Cruise Insurance FAQ’s.

Cruise Insurance doesn’t need to be complicated. You’ll find the most asked questions outlined below taken from years of offering travel insurance.

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annual cruise insurance


⚠️ Critical Information

Even if your cruise never leaves New Zealand waters, you still need specialised cruise insurance. Once your ship departs port, public healthcare and private health insurance no longer cover onboard medical expenses – even in domestic waters.

Basic Coverage Questions

Do I need cruise insurance if I already have travel insurance?

Yes, standard travel insurance typically does not cover the unique risks associated with cruising. You need to either add a cruise extension to your existing travel insurance policy or purchase a dedicated cruise insurance policy.

Cruise insurance covers specific situations including:

  • Onboard medical expenses and treatment
  • Emergency medical evacuation from ship to shore
  • Cabin confinement compensation
  • Missed port departures
  • Missed shore excursions
  • Ship-to-shore medical expenses
  • Emergency formal attire replacement

What exactly does cruise insurance cover?

Comprehensive cruise insurance typically includes:

Coverage Type What’s Included
Onboard Medical Expenses Unlimited coverage for doctor consultations, medications, treatments, and onboard hospitalization
Emergency Evacuation Helicopter or boat evacuation from ship to shore, air ambulance to nearest hospital, medical repatriation to NZ
Trip Cancellation Non-refundable deposits and prepaid expenses if you must cancel before departure
Trip Interruption Costs to reach next port or return home if cruise is cut short
Missed Departure Costs to catch up with ship at next port due to delays
Cabin Confinement Daily compensation if required to isolate in cabin due to illness
Luggage & Belongings Lost, stolen, or damaged personal items including formal wear
Shore Excursions Prepaid excursions cancelled due to illness or ship delays

Is cruise insurance different from regular travel insurance?

Yes, significantly. Cruise insurance is specifically designed for the unique risks of sea travel. The main differences include:

  • Coverage for onboard medical expenses (regular travel insurance typically only covers land-based medical care)
  • Emergency evacuation from a vessel at sea (extremely expensive and not covered by standard policies)
  • Cabin confinement compensation (unique to cruise situations)
  • Coverage for missed port departures and disrupted itineraries
  • Protection for shore excursions and formal dining attire
  • Coverage in international waters where no public healthcare applies

💡 Expert Tip

Medical costs on cruise ships are charged at private rates. A simple doctor’s appointment can cost $250-$300, while hospitalization can exceed $5,000 per day. Without cruise insurance, you’ll be responsible for these costs immediately.

When & How to Purchase Cruise Insurance

When should I buy cruise insurance?

Purchase cruise insurance as soon as you book your cruise for maximum protection. Early purchase ensures:

  • Full cancellation coverage from the moment of purchase
  • Protection against pre-departure incidents (illness, injury, family emergencies)
  • Coverage for early payment deposits and non-refundable bookings
  • Time to review policy details and make adjustments if needed

Many policies also offer additional benefits when purchased within 14-21 days of your initial cruise deposit.

Can I buy cruise insurance once I’m already on my cruise?

No. Cruise insurance must be purchased before you leave home and before you commence any travel related to your cruise (including flights to the departure port).

Once your trip has begun, insurers will not sell you coverage as the risk assessment period has passed. This is why purchasing insurance immediately after booking is crucial.

How do I add cruise cover to my travel insurance policy?

The process is straightforward:

  1. When obtaining a quote, answer “Yes” to the question about travelling on a sea or ocean cruise for two or more nights
  2. An additional premium will be calculated and added to your policy
  3. Select your destinations (including all ports the ship will visit)
  4. Declare any pre-existing medical conditions
  5. Complete purchase and receive your Certificate of Insurance

The cruise benefits become active once the premium is paid and the certificate is issued.

What if my cruise visits multiple countries?

When your cruise stops in multiple destinations, you must:

  • List every country or region the ship will visit during the quote process
  • Include both scheduled ports and potential emergency ports
  • Select “multiple destinations” and add each country individually
  • Ensure your policy covers the entire geographical range of your cruise

Failing to declare all countries may result in denied claims for incidents occurring in undeclared locations. If you’re unsure about any destinations, contact your insurer directly for guidance.

Medical Coverage Questions

Am I covered if I get sick or injured on the cruise ship?

Yes, cruise insurance covers onboard medical emergencies including:

  • Doctor consultations and examinations
  • Emergency medical treatment and procedures
  • Prescribed medications and medical supplies
  • Onboard hospitalisation and nursing care
  • Emergency dental treatment for pain relief
  • Diagnostic tests and medical imaging

Most policies offer unlimited medical coverage for onboard treatment. Contact your insurer’s 24-hour emergency assistance team immediately if you require hospitalization.

What happens if I need to be evacuated from the ship?

Emergency medical evacuation is one of the most critical benefits of cruise insurance. If you require urgent medical care that cannot be provided onboard, your policy covers:

Evacuation Type Coverage Details
Ship-to-Shore Helicopter or boat evacuation to nearest port or medical facility
Air Ambulance Emergency air transport to nearest adequate hospital
Hospital Treatment All medical expenses at foreign hospitals until stable
Medical Repatriation Return to New Zealand with medical escort if required
Ongoing Care Treatment until medically fit to return home

Emergency evacuations can cost $50,000-$100,000 or more depending on your location. Without insurance, you would be responsible for these costs upfront.

Does cruise insurance cover COVID-19?

Most cruise insurance policies now include COVID-19 coverage for:

  • Onboard medical treatment if you contract COVID-19 during your cruise
  • Emergency evacuation if serious complications develop
  • Ship-to-shore medical expenses related to COVID-19
  • Emergency assistance support and medical coordination

Important exclusion: Cabin confinement compensation typically does NOT apply to COVID-19 related isolation, even with cruise cover. Check your specific policy wording for exact terms.

Trip cancellation due to COVID-19 before departure may be covered if you test positive and cannot travel, depending on your policy’s cancellation terms.

🚨 Medical Emergency Costs Without Insurance

Real examples of cruise medical expenses:

  • Doctor consultation: $250-$300
  • Onboard hospitalization: $5,000+ per day
  • Helicopter evacuation: $25,000-$75,000
  • Air ambulance to NZ: $50,000-$150,000
  • Foreign hospital ICU: $10,000+ per day

What about medical care when I’m in port?

Coverage depends on whether you’re on a domestic or international cruise:

  • Domestic cruises: When in New Zealand ports, your public healthcare entitlements or private health insurance apply. Your cruise insurance doesn’t cover land-based medical care in NZ.
  • International cruises: Your cruise insurance covers medical expenses in foreign countries at ports of call, just like standard international travel insurance.

The key distinction: Once your ship leaves any port, even in New Zealand waters, only your cruise insurance provides medical coverage.

Costs & Pricing

How much does cruise insurance cost?

Cruise insurance premiums vary based on multiple factors:

Cruise Type Typical Cost Range Key Factors
Short Domestic (3-5 days) fr.$60-$150 per person Age, duration, cancellation cover level
Extended Domestic (7-10 days) fr.$120-$200 per person Age, itinerary, existing conditions
Pacific Islands (7-14 days) fr.$145-$280 per person Destinations, age, medical history
Australian Cruise (10-14 days) fr.$180-$350 per person Age, ports visited, cancellation cover
Extended International (21+ days) fr.$350-$800+ per person Duration, destinations, age, medical assessment

These are indicative ranges only. Your actual premium will be calculated based on your specific circumstances.

Is cruise insurance more expensive than regular travel insurance?

Yes, cruise insurance premiums are typically 30-50% higher than standard travel insurance due to:

  • Higher medical evacuation costs from vessels at sea
  • Specialized coverage for unique cruise risks
  • Unlimited medical coverage requirements
  • Remote locations far from immediate medical care
  • Additional benefits like cabin confinement and missed port compensation

However, the extra cost is minimal compared to potential out-of-pocket expenses for medical emergencies at sea.

Do insurers charge extra for cruise cover?

Yes, cruise cover requires an additional premium on top of your base travel insurance policy. This is added when you indicate you’ll be travelling on a cruise for two or more nights.

The additional premium reflects the increased risks and specialized coverage needs of cruise travel. Some insurers include basic cruise benefits in comprehensive policies, but enhanced cruise coverage always requires extra payment.

💰 Money-Saving Tips

  • Purchase as early as possible – some insurers offer discounts for early purchase
  • Consider annual multi-trip policies if you cruise more than once per year
  • Compare multiple insurers – premiums can vary significantly
  • Choose appropriate cancellation levels – don’t over-insure
  • Bundle with travel companions for potential family/group discounts

Domestic vs International Cruises

Do I need cruise insurance for a domestic New Zealand cruise?

Yes, absolutely. This is one of the most misunderstood aspects of cruise insurance. Many New Zealanders assume public healthcare covers them on domestic cruises, but this is incorrect.

Once your cruise ship leaves port – even if remaining in New Zealand waters – you enter a zone where:

  • Public healthcare does not apply to onboard medical treatment
  • Private health insurance does not cover ship-based medical expenses
  • You’re responsible for all medical costs at private rates
  • Emergency evacuations can cost tens of thousands of dollars

Domestic cruise insurance covers you from the moment your ship departs until it returns to port.

What’s the difference between domestic and international cruise insurance?

Feature Domestic Cruise International Cruise
Geographic Coverage New Zealand coastal waters only Multiple countries and international waters
Medical Coverage Onboard only (land coverage via public health) Onboard and all foreign ports
Cost Lower premiums Higher due to international medical costs
Evacuation Destination New Zealand hospitals Nearest adequate facility (may be foreign)
Cancellation Coverage Available as add-on Typically essential given higher costs

Do I need cruise cover for river cruises?

No, cruise insurance is not required for river cruises (Rhine, Danube, Murray River, etc.). River cruises are:

  • Always in close proximity to shore and medical facilities
  • Covered under standard comprehensive travel insurance
  • Lower risk due to immediate access to land-based healthcare
  • Not subject to the same evacuation challenges as ocean cruises

Standard international travel insurance is sufficient for river cruise holidays.

What about short ferry trips or one-night cruises?

Cruise insurance is not required if you are:

  • Taking a ferry journey (inter-island ferries, etc.)
  • On a cruise for only one night
  • On a vessel that doesn’t travel in ocean or sea waters
  • Sailing in coastal areas (note: sailing is not covered in international waters without specific marine insurance)

The two-night threshold is industry standard, as risks are substantially lower for shorter voyages.

Cancellations & Disruptions

Does cruise insurance cover cancellations?

Yes, if you purchase a policy with cancellation coverage. Cruise insurance typically covers trip cancellation for:

  • Serious illness or injury preventing travel
  • Death of immediate family member
  • Unexpected redundancy or job loss
  • Serious damage to your home requiring your presence
  • Jury service or court witness summons
  • Military or emergency services deployment
  • Pregnancy complications (if pregnancy occurred after policy purchase)

You must purchase cancellation cover when buying your policy – it cannot be added later. The benefit limit depends on the level of cover you select.

What if I miss my cruise departure?

If you miss your cruise ship due to circumstances beyond your control, cruise insurance can help. Covered reasons include:

  • Flight delays or cancellations
  • Vehicle breakdown en route to port
  • Traffic accidents or road closures
  • Public transport strikes or disruptions
  • Natural disasters affecting travel routes

Your policy will cover:

  • Reasonable costs to reach the ship at its next port of call
  • Additional accommodation if required
  • Transportation expenses (flights, taxis, etc.)

What if my luggage misses the boat?

Delayed luggage is a common cruise issue. Your cruise insurance provides:

  • Reimbursement for essential items (toiletries, clothing, medications)
  • Emergency formal attire purchase for dining requirements
  • Daily allowance until luggage is returned
  • Coverage for permanently lost items up to policy limits

Keep all receipts for emergency purchases and report delayed luggage to your cruise line and airline immediately.

Am I covered if the ship misses a scheduled port?

This depends on the reason:

  • Weather-related changes: Not covered – this falls under “lack of enjoyment” which insurance doesn’t cover
  • Prepaid shore excursions: May be covered if cancelled due to ship delays beyond your control
  • Port changes before departure: May qualify for cancellation claims if substantial itinerary changes occur

Insurance cannot compensate for disappointment or loss of enjoyment from itinerary changes during your cruise.

Does cruise insurance cover non-refundable deposits?

Yes, if you have cancellation coverage and cancel for a covered reason. This includes:

  • Initial cruise deposits paid to the cruise line
  • Prepaid shore excursions booked in advance
  • Prepaid specialty dining or spa reservations
  • Flights and accommodation related to your cruise
  • Pre or post-cruise hotel bookings

Coverage amount depends on your selected cancellation limit. Ensure your coverage level matches your total prepaid expenses.

📋 Important for Cancellations

  • Obtain medical certificates for illness-related cancellations
  • Report cancellations to your insurer as soon as possible
  • Attempt to minimize losses (get refunds where possible)
  • Keep all receipts, booking confirmations, and documentation
  • Check cruise line’s own cancellation policies first

Pre-existing Medical Conditions

Will cruise insurance cover my pre-existing medical conditions?

Maybe. Coverage for pre-existing conditions varies by insurer and condition severity. The process typically involves:

  1. Automatic coverage: Many insurers automatically cover 30-35 stable conditions without extra premium
  2. Medical assessment: Other conditions require online assessment and may incur additional premium
  3. Approval process: Some serious conditions may not be coverable, or coverage may be declined

You must declare ALL pre-existing conditions. Non-disclosure voids your entire policy, not just claims related to undeclared conditions.

What conditions are commonly automatically covered?

Many insurers automatically cover stable, well-controlled conditions such as:

  • Controlled high blood pressure (no recent changes)
  • Stable asthma (no recent attacks or hospitalizations)
  • Controlled diabetes (Type 1 or 2, stable management)
  • Cholesterol managed with medication
  • Stable hypothyroidism or hyperthyroidism
  • Anxiety or depression (stable on medication)
  • Previous surgery with full recovery (depending on timeframe)

Conditions must be stable (no recent changes in medication or treatment) and well-controlled to qualify for automatic coverage.

What if I develop a condition after purchasing insurance but before my cruise?

Contact your insurer immediately if:

  • You’re diagnosed with a new medical condition
  • Existing conditions change or worsen
  • Your doctor advises against travel
  • New medications are prescribed

Your insurer will reassess your coverage. Options may include:

  • Additional premium to maintain full coverage
  • Exclusion of the new/changed condition only
  • Policy cancellation with refund (if medically unable to travel)

Can I cruise if I have cancer or heart disease?

Possibly, but it requires careful consideration and medical clearance:

  • Obtain written clearance from your specialist
  • Complete comprehensive medical assessment with insurer
  • Expect higher premiums or specific exclusions
  • Consider proximity of cruise to advanced medical facilities
  • Discuss with your doctor whether cruising is advisable

Some insurers specialize in covering travellers with serious medical conditions. Shop around and be completely honest in medical assessments.

⚠️ Critical Medical Disclosure Rules

Failing to declare medical conditions is the #1 reason for claim denials. You must disclose:

  • All diagnosed conditions, even if “minor” or “under control”
  • Conditions you’re being investigated for (pending diagnosis)
  • Symptoms you’re experiencing but haven’t sought treatment for
  • Mental health conditions including anxiety and depression
  • Any condition your doctor has advised treatment for

When in doubt, declare it. It’s better to be declined than have claims rejected later.

Making Claims

How do I make a cruise insurance claim?

Follow these steps for successful claims:

  1. Contact emergency assistance immediately for medical emergencies (24/7 phone line)
  2. Report incidents promptly to your insurer, ideally within 30 days
  3. Gather documentation: medical reports, receipts, police reports (for theft), cruise line statements
  4. Complete claim forms accurately and thoroughly
  5. Submit supporting evidence: invoices, booking confirmations, medical certificates
  6. Follow up if you don’t receive acknowledgment within 10 business days

What documentation do I need for a medical claim?

Essential documents include:

  • Detailed medical reports from ship’s doctor or hospital
  • Original itemized receipts for all medical expenses
  • Prescription receipts and medication details
  • Evacuation reports and invoices (if applicable)
  • Your cruise ship’s medical log entries
  • Evidence of payment made onboard or at facilities
  • Any correspondence with cruise line medical staff

How long do cruise insurance claims take?

Processing times vary by claim complexity:

  • Simple claims: 10-20 business days (delayed luggage, minor medical)
  • Standard claims: 20-40 business days (cancellations, moderate medical)
  • Complex claims: 40-90 days (major medical, evacuations, disputes)
  • Very complex: 90+ days (multiple incidents, legal complications, large sums)

Providing complete documentation upfront significantly speeds up processing.

What are common reasons for claim denials?

Avoid these common pitfalls:

Denial Reason How to Avoid
Undeclared medical conditions Declare all conditions during purchase, no matter how minor
Insufficient documentation Keep all receipts, reports, and correspondence
Policy exclusions apply Read policy wording carefully before purchasing
Late notification Report incidents within required timeframes
Excessive alcohol consumption Be aware alcohol can void medical claims
Undeclared destinations List all countries cruise ship will visit
No attempt to minimize loss Try to obtain refunds, use cruise line insurance first

What if my claim is denied?

You have options if your claim is declined:

  1. Request detailed explanation of the denial reason in writing
  2. Review policy wording carefully to understand if denial is valid
  3. Provide additional evidence if the insurer’s information is incorrect
  4. Request internal review by a senior claims assessor
  5. Lodge complaint with Insurance & Financial Services Ombudsman (if unresolved)
  6. Seek legal advice for substantial claims with questionable denials

Specific Scenarios

What happens if I’m required to stay in my cabin (cabin confinement)?

Cabin confinement coverage provides compensation if you’re ordered to remain in your cabin due to:

  • Contagious illness that poses risk to other passengers
  • Quarantine requirements (excluding COVID-19 in most policies)
  • Medical orders pending evacuation

Typical compensation: $50-$150 per day for each day confined. Note that COVID-19 isolation is typically excluded from cabin confinement benefits.

Am I covered for adventure activities during port visits?

Standard cruise insurance typically covers common activities, but high-risk adventures may require additional coverage:

  • Usually covered: Snorkeling, kayaking, zip-lining, hiking, cycling
  • May require add-on: Scuba diving, jet skiing, parasailing, bungee jumping
  • Often excluded: Skydiving, base jumping, motorized water sports racing

Check your policy’s activity list or purchase an adventure sports extension if planning high-risk activities.

What if I need to extend my cruise insurance while travelling?

Most policies allow extensions if:

  • You request before current policy expires
  • You haven’t made any claims
  • Extension is due to circumstances beyond your control (medical, travel delays)
  • You’re not extending to obtain coverage for a known issue

Contact your insurer’s emergency line if you need to extend coverage while travelling. Additional premium will apply.

Does cruise insurance cover if I get pregnant during my cruise?

Coverage depends on timing and circumstances:

  • If pregnancy occurs after policy purchase: Complications may be covered
  • If pregnant before policy purchase: Pregnancy-related claims typically excluded
  • Most policies won’t cover after 26-28 weeks gestation
  • Routine pregnancy care is not covered
  • Emergency pregnancy complications may be covered if pregnancy was unknown at purchase

Many cruise lines refuse boarding after 24 weeks of pregnancy regardless of insurance.

What happens if there’s a death at sea?

In the tragic event of death during a cruise, comprehensive cruise insurance covers:

  • Repatriation of remains to New Zealand
  • Funeral expenses (up to policy limit)
  • Return travel for accompanying family members
  • Additional accommodation costs for family
  • Legal documentation and administrative costs

Contact your insurer’s 24-hour emergency line immediately for assistance with arrangements.

Am I covered if the cruise line goes bankrupt?

Some policies include “supplier default” or “travel provider insolvency” coverage that protects you if:

  • Your cruise line ceases operations
  • You’ve paid for but not received services
  • You’re stranded during your cruise

This is often an optional add-on. Check if your policy includes this protection, especially when booking with smaller or budget cruise lines.

Coverage Limits & Exclusions

What are the typical coverage limits for cruise insurance?

Coverage Category Typical Limits
Onboard Medical Expenses Unlimited (most comprehensive policies)
Emergency Evacuation Unlimited
Trip Cancellation $2,500 – $100,000+ (choose your level)
Luggage & Personal Effects $5,000 – $15,000 total
Single Item Limit $500 – $2,000 per item
Cabin Confinement $50-$150 per day (max 10-14 days)
Delayed Luggage $500 – $2,000
Missed Departure $2,000 – $10,000
Cash & Documents $500 – $1,000

Limits vary significantly between insurers and policy tiers. Review your Certificate of Insurance for exact limits.

What are common exclusions in cruise insurance?

Standard exclusions that apply to most cruise insurance policies:

  • Pre-existing conditions not declared or assessed
  • Injuries while intoxicated or under influence of drugs
  • Participation in professional sports or competitions
  • Intentional self-injury or suicide attempts
  • War, terrorism, or civil unrest (some policies cover, others exclude)
  • Travelling against medical advice
  • Pregnancy complications if pregnant before purchase (usually)
  • Routine medical check-ups or elective procedures
  • Loss of enjoyment or change of mind
  • Claims arising from illegal activities
  • Cyber events or pandemics (varies by policy)

Are there age limits for cruise insurance?

Age affects cruise insurance in several ways:

  • Under 70: Standard coverage available, premiums increase gradually with age
  • 70-79: Higher premiums, may require additional medical screening
  • 80+: Significantly higher premiums, limited policy options, comprehensive medical assessment required
  • Trip duration limits: Travellers over 70 may be limited to shorter cruise durations (6 months maximum)

Some insurers specialize in coverage for seniors. Compare multiple providers to find suitable coverage.

Do I need to insure high-value items separately?

Yes, most policies have sub-limits for individual items ($500-$2,000). For high-value items, you should:

  • Declare items at time of purchase
  • Pay additional premium for increased coverage
  • Obtain valuations for jewelry, cameras, electronics
  • Take photos and keep receipts
  • Consider leaving very valuable items at home

Common high-value items requiring additional coverage: engagement rings, professional cameras, laptops, designer watches, expensive jewelry.

✅ Final Checklist Before Your Cruise

  • Confirm cruise insurance is purchased and Certificate received
  • Save emergency assistance phone numbers in your phone
  • Carry physical copy of insurance certificate
  • Photograph all valuable items before departure
  • Review policy wording for specific exclusions
  • Confirm all destinations and ports are listed on policy
  • Pack essential documents: passport, insurance details, medical prescriptions
  • Inform family/friends of emergency contact procedures

Still Have Questions?

If you haven’t found the answer you’re looking for, our insurance specialists are here to help. Contact us for personalised advice on:

  • Complex medical conditions and coverage options
  • Multi-generational family cruise insurance
  • Long-term or world cruise coverage
  • Group bookings and corporate cruise travel
  • Luxury or expedition cruise insurance needs

Email: info@cruiseinsurance.co.nz
Hours: Monday-Friday 8:30am-5:30pm, Saturday 9am-1pm


Important: This FAQ guide provides general information only. All cruise insurance policies have specific terms, conditions, limits, sub-limits, and exclusions. Always read the Policy Wording Document before purchasing to ensure the product meets your needs.

Get Your Personal Cruise Insurance Quote Now

Comprehensive cruise insurance covers these unique risks plus missed ports, cabin confinement, itinerary changes, and trip cancellations—protecting both your health and your holiday investment.

Our team of experts can provide you with a bespoke cruise insrance policy or wider travel insurance option to cover all eventualities. Its certainly worth talking to the experts or get a quote online.