Best Cruise Travel Insurance for Seniors
Protect your dream voyage with coverage designed for mature travelers.
How We Evaluated the Best Cruise Travel Insurance
To select the cruise coverage policies on this list, our team evaluated dozens of travel insurance providers. We narrowed down our search to only carriers with strong reputations for serving travelers over 65, along with easy-to-understand, transparent policies. We also read close to 100 online reviews from cruise customers to learn about each carrier’s claim-processing speed and reliability.
We reviewed coverage options for seniors, keeping these and other important attributes in mind:
- Preexisting condition waivers: We avoided insurers that require longer-than-average look-back periods on health conditions, as well as those that require very fast insurance purchase for full coverage, after trip deposits.
- Medical evacuation limits: Emergency medical evacuation and repatriation can be very expensive, especially if you’re many miles from ports with good hospitals. We included only plans that have ample financial coverage for medical evacuation by air, sea and land.
- Customer-service ratings: We read scores of customer reviews on multiple websites, including the Better Business Bureau, Trustpilot and others. We eliminated insurers that accrued a large body of complaints of any type within the past three years, including problems with preexisting condition waivers, handling missed connections and other topics of importance to seniors.
- Financial value and budgetary concerns: Travel cruise insurance is a necessity, but that doesn’t mean it should cost almost as much as the trip itself! We looked for insurers that charge reasonable and fair sums for their services.
- Age caps: We know from our own experience that older adults continue to enjoy life — and travel to new locations — for many years after retirement. Insurers who place low age caps on their products or on their ability to grant preexisting condition waivers were not considered for this list.
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- Up to $250,000 for accidents or illness
- 24/7 concierge assistance
- Includes telemedicine
- Covers ship diversion and disablement
- Stipends for inconveniences included
- Low premium costs
- Higher-than-average payouts for trip interruptions and cancellations
- Global network of health providers
- Free coverage for one family member under 18
- Go Ready Cruise plan includes a no-risk, 15-day free look period
- Preexisting condition waiver requires policy purchase within 14 days of initial trip payment; some plans allow for later purchase
- Multiple-trip annual plans and single-trip plans available
- Policy can be canceled risk-free within 14 days in most states.
- 24/7 emergency assistance in locating medical care abroad
- If medical reasons prevent homebound travel, meals and additional hotel costs are covered
Contents
The social opportunities, senior activities and amenities associated with cruise ships make this type of vacation popular among older adults. But did you know that your health insurance may not cover you if you need medical attention on a ship? Whether you’re planning a trip in domestic or international waters, travel insurance covers emergencies of all kinds, including illness, missed connections and baggage loss. Some even cover identity theft!
Finding the right travel insurance for seniors, however, can feel like navigating choppy waters. Luckily, today's cruise insurance options offer robust protection tailored specifically for mature travelers, including coverage for pre-existing conditions and medical emergencies at sea.
Whether you’re embarking on a Caribbean getaway or a world cruise, the right insurance transforms potential worries into peace of mind. We’ve analyzed the leading cruise travel insurance plans to help you find coverage that matches your health needs, budget and travel style.
Top Cruise Travel Insurance Plans for Seniors
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AXA Assistance USA - Best medical coverage limits -
Seven Corners Travel Insurance - Best preexisting condition options -
IMG (International Medical Group) - Best medical evacuation coverage -
Aegis General Insurance Agency - Best multitrip annual plans
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John Hancock Insurance Agency Inc. - Best cancel-anytime feature
Comparing the Best Cruise Travel Insurance Carriers for Seniors
AXA Assistance USA
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Seven Corners Travel Insurance
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IMG (International Medical Group)
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Aegis General Insurance Agency
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John Hancock Insurance Agency Inc.
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|---|---|---|---|---|---|
| Rating | |||||
| Medical coverage limit | Up to $250,000 | Up to $100,000 | Up to $100,000 | Up to $50,000 | Up to $150,000 |
| Medical evacuation | Up to $1 million | Up to $500,000 | Up to $500,000 | Up to $250,000 | Up to $500,000 |
| Preexisting waiver window | 14 days | 20 days | 14 days | 14 days | 14 days |
| Cancel for any reason | Optional add-on | Optional add-on | Optional add-on | Optional add-on | Optional add-on |
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1. AXA Assistance USA - Best Medical Coverage Limits
Get a Quote Links to Travelinsurance.comWhat we like most
- Up to $250,000 for accidents or illness
- 24/7 concierge assistance
- Includes telemedicine
AXA Assistance USAGet a Quote Links to Travelinsurance.comOverview:Coverage and Features
AXA’s emergency accident and sickness medical coverage varies by plan, from $25,000 with the Silver plan to $250,000 with the Platinum plan. AXA Travel Protection pays reasonable and standard rates for medical services both on the ship and off, so in some instances there may be out-of-pocket charges for the care you’ve received.
Like John Hancock’s travel insurance, AXA’s telemedicine services prove particularly valuable at sea, connecting you with doctors via video chat when the ship’s medical facilities may be limited. Coverage extends to emergency dental treatment and prescription replacement, which are common concerns for older travelers.
Your policy also will cover emergency evacuation for medical, political or natural reasons, such as hurricanes. Ship cancellations, interruptions and delays, as well as missed connections, are covered in part or full by most of AXA’s plans. The Platinum plan even covers lost golf days. Keep in mind, however, that unlike Seven Corners, AXA requires you to purchase your insurance within 14 days of your first trip deposit. (Seven Corners gives you 20 days, which is a definite plus.)
Pros & Cons:Pros About AXA Assistance USA
- Medical coverage up to $250,000 for emergencies
- No age limit for purchasing coverage
- Two plans offer coverage for preexisting medical conditions
- 24/7 multilingual assistance hotline
- Coverage for missed port departures
Cons About AXA Assistance USA
- Full coverage requires purchase within 14 days of your first trip deposit
- Limited coverage for adventure excursions
- Higher deductibles on some plans
Summary:Pricing
Our team requested quotes for various sample trips to get quotes for the companies on our list. For a 70-year-old on a seven-day Caribbean cruise that costs $3,000, expect premiums around $180 to $250, depending on coverage level. It’s not the cheapest option, but we believe the comprehensive medical protection may justify the cost for seniors who prioritize health coverage.
Customer Experience
AXA is not rated by the Better Business Bureau.1 Their reviews on the site are mixed, although many are positive for issues such as claim-processing speed.
AXA’s mobile app allows easy access to policy documents and direct messaging with assistance teams, which is particularly helpful when dealing with time zone differences during international cruises.
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2. Seven Corners Travel Insurance - Best Preexisting Condition Options
Get a Quote Links to Travelinsurance.comWhat we like most
- Covers ship diversion and disablement
- Stipends for inconveniences included
- Low premium costs
Seven Corners Travel InsuranceGet a Quote Links to Travelinsurance.comOverview:Coverage and Features
To be eligible for the Seven Corners preexisting condition waiver, you must purchase cruise insurance within 20 days of paying your initial deposit. That is longer than some other insurers, including Aegis.
When we spoke to a Seven Corners customer-service representative, he explained that there is a 60-day look-back period on your medical history, which excludes chronic but controlled health conditions, such as high blood pressure and high cholesterol. If you are newly treated for an unmanageable condition during that timeframe, you may not be eligible for the preexisting condition waiver.
If you’re planning a group cruise to celebrate yours or someone else’s 100th birthday, Seven Corners won’t be your best bet. Unlike Aegis and IMG, Seven Corners caps coverage at 99 years of age.
Pros & Cons:Pros About Seven Corners Travel Insurance
- Preexisting condition waivers are available up to 20 days after initial trip deposit
- Optional cancel-for-any-reason coverage
- Coverage for cruise line bankruptcy
- Includes coverage for shore excursions
Cons About Seven Corners Travel Insurance
- Destination restrictions apply to multiple countries
- Coverage for worldwide travel is capped at 30 days
- Medical evacuation limits are lower than some competitors
- Customer-service hours are limited on weekends
Summary:Pricing
During our research, we found that costs typically range from $150 to $220 for standard coverage on a weeklong cruise. Adding cancel-for-any-reason coverage increases costs by roughly 40 percent, but it provides maximum flexibility if you’re concerned about changing health conditions and other variables.
Customer Experience
Although the sales team was knowledgeable and patient, we found them to be a bit aggressive. The company’s reviews, however, are largely positive. Many online customers mention that Seven Corners processes most claims within 10 business days, which is faster than the industry average of 30 days. Their online claim submission portal simplifies documentation, although some customers report longer phone wait times during peak travel seasons.
Pro Tip: If you use hearing aids or any other device that needs charging, make sure to bring a cruise-approved power strip or travel plug adaptor with you.
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3. IMG (International Medical Group) - Best Medical Evacuation Coverage
What we like most
- Higher-than-average payouts for trip interruptions and cancellations
- Global network of health providers
- Free coverage for one family member under 18
Overview:Coverage and Features
IMG’s iTravelInsured Choice Cruise plan provides:
- Medical coverage up to $100,000
- Telehealth
- 100 percent trip cancellation cost
- Medical evacuation up to $500,000 per person
- Up to 150 percent of trip cost for trip interruptions
IMG’s standout feature is their medical evacuation coverage. Their global assistance network includes relationships with air ambulance services and medical facilities in major cruise ports worldwide.
If you’re traveling with one grandchild under 18, they’ll be covered at no additional cost. Your grandkids can come with you on a cruise, but your pets cannot. Additional pet kennel fees caused by travel delays are covered by the Choice plan. We also like IMG’s telehealth feature, which many other insurers, including Aegis, also provide.
Pros & Cons:Pros About IMG (International Medical Group)
- Medical evacuation coverage up to $500,000
- Covers medical facilities at port and on the boat
- Covers prepaid, nonrefundable shore excursions
- Trip interruption coverage up to 150 percent of trip cost
- Global assistance network with medical professionals
Cons About IMG (International Medical Group)
- Higher premiums for comprehensive plans
- Limited coverage for trip cancellation due to work reasons
- Some plans require medical underwriting for people over 80
Summary:Pricing
Expect to pay $200 to $300 for comprehensive coverage, with medical evacuation limits driving the higher premiums. The peace of mind, however, proves worthwhile for cruises to remote destinations, where medical facilities may be hours away.
Did You Know? AARP membership nabs you discounts on many cruises and cruise lines. Find out more about becoming a member in our full AARP membership guide.
Customer Experience
IMG’s 24/7 assistance center staffs medical professionals who can coordinate care directly with ship medical staff and shoreside facilities. Their proactive approach includes checking in with travelers who report illnesses to ensure that they receive appropriate care.
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4. Aegis General Insurance Agency - Best Multitrip Annual Plans
What we like most
- Go Ready Cruise plan includes a no-risk, 15-day free look period
- Preexisting condition waiver requires policy purchase within 14 days of initial trip payment; some plans allow for later purchase
- Multiple-trip annual plans and single-trip plans available
Overview:Coverage and Features
For older adults, there will be changes in health and health-care needs as you age. But that doesn’t mean you can’t plan for vacations ahead of time. If you take multiple cruises and trips during the year, Aegis insurance may be a good bet for you. Their multitrip plans are cost effective and save you the hassle of constantly renewing or searching for cruise insurance. AXA also offers multitrip plans.
If you’re not sure if Aegis is for you, you can cancel your policy within 15 days if you haven’t left port or filed a claim. This customer-friendly practice is not standard across insurance companies, and it may not be offered on all of AXA’s plans.
Some seniors may find their preexisting condition waiver challenging to meet, however, since the look-back period is longer than many other leading insurers.
Pros & Cons:Pros About Aegis General Insurance Agency
- Annual plans cover unlimited trips up to 90 days each
- No medical questionnaires required
- Automatic coverage for new trips booked throughout the year
- Rental car damage covered up to $50,000
Cons About Aegis General Insurance Agency
- Longer-than-average preexisting condition look-back period of 90 to 180 days, depending on plan
- Lower trip cancellation limits than single-trip policies
- Not available in all states
Summary:Pricing
Annual plans range from $400 to $800 depending on coverage levels and age. For seniors taking three or more cruises or other types of trips annually, that represents significant savings compared to individual trip policies.
Customer Experience
Aegis maintains a streamlined claims process, with most decisions made within 15 business days. Their customer-service team specializes in helping older adults understand coverage details, and representatives are trained to explain policies clearly without insurance jargon.
Pro Tip: One of the best parts of taking a vacation should be coming home. If you don’t love your current situation, this may be a good time to look into retirement communities or independent living.
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5. John Hancock Insurance Agency Inc. - Best Cancel Anytime Feature
What we like most
- Policy can be canceled risk-free within 14 days in most states.
- 24/7 emergency assistance in locating medical care abroad
- If medical reasons prevent homebound travel, meals and additional hotel costs are covered
Overview:Coverage and Features
John Hancock’s cancel-for-any-reason add-on insurance reimburses up to 75 percent of nonrefundable costs when you cancel for reasons not covered by their standard policies.
Their Gold and Platinum plans include coverage for nonmedical emergencies, such as cruise line mechanical breakdowns and itinerary changes, which are increasingly common issues that can derail vacation plans.
Did You Know? Like airlines, most cruise lines require that you bring your prescription medications in their original packaging. If you use an electronic medication dispenser at home, swap that out for a lightweight case you can fill once you’re onboard the ship.
Pros & Cons:Pros About John Hancock Insurance Agency Inc.
- Cancel-for-any-reason coverage offers up to 75 percent reimbursement
- Smaller-than-average list of uncovered countries and destinations
- Multilingual assistance staff
Cons About John Hancock Insurance Agency Inc.
- Must purchase within 14 days of initial deposit for full benefits
- Some coverage requires expense receipts
- Opaque website makes it hard to find information about plans
Summary:Pricing
Basic plans start around $140 for a weeklong cruise, and cancel-for-any-reason coverage adds 40 percent to 50 percent to premiums. The investment pays off for older adults who value flexibility over maximum reimbursement.
Customer Experience
John Hancock’s claims process is relatively streamlined and easy to use. Their online portal allows real-time claim tracking and secure document upload from mobile devices. We like how easy it is for customers to file claims. We found John Hancock’s website harder to navigate than Four Corners or AXA, however.
How to Choose the Best Cruise Insurance
For older adults, a cruise insurance policy should always include coverage for medical issues that can’t be handled on the ship. Medical evacuation coverage is also pivotal for ocean cruises that take you far away from ports with reliable or state-of-the-art medical facilities.
Even if you’re traveling domestically on a river cruise, make sure to review your existing health insurance coverage to identify gaps that may negatively impact your ability to acquire and pay for care.
In addition to medical concerns, travel cruise insurance should provide you with adequate coverage for the trip itself, along with your baggage.
Pro Tip: Create a comparison spreadsheet listing your must-have coverage elements, and then request quotes from multiple carriers for accurate price comparisons.
What Cruise Insurance Typically Covers
Standard cruise insurance extends beyond basic trip cancellation, covering missed port departures, emergency medical care, medical evacuation and trip interruption. Most policies include coverage for lost or delayed baggage, travel delays and emergency-assistance services. Cruise-specific benefits often include coverage for missed shore excursions, shipboard service disruptions and cabin confinement due to illness.
Understanding coverage limits proves crucial. A policy may advertise $100,000 in emergency medical coverage, but individual treatments may have sub-limits. Emergency dental care may cap at $500 to $1,000, while other types of emergencies, such as fractures or eye injuries, may have higher or lower caps.
Read policy documents carefully, and pay special attention to these sub-limits that could leave you with unexpected expenses.
Did You Know? Cruise insurance doesn’t usually cover lost or broken eyeglasses. Eyewear can be hard to replace during travel, so consider bringing a second pair with you just in case.
When to Buy Cruise Travel Insurance
Timing matters significantly when purchasing cruise insurance. Buying within 14 days of your initial cruise deposit (or more, depending on your plan) typically unlocks preexisting condition waivers. Some plans have contingencies that enable you to get a waiver later, but don’t count on that. If you travel frequently, buying an annual plan may make sense.
Understanding Preexisting Condition Coverage
Whether it’s arthritis, chronic back pain or something more serious, such as heart disease or cancer, very few seniors are lucky enough not to have medical issues. No matter what you’re dealing with health-wise, preexisting condition waivers enable you to relax on vacation.
Concerns about preexisting medical conditions is common for many older travelers. Preexisting conditions are loosely defined by most travel insurers as illnesses or injuries you had before booking your trip.
If you have diabetes or thyroid disease and take daily medication, either orally or via injection, for example, you have a preexisting condition that is under control. From the insurer’s point of view, these conditions are unlikely to require additional treatment or hospitalization while you’re on vacation.
Pro Tip: Document your health status when purchasing insurance by keeping copies of recent medical records and physician clearances for travel.
Certain conditions may make you ineligible for a waiver. They vary by plan, but can include things such as recent major surgeries or having uncontrolled diabetic wounds that will require debridement surgery in the near future.
If you’re buying trip insurance and have a medical condition that has been active or treated during the policy’s look-back period, you may want to choose a plan that includes a preexisting condition exclusion waiver. If your condition is stable and not expected to flare up, you may not need this type of waiver.
Money-Saving Tips for Senior Travelers
Smart shopping can ace you some discounts and reduce cruise insurance costs without sacrificing essential coverage.
- Consider increasing deductibles on medical coverage if your current plan provides international coverage.
- Skip redundant coverage, such as flight accident insurance if you already have adequate life insurance.
- Group policies sometimes offer savings for couples or families cruising together.
- Some credit cards provide basic travel insurance when you pay for cruises with the card, potentially allowing you to purchase supplemental coverage rather than comprehensive policies.
- Professional associations and alumni groups occasionally offer member discounts on travel insurance.
Conclusion
Selecting cruise travel insurance doesn’t have to overwhelm you. Focus on your specific needs — whether it’s comprehensive medical coverage, flexible cancellation options, affordable multitrip protection or all of the above. The providers we’ve reviewed each excel in different areas, ensuring you’ll find coverage aligned with your priorities and budget.
The best cruise insurance is the one you’ll never need to use, but having it transforms your cruise from a calculated risk into a relaxing adventure. With the right protection in place, you can focus on what matters: Enjoying the journey, exploring new destinations and creating lasting memories on the open seas.
Frequently Asked Questions
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Does cruise insurance cover COVID-19?
Most cruise insurance now covers COVID-19 like any other illness for medical care and trip interruption. Cancellation due to fear of COVID or border closures, however, typically requires cancel-for-any-reason coverage.
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Will cruise insurance cover helicopter evacuation from the ship?
Yes, medical evacuation coverage includes helicopter transport when medically necessary. Ensure that your policy’s evacuation limit is at least $100,000.
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Can I buy cruise insurance after I make the final payment on my trip?
Yes, you can usually purchase insurance up until departure, but you’ll miss benefits such as preexisting condition waivers. Some insurers allow purchases up to 24 hours before departure.
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Does Medicare cover medical care on cruise ships?
Medicare doesn’t cover medical care on cruise ships unless the ship is in U.S. territorial waters, in port or less than six hours from a U.S. port. Most seniors need supplemental cruise insurance for medical coverage.
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What’s the age limit for buying cruise travel insurance?
Age limits vary by insurer, with some having no maximum age and others capping at 84 to 99 years. Premiums typically increase with age, but coverage remains available for most seniors.
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Is cancel-for-any-reason coverage worth the extra cost?
For older adults with health concerns or those booking expensive cruises far in advance, the 40 percent to 50 percent premium increase often proves worthwhile. It provides maximum flexibility when standard cancellation reasons don’t apply.
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Better Business Bureau. (2025). AXA Partners US.
