Travel insurance can offer financial protection if you cancel an expensive, nonrefundable vacation for an approved reason. Travel insurance can also cover your medical bills if you experience a medical emergency while traveling. However, sometimes you can get away with not purchasing it.

“Ultimately, the decision to purchase travel insurance should be based on your individual circumstances, including your destination, planned activities, health condition, and financial situation,” Rajeev Shrivastava, founder and CEO of insurance marketplace VisitorsCoverage, told Investopedia via email.

What Does Travel Insurance Cover?

Travel insurance policies typically cover these five financial and health risks:

Trip Cancellations, Interruptions, and Delays

Illness, the death of a traveler’s family member, bad weather, job loss, or a natural disaster are a few circumstances that might trigger reimbursement of prepaid travel costs, such as plane tickets or emergency expenses. However, only reasons outlined by the insurance policy are covered, so review exclusions.

Luggage and Rental Car Damage or Loss

A travel insurance policy might cover lost, stolen, or damaged luggage, personal items, or auto rentals. In some cases, the coverage might include reimbursement of purchases (such as clothing) you needed to make because you didn’t have your luggage. An auto rental damage waiver covers a rental vehicle’s damage or theft.

Travel Health Insurance 

Travel insurance kicks in for medical or dental emergencies when your regular U.S. health insurance doesn’t apply. Remember that even if a country has a low-cost or free nationalized health system, you’ll pay out of pocket if you are not a citizen.

Medical Evacuation

Medical evacuation coverage reimburses you if you must be evacuated from a remote area to a hospital. For example, if you become seriously ill while trekking in the Swiss Alps, travel insurance may pay for you to be airlifted to a big-city hospital for treatment. Medical evacuation from a remote location can cost as much as $250,000. This insurance may be part of travel health insurance or a stand-alone policy.

Accidental Death and Dismemberment

This type of coverage pays benefits to your survivors if you get injured or die while on a trip. Injuries are typically limited to losing an eye, hand, foot, or limb.

What Does Travel Insurance Not Cover? 

A standard travel insurance policy won’t cover some cancellation reasons. For example, a standard travel insurance policy won’t provide coverage if you decide to back out of a trip because you need to cut back on spending. You would need to purchase “cancel for any reason” (CFAR) coverage. Even CFAR has its own rules, such as canceling within a specific time frame.

Other losses that traditional travel insurance may or may not cover include:

• Costs associated with preexisting health conditions, pregnancy complications, or mental health issues
• Injury costs after participating in higher-risk activities such as rock climbing or skydiving
• Trip interruption, cancellation, or other losses due to health and disease outbreaks or natural disasters
• Cancellations due to terrorism, civil unrest, or any U.S. State Department warnings

Ask the insurer about exclusions to find out which exclusions apply, or review documentation. You may be able to find travel health insurance coverage that won’t exclude your mountain-climbing injuries, for example. 

Which Countries Require Travel Insurance?

Many countries don’t require travel or health insurance now that the COVID-19 pandemic is in retreat. However, future disease outbreaks can influence requirements. Check the U.S. State Department’s website and destination government sites for the most current information on health requirements and recommendations.

For example, Thailand still requires visitors to carry $10,000 in travel medical insurance if they’re coming from a country with pre-departure COVID tests. However, the United States doesn’t require pre-departure COVID testing, making the insurance unnecessary for Americans.

Some nations have blanket requirements for coverage. Cuba requires U.S. airlines leaving from the U.S. to pay for each passenger’s health insurance. Every international traveler entering Saudi Arabia receives government-supplied travel medical insurance for emergencies.

Travelers entering Qatar must purchase emergency and accident services health insurance from a Qatar-registered insurer.

In some countries, you must apply for a visa to visit, even for a few days. In Nepal, U.S. visitors applying for the required six-month visa must demonstrate proof of a six-month international health insurance policy. 

When Is Travel Insurance Not Necessary?

Suppose you’re taking a short trip in your own country and have adequate health insurance. In that case, you might not need travel insurance, according to , founder and CEO of the BusinessClass.com travel website, as told to Investopedia via email.] In addition, if you’re taking a trip with refundable costs—such as airfare—and can cancel it without being financially penalized, then travel insurance may not be necessary.

You may not need travel insurance if your credit card offers robust benefits. Travel credit cards and other credit cards may provide the following coverages: 

• Trip cancellation insurance
• Trip delay reimbursement
• Emergency evacuation and transportation
• Accidental death and dismemberment
• Lost or delayed luggage reimbursement
• Auto damage waivers
• Roadside emergency assistance

However, Jiten Puri, founder and CEO of insurance marketplace PolicyAdvisor.com, noted that this coverage might be limited, such as providing only basic medical care or not covering trip cancellation or interruption.

How Much Does Travel Insurance Cost?

Generally, travel insurance costs 4% to 10% of the total prepaid, nonrefundable expenses for your trip. If you buy travel insurance for a cruise with a $6,000 price tag, you might pay anywhere from $240 to $600 for a policy.

The cost of travel insurance varies by insurer. A recent Investopedia review of six insurers’ travel insurance plans offering trip cancellation/interruption, emergency medical/evacuation, and baggage loss/damage found the following ranges:

Age	Trip Cost	Low Premium	High Premium
35	$1,500	$51	$69
65	$3,000	$135	$186

Factors that affect the cost of travel insurance include:

• Age: This is the largest factor in rates charged for travel insurance. Older travelers and travelers with preexisting medical conditions might find travel insurance costs more than it does for other travelers.
• Coverage type and dollar amount: A policy with fewer coverage types and where your trip expenses are lower typically costs less than coverage for higher dollar amounts or extra benefits, such as CFAR insurance.
• Trip length: The more days you travel, the more risks you might encounter.
• Number of travelers: A trip with six people might be riskier (and cost more) than a trip with two people.

Remember that an insurer may turn you down or charge you more after reviewing your application based on the insurer’s risk standards. 

When Is Travel Insurance Worth It?

, publisher of The World Travel Guy blog, said it’s generally a good idea to buy travel insurance with appropriate coverages if you’re:

• Taking a pricey trip with nonrefundable costs
• Traveling internationally
• Visiting a remote location without easy access to medical care

Eckhoff suggested considering buying travel insurance if you:

• Have a preexisting medical condition, as long as the policy covers your needs
• Are visiting a country threatened by political instability, natural disasters, or health risks
• Participate in higher-risk activities, increasing the odds of becoming injured or ill

In addition to the above, the U.S. Centers for Disease Control and Prevention (CDC) recommends buying supplemental travel health insurance if you’re traveling for more than six months.

The U.S. State Department suggests buying insurance before you travel and reviewing the country information page of your destination before you travel.

“If you’re shopping for travel insurance, make sure you get something that fits you, your destination, and your style of travel. Think of what’s most likely to go wrong in your situation, and then pick a plan that will cover it,” Leiter recommended.

The Bottom Line

Buying travel insurance might not be necessary if you’re traveling domestically or going on a refundable trip, or if you carry adequate coverage through a credit card. “We would always recommend getting travel insurance. But if you are extremely elderly or in very poor health, your travel insurance premiums may be expensive,” Puri said.

Travel insurance generally provides “invaluable peace of mind,” Puri said. For instance, travel insurance can be a smart investment if you’re traveling internationally and purchased a high-cost, nonrefundable trip.