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Cruise Insurance: Why You Need It + 4 Best Options for 2024

cruise travel medical insurance

Seven Corners »

cruise travel medical insurance

Travelex Insurance Services »

cruise travel medical insurance

AXA Assistance USA »

Berkshire hathaway travel protection ».

Why Trust Us

U.S. News evaluates ratings, data and scores of more than 50 travel insurance companies from comparison websites like TravelInsurance.com, Squaremouth and InsureMyTrip, plus renowned credit rating agency AM Best, in addition to reviews and recommendations from top travel industry sources and consumers to determine the Best Cruise Insurance Plans.

Table of Contents

  • Seven Corners
  • Travelex Insurance Services

Cruise vacations come with the same considerations as any other trip, including the potential for trip cancellations, trip interruptions, unforeseen medical expenses and even a need for emergency medical evacuation. Add in the potential for unruly weather during hurricane season , and it's easy to see why cruise insurance plans are so popular and recommended.

Read on to find out which cruise travel insurance plans U.S. News recommends and how they can protect the investment you made in a cruise when something goes wrong.

Frequently Asked Questions:

All cruise insurance plans are unique, and some have different coverages than others. However, most travel insurance plans for cruises cover the following:

  • Trip delays, interruptions and cancellations: This kind of coverage is essential any time of the year, but especially during hurricane season when storms can impact your travel plans. 
  • Protection for medical emergencies: This type of coverage can help pay for unexpected medical bills if you're injured on board the ship or hurt during a shore excursion. You can also choose a cruise insurance plan that covers emergency medical evacuation from the ship or to the nearest hospital.
  • Coverage for lost or delayed baggage: Coverage for baggage is important for cruises just like any other trip. 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. 

With each of these protections, a coverage limit is listed with your plan. This means you may get reimbursed for your losses or prepaid travel expenses up to this limit, but only when a covered reason applies to your claim.

One of the main reasons to buy cruise insurance is for medical emergencies. Note that, once you're on a cruise ship or visiting a destination outside the United States, your own U.S. health insurance plan will not apply. The same truth applies if you have government health coverage like Medicare.

You can purchase cruise insurance through your cruise line, but these plans are often very basic with low limits for medical expenses and other coverages. For example, cruise line travel insurance policies often come with just $25,000 in coverage for emergency medical expenses and up to $50,000 in coverage for emergency medical evacuation, which may not be enough.

Fortunately, you can buy cruise insurance from any travel insurance provider when planning this type of trip. By buying coverage from an independent travel insurance provider instead of your cruise line, you get to select the exact coverages and limits you need for the best protection possible.

  • Seven Corners: Best Overall
  • Travelex Insurance Services: Best for Families
  • AXA Assistance USA: Best for Medical Emergencies
  • Berkshire Hathaway Travel Protection: Best Cost

Plan is cruise-specific

Get coverage for missed cruise connections and tours

Medical expense coverage is secondary if you opt for lower-tier Basic plan

  • Up to 150% in reimbursement for trip interruption
  • Up to $250 per person, per day in trip delay coverage ($2,000 maximum)
  • Up to $250 per day in missed tour or cruise connection coverage ($1,500 maximum)
  • Primary emergency medical expense coverage worth up to $500,000
  • Medical evacuation and repatriation of remains coverage worth up to $1 million
  • Political and security evacuation coverage worth up to $20,000
  • Up to $2,500 in protection for baggage and personal effects (limit per item of $250)
  • Up to $100 per day ($500 maximum) in coverage for baggage delays of six hours or more

Travel Select plan offers coverage with pricing for kids included

Customize your plan with additional medical coverage, adventure sports coverage and more

Only $1,000 in coverage for baggage and personal effects

$200 maximum coverage for baggage delays

  • Trip cancellation coverage worth up to 100% of total trip cost (maximum $50,000)
  • Trip interruption coverage worth up to 150% of trip cost (maximum $75,000)
  • $2,000 in trip delay coverage for a delay of at least five hours ($250 per day)
  • $750 in coverage for missed connections (delay of at least three hours required)
  • Emergency medical expense coverage worth up to $50,000 (dental emergency sublimit of $500 included)
  • Emergency medical evacuation coverage worth up to $500,000
  • $1,000 in protection for baggage and personal effects
  • Up to $200 in coverage for baggage delays (at least 12-hour delay required)
  • Travel assistance services

Provides comprehensive coverage for all aspects of cruising

High policy limits for medical expenses and emergency evacuation

Does not offer cruise-specific travel insurance

  • Trip cancellation coverage up to 100%
  • Trip interruption protection up to 150%
  • $1,250 in travel delay coverage ($300 per day)
  • $1,500 in protection for missed connections
  • Emergency accident and sickness coverage up to $250,000
  • Emergency medical evacuation coverage up to $1 million
  • Nonmedical emergency evacuation coverage up to $100,000
  • $50,000 in accidental death and dismemberment coverage
  • Baggage and personal item coverage up to $3,000
  • Baggage delay coverage worth up to $600

Comes with enhanced medical and luggage benefits, protections for cruise ship disablement, and more

Cruise delay coverage kicks in after five hours

Baggage delay coverage is only for $200 and doesn't kick in for 24 hours

No option to purchase CFAR coverage

  • Up to $75,000 in protection for emergency medical care
  • Emergency evacuation and repatriation of remains coverage worth up to $750,000
  • Cruise cancellation coverage for 100% of trip cost up to $25,000 per person
  • Cruise interruption coverage for 150% of trip cost up to $37,500 per person
  • Cruise delay coverage worth up to $1,000 ($200 per day for delays of five hours or more)
  • Missed connection coverage worth up to $500 (for delay of three hours or more)
  • Cruise ship disablement coverage worth up to $500
  • Up to $1,500 in coverage for baggage and personal effects

Why Trust U.S. News Travel

Holly Johnson is a professional travel writer who has covered international travel, travel insurance and cruises for more than a decade. Johnson has researched and compared all the top travel insurance options for her own family for trips to more than 50 countries, some of which have included cruises all over the world. Johnson lives in Indiana with her two children and her husband, Greg – a travel agent who has been licensed to sell travel insurance in 50 states.

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Travel insurance

Best cruise travel insurance plans of May 2024

Amy Fontinelle

Heidi Gollub

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

WorldTrips

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.

TravelSafe

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

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

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

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

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 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

WorldTrips

Via TravelInsurance.com’s website

TravelSafe

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

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

Gene Sloan

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.

cruise travel medical insurance

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.

cruise travel medical insurance

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).

cruise travel medical insurance

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."

cruise travel medical insurance

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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The Guide to Cruise Travel Insurance

Ramsey Qubein

Many or all of the products featured here are from our partners who compensate us. This influences which products we write about and where and how the product appears on a page. However, this does not influence our evaluations. Our opinions are our own. Here is a list of our partners and here's how we make money .

Table of Contents

Look to your credit cards, first

What to consider if you buy a separate cruise travel insurance policy, what cruise travel insurance doesn't cover, how to shop cruise travel insurance options, is cruise travel insurance necessary.

Travel insurance can save you when you’re in a pinch, and cruises are especially important to protect. Whether you experience a flight delay, your car breaks down or you get sick, having a backup plan that will cover the cost of your trip, or at least help you get there without extra expense, can be essential. It’s recommended to arrive one day before the departure of your cruise to allow for any delays because if you arrive late to the departure point, the ship may have already left.

If you find yourself stranded at the pier long after your cruise has left, or aren't able to get to the pier at all, cruise travel insurance can help. These are some of the best travel insurance options for cruises.

» Learn more: The best travel credit cards right now

Many credit cards provide sufficient travel protection that can help you in the event of a delay or cancellation. It can even help if you arrive on time, but your bags do not. Other travel protections include helping if you need medical attention or evacuation during your trip, as well as insurance for a rental car if you decide to drive in one of the ports you visit.

Some of the popular credit card options that provide ample protections include:

Chase Sapphire Preferred® Card .

Chase Sapphire Reserve® .

Marriott Bonvoy Brilliant® American Express® Card . Terms apply.

Unitedâ„  Explorer Card .

You'll need to review the policy before the trip to decide if you need to purchase additional coverage.

» Learn more: What to know before buying travel insurance

If you don't have a credit card with coverage or you want to add more protection, it is wise to buy insurance as soon as possible after booking the cruise. Some companies require that you buy cruise insurance within two weeks of making the initial deposit, particularly if you're hoping for pre-existing medical coverage.

The longer you wait to buy cruise insurance, the higher the price may become.

Also, your own health insurance may not cover cruise travel or medical attention onboard a ship. Often, some personal insurance plans do not protect passengers once they have sailed more than six hours from any U.S. port. This may come as a surprise for those who thought they were protected, which is why it can be wise to purchase additional coverage for a cruise.

Since medical treatment on a ship may be more expensive, and evacuation at sea may require a helicopter or small boat, having emergency coverage can be essential.

If you’re still deciding on additional protection, consider these factors:

Destination: Is it remote or far from an airport or medical facility? How difficult will it be for you to find medical care or leave the ship?

Length of stay: How long will you be traveling? If it's only a few days, the probability that you will need coverage is less than if the trip were longer or farther from home.

Credit card protections: Read the fine print of your credit card benefits. If you used that card to pay for your travel, you may already have protection in the event of trip delay or cancellation, missing or lost luggage, medical reasons or weather issues.

Personal liability: Will you be engaging in activities that may make you responsible for someone else’s injury? Will you be renting a car or participating in activities like boating, biking or motorized water sports? If you may be held liable for someone else’s injury, insurance can help protect you.

As important as knowing how you will be protected, it is also paramount to know what is not included.

For example, if any injury or health issue is alcohol-related, it may not be covered. You might also want to know if natural disasters like a hurricane, terrorist incidents or bankruptcy by the cruise line are also covered. Sometimes, there are specific carve-outs for such situations.

Another important factor to consider is COVID-19 protection , as not all insurance plans include it. You will want to consider what happens if you get sick before the sailing or onboard since you may have to find accommodation if you are not able to travel for a period of time.

Some cruise insurance policies will cover itinerary changes. This means if you have your heart set on visiting a particular place, but it gets cut from the itinerary (a common occurrence due to weather conditions), you would receive some form of compensation. Not all plans include this, and for certain trips with a popular port (like visiting Alexandria, Egypt, to drive to the Pyramids), it may be wise to check if you are covered.

» Learn more: Should you insure your cruise?

There are many providers of travel insurance, and often, cruise companies will recommend a partner when making a reservation. Those are often best since the cruise line has a history of working with that company and has considered the intricacies of the various ports its ships are visiting. Still, policies vary.

If you want to buy a policy beyond what is already offered by your credit card, start with an aggregator site like Insure My Trip that compares several policies based on the criteria you choose. How long will you be gone? Where are you going? Do you have any pre-existing conditions? All of these things can affect the price of a policy that you purchase.

There are other respected insurance options like Travel Guard , which has policies specifically geared toward cruise trips. SafeCruise from VisitorsCoverage is another plan that is designed for cruise travel, and it includes an upgrade for a partial Cancel For Any Reason reimbursement.

Deciding if you want to protect your trip probably depends on your budget. If you can afford a worst-case scenario without protection, then maybe you won’t need to purchase travel insurance for cruises.

But for most travelers, having a backup plan in case anything goes wrong makes the trip that much more enjoyable.

How to maximize your rewards

You want a travel credit card that prioritizes what’s important to you. Here are some of the best travel credit cards of 2024 :

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

Chase Sapphire Reserve 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 Travelâ„  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 Travelâ„ .

Chase Sapphire Preferred Credit Card

1x-5x 5x on travel purchased through Chase Travelâ„ , 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 Travelâ„ .

Chase Southwest Rapid Rewards® Plus Credit Card

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.

cruise travel medical insurance

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Smooth Sailing Ahead: Your Guide to Cruise Travel Insurance [2023]

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Smooth Sailing Ahead: Your Guide to Cruise Travel Insurance [2023]

Table of Contents

The 5 best cruise travel insurance policies, what is cruise insurance, is cruise insurance worth it, cruise insurance costs, what cruise insurance covers, how to get cruise insurance, final thoughts.

We may be compensated when you click on product links, such as credit cards, from one or more of our advertising partners. Terms apply to the offers below. See our  Advertising Policy for more about our partners, how we make money, and our rating methodology. Opinions and recommendations are ours alone.

Taking a cruise is one of the easiest ways to travel, but cruising isn’t immune to unexpected hiccups. Sudden illness, travel delays, or other unforeseen events could cancel or interrupt your cruising plans — you might even need medical coverage. 

With cruise insurance, you’re covered for unexpected issues that can interfere with your travel plans . Read on to learn what cruise insurance is, how to get it, and how to find the best cruise insurance policies, whether you’re buying directly from the cruise line or a third-party insurance company.

The right cruise insurance policy offers the coverage you need at a good price, but policies aren’t one-size-fits-all. We’ve run quotes for various coverage scenarios — from seniors to adventure tours — to find the best cruise insurance policies . 

Consider these travel insurance policies for your next cruise:

Best Cruise Travel Insurance for Seniors: Seven Corners

Seniors cruising the world can get comprehensive coverage from Seven Corners Travel Insurance . We were quoted $89 for a 70-year-old cruising Mexico . The Seven Corners Trip Protection Basic policy offers trip cancellation and interruption, medical coverage, and medical evacuation, along with COVID-19 cancellation and medical coverage.

Comprehensive travel insurance, regardless of your age, is widely available and relatively affordable. Check out our complete guide to travel insurance for seniors .

Best Cruise Travel Insurance With COVID-19 Coverage: battleface

If you’re concerned about COVID-19 derailing your cruise travel plans, getting cruise travel insurance with COVID-19 coverage is essential. The battleface Discovery Plan covers COVID-19 cancellation and medical expenses, along with regular trip cancellation, medical evacuation, and medical emergency coverage. We were quoted $36.54 for a 35-year-old cruising Italy on this plan.

Best Cruise Travel Insurance for Young Travelers: Aegis

Young travelers often have the lowest-priced travel insurance policies. We got a quote for just $30.27 from Aegis for a 22-year-old cruising the Bahamas . The Aegis Go Ready Choice policy covers COVID-19 medical and cancellation, trip cancellation and interruption, medical evacuation, and medical expenses.

Best Cruise Travel Insurance for Adventure Tours: IMG

Are you planning adventurous excursions on your cruise? IMG’s iTravelInsured Travel Lite , with options for winter, adventure, and extreme sports, can give you the coverage you need. We were quoted $58.87 for a 40-year-old traveler cruising to Costa Rica with plans to zipline . It covers trip cancellation and interruption, medical expenses, medical evacuation, and adventure sports with some exclusions, such as diving and adventure races.

Your travel insurance might not cover everything you want to do — particularly if you plan on adventure activities. Here’s our complete guide to adventure and extreme sports travel insurance .

Best Cruise Travel Insurance, Cancel for Any Reason Coverage: John Hancock Insurance Agency

If you’re especially concerned you may need to cancel your cruise, Cancel for Any Reason coverage allows you to cancel your trip and receive partial reimbursement for nonrefundable trip expenses, even if you cancel for reasons not normally covered by trip cancellation coverage. We were quoted $100.50 for a 55-year-old cruising Alaska for John Hancock Insurance Agency’s Silver plan , which reimburses up to 75% of your trip cost under Cancel for Any Reason coverage. It also offers coverage for COVID-19 medical and cancellation, trip cancellation and interruption, and medical expenses and evacuation with primary coverage.

Cruise insurance is travel insurance that covers cruises . It can help you manage all the what-ifs on your cruise. What if you need to cancel your booking? What if your flight is late? What if you get sick or hurt? Travel insurance for cruises can cover you for all of these things. 

Many travel insurance policies cover cruises, but cruise insurance may be tailored to the risks of cruises, covering transportation, accommodations, and activities. Getting travel insurance for cruises can offer peace of mind if you’re concerned about losing nonrefundable trip payments, travel delays, or covering emergency medical care.

Holland America Cruise ship in Alaska

Cruise bookings can be unforgiving, and cruise insurance can help you minimize your risk of losing the money you’ve paid for your trip. Travel insurance coverage is often a good idea if you’re concerned about losing nonrefundable prepaid travel expenses or covering emergency medical expenses . 

Because cruises are often less flexible than other types of travel, it’s generally a good idea to get cruise travel insurance. For example, you might be able to rebook a flight or hotel room, but if you cancel your cruise, you could lose your deposit or more. Often, cruise lines won’t offer any refunds if you cancel within a certain period before your cruise, such as 14 or 30 days .

Additionally, you shouldn’t expect your U.S.-based health insurance plan to cover you on your cruise, especially if you’re on an international cruise. And it’s exceptionally expensive if you need to be evacuated for a medical condition.

While everyone hopes for smooth sailing, the reality is a lot of unexpected issues could pop up on your cruise. Your flight to the cruise port could be delayed, you might get sick or injured on your cruise, or you might have to cancel the whole thing if illness or obligations prevent you from going on your cruise. A hurricane could interfere with cruising in storm hotspots such as the Caribbean and Gulf of Mexico. 

Cruise insurance can offer financial support for many unexpected problems you might experience with a cruise. And with a 24-hour travel assistance hotline , you can get knowledgeable help whether you need to find a local pharmacy or coordinate the replacement of lost travel documents such as your passport.

That said, you might have travel insurance coverage available with a credit card . Some credit cards offer travel insurance benefits such as trip cancellation and interruption, emergency medical treatment and evacuation, and travel delay coverage. Still, you should check the details of your credit card’s coverage to ensure it’s enough for your needs. 

Looking for a credit card with travel protections? Read our guide to the best credit cards for travel insurance coverage and protection.

Generally, expect cruise insurance to cost between 5% to 10% of the total cost of your cruise . For a $3,000 cruise, you’ll typically pay between $150 to $300 for comprehensive travel insurance coverage. But keep in mind several factors influence the cost of cruise insurance, including:

  • Add-ons, such as CFAR 
  • Coverage options 
  • Cruise cost 
  • Deductibles and limits 
  • Destination 
  • Group policies 
  • Traveler age 
  • Trip duration

Learn more about travel insurance costs in our guide to the average cost of travel insurance .

Each travel insurance policy is unique, but travel insurance for cruise coverage typically includes:

  • 24/7 Assistance: You can get 24/7 support for itinerary changes, rebooking, medical emergencies, and more.
  • Baggage Protection: Your luggage is covered for loss, theft, or damage on your flight or during your cruise.
  • Cabin Confinement: You may get reimbursement if you have to stay in your cabin during your cruise, such as a required quarantine due to COVID-19.
  • Cancel for Any Reason: Usually available as an add-on, CFAR travel insurance allows you to cancel your cruise for any reason and receive a partial reimbursement of your nonrefundable travel expenses.
  • Itinerary Changes: You can get covered for changes in your cruise’s itinerary, missed port calls, or extended delays beyond your control.
  • Missed Connections: If you miss your cruise departure due to a flight delay or other covered reason, you can get reimbursed for your nonrefundable travel expenses.
  • Medical Emergencies: Cruise insurance can cover medical treatment on the cruise and may offer coverage for medical evacuation.
  • Trip Cancellation or Interruption: You can get reimbursed for your nonrefundable travel expenses if you cancel your cruise or end your trip early due to covered reasons such as illness or injury. You’re typically covered if the cruise line cancels due to mechanical issues, weather, or other unforeseen events.

Cruise-specific travel insurance may also offer reimbursement if your cruise ship is disabled. And if you want to cover shore excursions, be sure to include the cost of excursions in your total travel cost when you get quotes for cruise insurance.

While these coverage types are common among cruise insurance policies, checking the terms and conditions to confirm all coverage areas is a good idea.

Types of Cruise Insurance

There are many options for travel insurance, and you can generally choose as little or as much coverage as you’d like. You can opt for a comprehensive travel insurance policy, which may offer Cancel for Any Reason (CFAR) coverage, or you might prefer to limit your costs and choose just the coverage you need. For example, you might choose standalone trip cancellation insurance or a travel medical insurance policy but decide you don’t need coverage for missed connections or baggage.

What To Look for in a Cruise Travel Insurance Policy

Consider these factors as you compare the best cruise travel insurance policies:

  • Cancellation Window: Understand how many days before your cruise departure you must cancel to qualify for reimbursement.
  • Coverage Availability: Travel insurance policies typically offer cruise coverage, but it’s best to confirm that a policy specifically covers cruises before you purchase it. Also, consider availability for coverages that may be important to you, such as CFAR or adventure sports. 
  • Customer Reviews and Reputation: You can get insight into the insurance provider and how claims and customer service work by reading customer reviews and ratings.
  • Eligibility Criteria: Cruise insurance policies may have eligibility criteria such as limits on age or trip duration and preexisting conditions. For example, some travel insurance policies max out at 90 days.
  • Exclusions and Limitations: Read the policy to understand what’s excluded or limited specifically to cruise-related coverage, such as reimbursements for port closures, itinerary changes, or medical incidents on the cruise.
  • Policy Cost: Get multiple quotes and compare each cost and coverage value to ensure you get a good value for your cruise insurance policy.
  • Purchase Timeline: You’ll usually need to purchase your cruise insurance within a certain period of booking your trip, so be sure you’re buying your policy within that timeframe.
  • Reimbursement Structure: Review the cruise insurance policy to confirm how much you can be reimbursed for under qualifying circumstances, such as if you need to cancel or interrupt your trip.

Woman booking cruise travel with laptop 1

You can buy cruise insurance from the cruise line when you book, or a travel agent may offer cruise insurance plans. You also have the option to purchase cruise trip insurance independently. It’s a good idea to get multiple quotes to compare your costs and coverage and get the best deal on cruise insurance.

You should buy cruise insurance when you make your first deposit so you’re immediately covered for trip cancellation. Here are some of the options and coverages if you purchase cruise insurance directly from the cruise line:

Before you purchase cruise insurance from a cruise line, compare your third-party options. You can get quotes from multiple travel insurance companies at once using a travel insurance aggregator such as Squaremouth .

Even a meticulously planned cruise can run into unforeseen disruptions — and cruise insurance can come in handy for the unexpected.

Cruise insurance covers you for sudden illnesses, travel delays, and more, offering financial protection so you’re safeguarded against uncertainties. Whether you get cruise insurance from the cruise line or third–party insurance providers, understand your coverage and how it protects your investment in cruise travel.

Frequently Asked Questions

Does my health insurance cover me on a cruise.

Some health insurance policies offer limited coverage on cruises, but coverage often depends on where you’re cruising and your planned activities. Check with your insurance provider about coverage before you depart on your cruise. Find out if supplemental cruise insurance is available if you want to use your existing health insurance coverage.

Are cruises covered under travel insurance?

Cruises are typically covered under travel insurance , so you don’t necessarily have to buy specialized cruise insurance, such as coverage from the cruise line. Travel insurance can cover trip cancellations and interruptions, medical emergencies, lost luggage, and more on your cruise trip.

Can you buy cruise insurance after booking?

You can buy cruise insurance after booking. It’s generally best to purchase cruise insurance as soon as possible after making your initial trip deposit — when you have money on the line. The sooner you purchase cruise insurance, the sooner you’re covered for trip cancellations.

Can you buy medical insurance for a cruise?

You can buy medical travel insurance to cover your medical expenses on a cruise, offering coverage such as medical emergencies, illnesses, and injuries.

How do I add travel insurance to my cruise?

You can add travel insurance to your cruise when you book with the cruise line or a travel agent. Alternatively, you can purchase travel insurance directly from travel insurance agencies.

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About Jessica Merritt

A long-time points and miles student, Jessica is the former Personal Finance Managing Editor at U.S. News and World Report and is passionate about helping consumers fund their travels for as little cash as possible.

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