the US

You might think — ‘I don’t need travel insurance because I’ll be in the US the whole time.’

While that might be true for your medical insurance, it will not pay for med-evac or transportation back home for treatment. Of course, you’ll recover faster when you’re near family and friends.

In addition, travel insurance covers baggage loss, trip cancellation, and trip interruption.

Do I Need Travel Insurance or Should I Just Save the Money?

If you don’t buy it and end up needing it, you’ll be so mad at yourself.

That is to say, if you’re already paying $3,000 for a cruise, why not insure it with a $100-200 policy to make sure you don’t lose all $3,000? Or worse, a $50,000 medical and evacuation bill.

Oasis of the Seas promenade deck
Travel insurance gives you peace of mind so you can relax and enjoy everything your cruise has to offer.

When to Buy

Purchase travel insurance as soon as you make your initial deposit.

Certainly, if booking a cruise with less than 90 days until the sail date, purchase the travel insurance as soon as you make that first and final payment.

When you buy it early, you can take advantage of Pre-existing Condition coverage and Cancel For Any Reason.

Annual Travel Insurance Policy

Frequent travelers, particularly international trekkers, could save money purchasing an annual travel policy instead.

As a result, annual policies offer coverage for the entire year, for all trips you make.

  • Covers you for once price throughout the whole year no matter where you go
  • Focus primarily on emergency medical care, no cancellation or baggage expenses
  • Trip cost doesn’t factor in the pricing
  • Annual plans limit the length of your trip.

Many policies do not cover trips longer than 45 days.

Last Minute Cruise

A last-minute cruise might tempt you to skip the travel insurance since you aren’t going to cancel it. You can still get a full-featured policy with Interruption, in case Aunt Ellen dies during your trip.

Or you can get a travel insurance policy that just covers medical treatment, evacuation, baggage, and travel delay. These policies are about $50-100 per person.

Either way, it’s smart to take some sort of insurance with you.

Cruise Line Travel Insurance

Cruise line travel insurance is absolutely terrible.

First, cruise line travel insurance is always underwritten by a third party, like Allianz or AIG. That means the cruise line itself does not insure you. It just sells you a policy just like any other insurance agent.

Second, it only covers things the cruise line booked for you. It does not cover your airfare or your medical or trip interruption.

Third, it’s very expensive and has lousy coverage. It’s just an expensive incomplete policy.

Children's life jackets on a rack
Take sensible precautions like using flotation devices to avoid hazards like open water.

Cruise Travel Insurance Through a Travel Agent

Travel agents sell travel insurance to earn a commission on the policy. They often don’t give you any choices–just quote you a price and ask “yes or no?”

Unfortunately, there’s no way to know if they’re offering you the best policy for your needs or the one which earns them the highest commission.

However, the internet makes it possible to do some shopping without paying a higher price.

Where to Buy Cruise Travel Insurance

There are about two dozen companies that offer travel insurance. The only difference between them is the coverage limits and the price.

Compare the exact same policy with the same limits between two different companies. You will have two different prices. Why pay more for the same thing?

There are several comparison marketplaces on the internet where you can shop.

It doesn’t matter whether you buy from the marketplace or the insurer directly. The price will be the same either way. You don’t save any money by buying directly from the insurer.

How to Pick the Best Cruise Travel Insurance Company

The best insurer is one with a high Financial rating. This means A+, A or A- rating for financial strength by a third-party reviewing board such as the A.M. Best organization.

Basically this means they have enough money to pay their claims. They are not going out of business anytime soon.

Consequently, you don’t want to do business with a poorly rated company. If you make a claim, there’s a good chance they may not pay that claim.

Also, most insurers have identical or nearly identical policies, but they charge different rates. Why? Because they can.

Some cruisers recommend a specific brand, like AIG Travel Guard or Allianz. However, they all offer the same thing. Hence, people are just more familiar with those brands.

As a matter of fact, the brand name doesn’t matter if they’re all A-rated insurers.

How to Choose the Best Cruise Travel Insurance Policy

Typically there are three different levels of trip insurance policies.

First, there is basic coverage. It has minimal limits of liability payouts and may not cover certain types of cancellations or trip interruptions.

Second, there is an intermediate level coverage. It has significantly higher limits than the basic plan. It also covers more situations. This level of coverage is the best value.

Third, there is a top-level plan with very high limits, particularly medical. These work best for young people who take adventure-types of vacations, like skydiving, scuba diving, or mountaineering.

Look for policies that cover the cancellation reasons you’re concerned about, and offer robust medical insurance. If you want Cancel For Any Reason, expect to pay 50% more.

How Much Does Cruise Travel Insurance Cost?

First, the price depends on how much the trip costs. The price for trip insurance covering a $1,000 trip versus a $5,000 trip will be different.

Second, insurance cost depends on the age of travelers. The older the traveler, the more expensive it is. Older travelers are more likely to cancel for medical reasons than younger travelers.

Third, the cost depends on which level of coverage you want to get. I always buy Cancel For Any Reason insurance, because sometimes things happen that you can’t expect and aren’t covered by travel insurance.

Fourth, the cost depends on the duration of your trip. Longer than 30 days and you’ll pay per day. 

PRO TIP: Include travel days

When getting a quote you want to include the dates that you actually leave home to travel to your cruise port. If you plan to drive 2 days before embarkation, include those 2 days.

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