Cruise Insurance with Pre-Existing Medical Conditions
Having a pre-existing medical condition shouldn’t stop you from experiencing the joy of cruising. Whether you have diabetes, heart conditions, asthma, arthritis, or a complex medical history, you deserve comprehensive cruise insurance that provides real protection—not blanket exclusions or prohibitive premiums.
Our team of experts will provide you with pre-existing insurance to suit you
We Proudly Partner With The Following Insurers;

As New Zealand’s cruise insurance specialists, we provide tailored seniors cruise insurance for travellers over 50, 60, 70, and even 80+. Whether you’re taking your first retirement cruise or you’re a seasoned senior cruiser, we ensure you’re fully protected with realistic premiums (no age-gouging), comprehensive medical coverage including pre-existing conditions, and 24/7 emergency support designed specifically for mature travellers.
Why Travellers Trust Our Cruise Insurance
- ✓ Coverage Up to Age 85+ – We don’t discriminate based on age
- ✓ Pre-Existing Conditions Specialists – Most conditions covered with assessment
- ✓ Realistic Premiums – Fair pricing without age-gouging
- ✓ Unlimited Medical Coverage – Full protection at sea and ashore
- ✓ Comprehensive Medical Screening – Accurate quotes for your health
- ✓ 24/7 Emergency Assistance – Expert support when you need it most
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Important: Don’t assume you can’t get cruise insurance because of your age or medical history. We specialise in finding coverage for mature travellers and regularly insure seniors with controlled conditions like hypertension, diabetes, previous heart issues, arthritis, and more.
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Couples Cruise InsuranceSpecialised cover for scenic river cruising through Europe, Asia, and beyond. Protection for medical expenses, trip disruption, itinerary changes, and travel delays—tailored for the unique needs of river cruise travellers. Enjoy peace of mind as you explore waterways from the Danube to the Mekong. -
Cruise Insurance TipsComprehensive protection for your ocean cruise adventure. Cover for medical emergencies, cabin confinement, missed ports, trip cancellation, and emergency evacuation—whether you're sailing domestically or internationally. -
Cruising The PacificExpert cover for tropical paradise cruising to Fiji, Vanuatu, New Caledonia, Samoa, and beyond. Protection for medical emergencies in remote islands, evacuation from tropical destinations, missed excursions, and trip cancellation. Affordable premiums for New Zealand's most popular cruise region—get your quote in minutes.
What is a Pre-Existing Medical Condition?
A pre-existing medical condition is any illness, injury, disease, or medical condition for which you have:
- Received medical advice, consultation, or treatment
- Been prescribed medication or therapy
- Experienced symptoms (whether diagnosed or not)
- Undergone tests, investigations, or monitoring
- Been hospitalized or had surgery
- Had changes to medication or dosage
The critical timeframe varies by insurer but typically covers conditions you’ve had at any point before purchasing insurance—not just recent conditions. Even conditions that occurred years ago may need to be declared if you’re still receiving treatment or monitoring.
Common Misconceptions About Pre-Existing Conditions:
- Myth: “I haven’t had symptoms for years, so it doesn’t count.”
Truth: If you’re still on medication or receiving monitoring, it’s still pre-existing. - Myth: “My condition is controlled, so I don’t need to declare it.”
Truth: Controlled conditions still need declaration—but they’re often covered with assessment. - Myth: “It’s not related to travel, so I can skip mentioning it.”
Truth: Declare everything. Insurers decide what’s relevant, not you. - Myth: “I only need to declare conditions from the past 12 months.”
Truth: Most insurers require disclosure of all ongoing conditions regardless of when diagnosed.
Why Honest Disclosure is Essential
Failing to disclose pre-existing conditions is the leading cause of declined claims. When you make a claim, insurers access your medical records. If they discover undisclosed conditions, they can:
- Void your entire policy – Not just deny the current claim, but cancel all coverage retroactively
- Refuse all claims – Even claims completely unrelated to the undisclosed condition
- Keep your premium – You lose the money you paid for worthless coverage
- Leave you liable for costs – You pay all medical bills, evacuation costs, everything
Real Example of Non-Disclosure Consequences:
A 68-year-old man suffered a stroke while cruising, requiring $87,000 in medical treatment and evacuation. His claim was denied because he failed to disclose his hypertension and high cholesterol—conditions he considered “minor” and “controlled.” He was personally liable for the entire $87,000 because his non-disclosure voided his policy. Always declare everything.
Commonly Covered Pre-Existing Conditions
With proper medical assessment and disclosure, we regularly provide coverage for:
Cardiovascular
- Hypertension (high blood pressure)
- High cholesterol
- Previous heart attack (stable)
- Angina (controlled)
- Atrial fibrillation
- Heart valve disease (mild-moderate)
- Pacemakers/stents
- Previous bypass surgery
Metabolic
- Type 1 diabetes
- Type 2 diabetes
- Thyroid disorders
- High cholesterol
- Gout
- Obesity
- Metabolic syndrome
Respiratory
- Asthma (controlled)
- COPD (stable)
- Emphysema
- Chronic bronchitis
- Sleep apnea
- Previous pneumonia
Musculoskeletal
- Arthritis (all types)
- Joint replacements
- Osteoporosis
- Chronic back pain
- Fibromyalgia
- Spinal stenosis
Digestive
- GERD/acid reflux
- Irritable bowel syndrome
- Crohn’s disease
- Ulcerative colitis
- Diverticulitis
- Previous gallbladder removal
Mental Health
- Depression (stable)
- Anxiety disorders
- PTSD
- Bipolar disorder (controlled)
- OCD
Neurological
- Previous stroke/TIA (stable)
- Migraines
- Epilepsy (controlled)
- Multiple sclerosis (stable)
- Parkinson’s disease
- Peripheral neuropathy
Cancer History
- Breast cancer (remission)
- Prostate cancer (remission)
- Colon cancer (remission)
- Skin cancer (treated)
- Other cancers (case-by-case)
Other Common
- Kidney stones
- Prostate conditions
- Glaucoma
- Macular degeneration
- Hearing loss
- Autoimmune conditions
This is not an exhaustive list. Even if your condition isn’t listed, contact us. We assess each case individually and can often find coverage for complex or uncommon conditions. Simply get a quote and see how we can help you.
Conditions That Are More Difficult to Cover
Some conditions make coverage challenging or impossible:
- Active cancer currently undergoing treatment – Chemotherapy, radiation, or awaiting surgery
- Terminal illnesses – Limited prognosis or palliative care
- Unstable or uncontrolled conditions – Recent hospitalizations, medication changes, worsening symptoms
- Awaiting diagnosis or test results – Symptoms under investigation
- Conditions requiring imminent treatment – Scheduled surgery, procedures planned
- Severe heart failure – NYHA Class III-IV
- End-stage organ disease – Kidney failure requiring dialysis, liver failure
- Severe COPD – Oxygen-dependent, FEV1 <30%
- Recent major cardiac events – Heart attack, stroke, cardiac arrest within 6-12 months
- Severe cognitive impairment – Advanced dementia, Alzheimer’s
Even with these conditions, don’t automatically assume you’re uninsurable. Contact us for individual assessment—we may find options or alternative coverage approaches.
How the Medical Assessment Process Works
Getting cruise insurance with pre-existing medical conditions involves a thorough but straightforward medical assessment process. Understanding what to expect helps you prepare properly and get accurate quotes either online or over the phone.
Step 1: Initial Health Declaration
You’ll complete a comprehensive medical questionnaire covering:
- All diagnosed conditions – Every medical condition you’ve been diagnosed with, regardless of when
- Current medications – Name, dosage, frequency, what they treat
- Recent medical events – Hospitalizations, emergency visits, surgeries (typically past 12-24 months)
- Ongoing treatment – Specialist appointments, monitoring, therapy
- Symptoms – Current or recent symptoms, even if under investigation
- Family history – If relevant to hereditary conditions
- Lifestyle factors – Smoking, alcohol use, exercise
Tips for Accurate Health Declaration:
- Gather medical records first – Review your health history before starting
- List all medications – Including over-the-counter and supplements
- Include everything – Better to over-disclose than under-disclose
- Be specific – Exact dates, dosages, and condition names
- Ask your doctor – If unsure about diagnosis or treatment details
- Don’t guess – Get accurate information from medical records
Step 2: Detailed Condition Questions
For each declared condition, you’ll answer specific questions such as:
Diabetes Example:
- Type 1 or Type 2?
- When diagnosed?
- Current HbA1c level (blood sugar control measure)
- Medications and insulin regimen
- Any complications? (neuropathy, retinopathy, nephropathy)
- Recent hospitalizations related to diabetes?
- Frequency of hypoglycemic episodes
- Regular monitoring and specialist visits?
Heart Condition Example:
- Specific diagnosis (angina, previous heart attack, arrhythmia)?
- When did event/diagnosis occur?
- What treatment received? (medication, stents, bypass surgery)
- Current medication regimen
- Any residual symptoms or limitations?
- Most recent cardiologist visit and findings?
- Exercise tolerance and functional capacity?
- Recent tests (ECG, stress test, echocardiogram)?
Questions are tailored to each specific condition to accurately assess risk.
Step 3: Medical Clearance from Your Doctor
Most insurers require a letter from your GP or specialist confirming:
- Fitness to travel – You’re medically able to undertake cruise travel
- Condition stability – Conditions are stable and well-managed
- Medication compliance – You’re taking medications as prescribed
- Current status – No planned procedures or treatment changes
- Any restrictions – Activity limitations or special precautions
- Emergency protocols – What to do if condition worsens while traveling
Medical Clearance Tips:
- Book appointment 3-4 weeks before cruise departure
- Explain you need medical clearance for travel insurance
- Bring list of all medications and conditions
- Request letter on practice letterhead
- Ensure doctor’s contact information included
- Get multiple copies (insurer, carry with you, leave with family)
- Some insurers provide template letters—ask your adviser
Step 4: Medical Underwriter Review
Insurance company medical underwriters (often doctors or nurses) assess your application considering:
- Condition severity – How serious is the condition?
- Stability duration – How long has it been stable?
- Treatment effectiveness – Is current treatment working?
- Prognosis – What’s the expected disease course?
- Medication compliance – Are you following treatment plans?
- Complication risk – Likelihood of problems while traveling?
- Age factors – How does age affect risk?
- Multiple conditions – How do conditions interact?
- Destination factors – Medical care availability where you’re cruising
- Trip duration – Risk increases with longer trips
This review typically takes 3-7 business days, though complex cases may take longer.
Step 5: Coverage Decision and Premium Quote
You’ll receive one of several outcomes:
Option 1: Full Coverage Approved
Your conditions are covered with premium loading reflecting your additional risk. You’ll receive:
- Base premium for your age and trip
- Additional loading for each condition (typically 20-150% increase)
- Full coverage including your pre-existing conditions
- Standard policy terms and benefits
Option 2: Partial Coverage
Some conditions covered, others excluded:
- Specific excluded conditions listed in policy
- Everything else fully covered
- Premium reflects covered conditions only
- Clear documentation of what’s covered vs excluded
Option 3: Standard Exclusion Applied
Pre-existing conditions not covered, but everything else is:
- New conditions occurring after policy purchase covered
- Accidents and injuries covered
- All other policy benefits apply
- Lower premium (no medical loading)
- Understand you’re not covered for condition exacerbations
Option 4: Coverage Declined
If risk is too high, coverage may be declined:
- Typically for unstable, terminal, or very high-risk conditions
- Explanation provided
- May be eligible for coverage in future if health improves
- We can try alternative insurers who may have different risk appetite
Step 6: Policy Issuance
Once you accept the quote, you’ll receive:
- Certificate of Insurance – Proof of coverage with policy number
- Policy Wording – Complete terms, conditions, and exclusions
- Schedule of Benefits – Coverage limits for each benefit
- Pre-Existing Condition Addendum – Specific details on covered/excluded conditions
- Emergency Contact Card – 24/7 assistance numbers
- Claims Information – How to make claims if needed
Important: Review Everything Carefully
Read your policy documents thoroughly, especially the pre-existing condition addendum. Ensure you understand exactly what is and isn’t covered. If anything is unclear, contact your adviser before your cruise. Once you’ve departed, it’s too late to make changes.
How Long Does the Process Take?
- Simple cases: 24-48 hours (single stable condition, good control)
- Standard cases: 3-7 business days (multiple conditions, requires assessment)
- Complex cases: 7-14 business days (multiple serious conditions, detailed review needed)
- Very complex cases: 14-21 business days (may require additional medical information)
Plan ahead. Don’t leave insurance purchase until the last minute if you have pre-existing conditions. Apply at least 3-4 weeks before departure to allow time for medical clearance and underwriting.
What Coverage Includes for Pre-Existing Conditions
When your pre-existing conditions are accepted and covered, your cruise insurance provides comprehensive protection for both your declared conditions and any new conditions that arise.
Medical Coverage for Pre-Existing Conditions
Covered Events Related to Pre-Existing Conditions:
- Exacerbation or flare-up – If your condition worsens requiring medical treatment
- Complications – New problems arising from existing condition
- Related emergencies – Heart attack in someone with heart disease, stroke in someone with hypertension
- Medication side effects – Adverse reactions to prescribed medications
- Monitoring and testing – Medical tests required due to condition changes
- Emergency procedures – Surgery or interventions needed due to condition
Unlimited Medical Coverage Includes:
- Onboard medical consultations and treatment
- Emergency medications and prescriptions
- Diagnostic tests (blood tests, X-rays, ECGs, ultrasounds)
- Specialist consultations (cardiologists, endocrinologists, etc.)
- Hospital admissions (onboard or ashore)
- Surgery and procedures
- Intensive care
- Post-operative care and rehabilitation
- Ongoing treatment if hospitalization extends beyond cruise
Emergency Medical Evacuation
Critical coverage for pre-existing condition complications:
- Helicopter evacuation – From ship to shore when ship’s medical facilities insufficient
- Air ambulance – To nearest adequate medical facility, possibly major city hospital
- Specialized medical escort – Doctor or nurse with expertise in your condition
- Medical equipment – Oxygen, cardiac monitoring, dialysis, specialized equipment
- Repatriation to New Zealand – When medically stable to travel home
- Medical team coordination – Communication between cruise medical staff, destination doctors, and your NZ specialists
Why This Matters for Pre-Existing Conditions:
If you have diabetes and experience diabetic ketoacidosis, or have heart disease and suffer a heart attack, evacuation costs can exceed $100,000. Without coverage for your pre-existing condition, you’re personally liable for these catastrophic costs. Proper coverage means you’re protected regardless of whether the emergency relates to your known condition or something completely new.
Trip Cancellation for Pre-Existing Conditions
If your condition worsens before departure preventing travel:
- Full reimbursement – All non-refundable cruise costs, flights, accommodation
- Medical certification required – Doctor confirms you’re unfit to travel
- Covers condition changes – New diagnosis, medication changes, symptom worsening
- Hospitalization – If hospitalized before departure due to pre-existing condition
- Treatment changes – If treatment plan changes requiring you to stay home
Important Timing Consideration:
Trip cancellation for pre-existing conditions typically only applies if the condition is stable at the time you purchase insurance. If you buy insurance knowing your condition is unstable or worsening, cancellation due to that condition may not be covered. This is why you should purchase insurance as soon as you book your cruise—while you’re healthy and stable.
What’s NOT Covered (Even with Pre-Existing Condition Acceptance)
Understanding exclusions is crucial:
- Known events – If you purchase insurance knowing you need surgery or treatment
- Routine monitoring – Regular check-ups, scheduled tests, medication refills
- Elective procedures – Non-emergency treatments you choose to have while traveling
- Undisclosed conditions – Anything you didn’t declare voids related coverage
- Non-compliant behavior – If you stop taking medications, ignore medical advice
- Conditions excluded by name – If specific condition excluded in policy, it’s not covered
- Travel against medical advice – If doctor advises against travel but you go anyway
Cost of Cruise Insurance with Pre-Existing Conditions
Yes, covering pre-existing conditions increases your premium. But the additional cost is reasonable compared to the financial risk you face without proper coverage.
How Premium Loading Works
Your total premium consists of:
- Base premium – Cost for someone your age with no conditions
- Condition loading – Additional premium for each condition (assessed individually)
- Combined risk adjustment – If multiple conditions interact, additional loading may apply
Typical Loading Percentages:
| Condition Severity | Typical Loading | Example |
|---|---|---|
| Mild/Well-Controlled | 10-30% | Controlled hypertension, mild asthma, thyroid disorder on stable medication |
| Moderate/Stable | 30-60% | Type 2 diabetes (good control), previous heart attack (2+ years stable), arthritis |
| Significant/Complex | 60-100% | Multiple cardiac conditions, COPD (moderate), Type 1 diabetes, recent cancer remission |
| Serious/Multiple | 100-200% | Heart disease + diabetes + COPD, recent major surgery, multiple serious conditions |
Sample Premium Comparisons From:
| Profile | No Conditions | With Conditions | Additional Cost |
|---|---|---|---|
| Age 55, 7-day Pacific Controlled hypertension only |
fr.$280 | fr.$350 | +$70 (25%) |
| Age 62, 7-day Pacific Type 2 diabetes (controlled) |
fr.$420 | fr.$630 | +$210 (50%) |
| Age 68, 10-day Australia Previous heart attack (3 years stable) |
fr.$680 | fr.$1,150 | +$470 (69%) |
| Age 72, 7-day Pacific Hypertension + arthritis |
fr.$820 | fr.$1,180 | +$360 (44%) |
| Age 65, 14-day Asia Diabetes + heart disease + COPD |
fr.$1,280 | fr.$2,880 | +$1,600 (125%) |
Note: These are indicative examples only. Actual premiums depend on specific condition details, medications, stability, destination, and individual circumstances.
Is Pre-Existing Condition Coverage Worth the Cost?
Consider this perspective:
Cost-Benefit Analysis:
Example: 65-year-old with Type 2 diabetes, 10-day Australian cruise
- Base premium (no conditions): $580
- Premium with diabetes covered: $950
- Additional cost for coverage: $370
What you’re protecting against:
- Diabetic emergency requiring treatment: $8,000-$15,000
- Diabetic ketoacidosis requiring ICU: $25,000-$40,000
- Medical evacuation from ship: $50,000-$100,000
- Trip cancellation if diabetes worsens pre-departure: $8,000 cruise cost
Verdict: Spending an extra $370 to protect against potential costs of $50,000-$150,000 is exceptional value. Without pre-existing condition coverage, you’re gambling your life savings on your health remaining perfectly stable—a risky bet for anyone with chronic conditions.
Money-Saving Tips with Pre-Existing Conditions
- Maintain Excellent Condition Control
Better control = lower risk = lower premiums. Regular doctor visits, medication compliance, healthy lifestyle all contribute to better insurance rates. - Get Coverage Early
Purchase when you’re stable. Waiting until closer to departure when health may have changed can result in higher premiums or declined coverage. - Choose Domestic Cruises
NZ coastal cruises cost significantly less to insure (40-50% lower) while still providing wonderful experiences. - Consider Higher Excess
Choosing $500-$1,000 excess reduces premium by 20-35%—worthwhile if you can afford the out-of-pocket cost. - Annual Policies for Frequent Travelers
If you travel/cruise multiple times yearly, annual policies offer better value even with pre-existing conditions covered. - Compare Multiple Insurers
Different insurers have different risk appetites and pricing models. We compare all options to find you the best coverage at the best price. - Couples Policies
If only one partner has conditions, couples policies still save significantly (30-40%) vs two singles. - Be Strategic with Timing
If planning surgery or treatment, consider traveling before (if medically safe) or waiting until fully recovered and stable for 6-12 months.
Essential Tips for Senior Cruisers
Before You Book Your Cruise
Choose Senior-Friendly Cruise Lines
Some cruise lines cater better to mature travellers:
- Premium lines: Holland America, Princess, Oceania—larger proportion of senior passengers, slower pace, enrichment programs
- River cruises: Viking, Avalon, AmaWaterways—smaller vessels, cultural focus, less physically demanding
- Expedition cruises: Variety of activity levels, excellent lectures, naturalist guides
- Avoid: Party-focused lines (Carnival), spring break cruises, mega-ships if you prefer quieter experiences
Consider Cruise Duration
- 7-10 days: Ideal for first-time senior cruisers
- 14-21 days: Good for experienced cruisers, more relaxed pace
- 30+ days: World cruises or repositioning—ensure medications sufficient, medical coverage adequate
- Back-to-back cruises: Consider fatigue factor, medication supplies
Verify Medical Facilities (important for any pre-ex traveller)
Check cruise line medical capabilities:
- 24/7 medical center with doctors and nurses
- Pharmacy with common medications
- Cardiac monitoring and defibrillators
- Oxygen availability
- Emergency evacuation protocols
- Telemedicine consultations if available
Health Preparation
Medical Check-Up
Schedule appointment with your GP 4-6 weeks before departure:
- Confirm fitness to cruise and travel
- Review all medications and dosages
- Discuss any health concerns
- Obtain medical clearance letter for insurance
- Get prescriptions for extra medications
- Update vaccinations if required for destinations
- Discuss preventive measures (motion sickness, constipation, etc.)
Medication Management
Pack Twice What You Need:
- Original containers with pharmacy labels
- Carry-on luggage (never checked bags)
- Separate prescriptions and medications between luggage (if traveling with spouse)
- List of medications with generic names (brand names vary internationally)
- Dosing schedule and timing
- Doctor’s contact information
Pro Tip: Photograph all medication bottles clearly showing names, dosages, and prescribing doctor. Store photos on phone and email to yourself. If medications lost, you have complete information to obtain emergency refills.
Medical Documentation
Prepare a medical information packet including:
- Current medication list with dosages
- Allergy information (medications, food, environmental)
- Chronic conditions and diagnoses
- Previous surgeries and major medical history
- Doctor contact information (GP and specialists)
- Emergency contacts (family in NZ)
- Insurance policy information and emergency numbers
- Blood type if known
-
Pacemaker/ICD card if applicable
Onboard Safety for Seniors
Prevent Falls
Falls are the leading cause of senior injuries on cruises:
- Wear non-slip shoes at all times (avoid flip-flops)
- Use handrails on stairs and corridors
- Be extra cautious in wet areas (pools, showers, rain)
- Walk slowly and deliberately—ship movement can affect balance
- Use elevators if stairs challenging (no shame in this)
- Request cabin near elevator to minimize walking
- Keep cabin well-lit at night (nightlight for bathroom)
- Avoid rushing—ships wait for passengers
Stay Hydrated
Seniors are more susceptible to dehydration:
- Drink water regularly throughout day
- Limit alcohol and caffeine (dehydrating)
- Carry refillable water bottle
- Be extra cautious in hot climates
- Watch for dehydration signs (dizziness, confusion, dark urine)
Pace Yourself
Cruises can be surprisingly exhausting:
- Don’t feel obligated to participate in every activity
- Schedule rest periods daily
- Skip some shore excursions—relaxing onboard is fine
- Prioritize sleep—maintain regular sleep schedule
- Listen to your body—rest when tired
- Consider sea days as recovery days
Sun Protection
Seniors’ skin is more vulnerable:
- High SPF sunscreen (50+), applied frequently
- Wide-brimmed hat
- Lightweight long-sleeved clothing in tropical climates
- Seek shade during peak sun (10am-2pm)
- Be aware of medication-sun interactions (some medications increase sensitivity)
Shore Excursions for Seniors
Assess Physical Demands
Shore excursions rate difficulty levels:
- Easy: Minimal walking, seated activities, buses with frequent stops
- Moderate: 1-2 hours walking, some stairs, uneven surfaces
- Strenuous: Extensive walking, steep terrain, physically demanding
Be honest about your abilities. Choosing excursions beyond your physical capability can result in injury, exhaustion, or missing ship departure.
Mobility Considerations
If you use mobility aids:
- Book accessible excursions specifically
- Inform tour operators of mobility needs in advance
- Verify bus/boat accessibility
- Consider private tours with customizable pace
- Research port accessibility (some require tender boats)
Time Management
Seniors should allow extra buffer time:
- Return to ship 60+ minutes before departure (not 30 minutes)
- Account for slower walking pace
- Factor in bathroom breaks
- Consider rest needs
- Ships will not wait if you’re late
Independent Shore Exploration
If exploring independently:
- Stay close to port area initially
- Carry ship contact information and cabin number
- Have emergency cash in local currency
- Keep phone charged with international capability
- Travel with companion if possible
- Return well before departure time
- Know how to get emergency assistance
Medical Emergencies Onboard
When to Seek Medical Attention
Don’t delay seeking help for:
- Chest pain or pressure
- Difficulty breathing
- Sudden severe headache
- Confusion or disorientation
- Weakness or numbness (especially one-sided)
- Severe abdominal pain
- High fever
- Uncontrolled bleeding
- Falls with injury
- Severe allergic reactions
Early intervention is critical. Ship’s medical centers are equipped for emergencies, but early treatment yields better outcomes.
Working with Ship’s Medical Team
- Bring your medical information packet
- Clearly explain symptoms and concerns
- Mention all medications you’re taking
- Ask questions about diagnosis and treatment
- Request written documentation of all treatment
- Contact your travel insurance immediately
- Keep all receipts and medical reports
- Follow up with your NZ doctor upon return
Get Your Pre-Existing Cruise Insurance Quote Now
Comprehensive pre-existing medical cruise insurance for seniors covering missed ports, cabin confinement, itinerary changes, and trip cancellations—protecting both your health and your holiday investment for that complete peace of mind.
Our team of experts can provide you with a cruise insurance policy or wider travel insurance option to cover all eventualities. Its certainly worth talking to the experts or get a quote online to cover your voyage.
Frequently Asked Questions – Pre-Existing Medical Conditions
Q: What exactly counts as a pre-existing medical condition?
Any condition for which you’ve received medical advice, treatment, medication, or monitoring before purchasing insurance. This includes diagnosed conditions (diabetes, heart disease), ongoing treatment (high blood pressure medication), and even symptoms under investigation. The timeframe typically covers your entire medical history, not just recent conditions. When in doubt, declare it—over-disclosure is always safer than under-disclosure.
Q: Will my pre-existing conditions be covered or automatically excluded?
It depends on the insurer and your specific conditions. Many stable, well-managed conditions CAN be covered with proper medical assessment and additional premium. Conditions like controlled hypertension, diabetes, asthma, arthritis, and even previous heart attacks are regularly covered. However, unstable conditions, active cancer treatment, or very high-risk situations may be excluded or declined. The only way to know is to apply—we can often find coverage even when conditions seem complex.
Q: How much extra will I pay to cover my pre-existing conditions?
Premium increases vary widely based on condition severity, stability, and complexity. Mild conditions (controlled hypertension) might add 10-30%. Moderate conditions (Type 2 diabetes) typically add 30-60%. Significant conditions (previous heart attack, multiple conditions) may add 60-150% or more. While this seems expensive, it’s reasonable compared to the financial risk—a single medical emergency related to your condition could cost $50,000-$150,000+ without proper coverage.
Q: What if I don’t declare my pre-existing conditions to save money?
This is the worst possible decision. If you make a claim (for ANY reason, not just your undisclosed condition), insurers access your medical records. When they discover undisclosed conditions, they void your entire policy—deny all claims, keep your premium, and leave you personally liable for all costs. People have lost hundreds of thousands of dollars this way. The “savings” from non-disclosure could cost you everything. Always disclose honestly.
Q: My condition is controlled with medication—do I still need to declare it?
YES. Controlled conditions still need declaration. In fact, well-controlled conditions are often covered precisely because they’re stable and managed. The fact you’re taking medication makes it a pre-existing condition requiring disclosure. Many people with controlled hypertension, diabetes, thyroid conditions, etc. get excellent coverage—but only if they declare honestly.
Q: I had a condition years ago but I’m completely recovered—do I still declare it?
Generally yes, especially if it was within the past 5-10 years or if you still receive monitoring. Examples: previous cancer (even in remission), previous heart attack (even if recovered), previous surgery (even if healed). If you’re no longer receiving any treatment or monitoring and it’s been many years, check with your adviser—but when in doubt, declare it. Better safe than sorry.
Q: Can I get cruise insurance if I have multiple pre-existing conditions?
Often yes, though it’s more complex. Each condition is assessed individually, and insurers consider how conditions interact. People with diabetes + heart disease, or hypertension + arthritis + COPD often get coverage—it costs more, but it’s available. The key is stability, good medical management, and honest disclosure. We specialize in complex cases and regularly find coverage for people with 3-5+ conditions.
Q: What if my condition changes after I buy insurance but before my cruise?
You MUST notify your insurer immediately of material changes (new diagnoses, hospitalization, medication changes, symptom worsening). They’ll reassess and either confirm coverage continues, apply additional premium, exclude the new condition, or in rare cases cancel with refund. Failure to notify of material changes can void your policy. It’s always better to disclose and pay extra premium than risk having no coverage.
Q: Will I be covered if I have a medical emergency completely unrelated to my pre-existing conditions?
Yes, absolutely. If you have diabetes as a pre-existing condition but you break your leg in an accident, that’s covered. If you have heart disease but get appendicitis, that’s covered. Pre-existing condition coverage means you’re protected for both your known conditions AND any new conditions that arise. You have comprehensive coverage for everything.
Q: How do I know if my condition is considered stable enough to be covered?
Generally, conditions are considered stable if: no hospitalizations related to the condition in past 6-12 months, no medication changes due to worsening symptoms in past 3-6 months, symptoms controlled and manageable, regular medical monitoring, and doctor confirms condition is stable. Unstable indicators include: recent hospitalizations, frequent medication changes, worsening symptoms, awaiting test results, or planned procedures. Your doctor’s assessment is critical—if they confirm you’re stable and fit to travel, insurers typically agree.
Cruise Insurance for Over 50’s and Seniors:
Specialised Senior Cruise Cover – We specialize in cruise insurance for mature travellers however active you are:
- Coverage available for travellers up to 85+ years
- Realistic Premiums—we don’t age-gouge like many insurers
- Comprehensive medical screening for accurate quotes
- Experience handling age-related health concerns
- Understanding of mobility needs and cruise accessibility
- Complete Peace of Mind from the cruise insurance experts.
Senior-Specific Benefits:
Pre-existing medical condition coverage (see below)
Extended trip duration options (up to 18 months under 70, 6 months over 70)
Assistance with pre-trip medical documentation
Emergency family notification and coordination
Flexible cancellation policies understanding health uncertainties
Pricing: From $420 for couple aged 60-69 on a 7-day Pacific cruise (no pre-existing conditions).
Cruise Insurance for Pre-Existing Medical Conditions:
One of our specialties is providing cruise insurance for New Zealanders with pre-existing medical conditions. We believe your medical history shouldn’t prevent you from experiencing the joy of cruising regardless of where you are exploring around the World and without limitations on excursions you decide to undertake maybe except sky diving with a heart condition) so take a look below:
A pre-existing condition is any illness, injury, or medical condition for which you’ve received medical advice, treatment, or medication. The condition would need to have existed before purchasing insurance whether diagnosed or not. You may or may not currently be symptomatic, common examples include:
- Heart conditions (angina, heart attack, stents, bypass surgery)
- High blood pressure (hypertension)
- Diabetes (Type 1 and Type 2)
- Respiratory conditions (asthma, COPD, emphysema)
- Cancer (current or previous)
- Joint conditions (arthritis, hip/knee replacements)
- Mental health conditions
- Thyroid disorders
- Digestive conditions (Crohn’s, colitis, diverticulitis)
Not sure what to do ? Simply get a quote from our team of cruise insurance experts, complete the online form or call us.
The Benefits Outweigh The Cost
You’ve been planning this cruise for months (possibly years), dreaming about waking up in exotic ports and creating memories that’ll last a lifetime. But here’s what most Kiwis don’t realize: the moment your ship enters international waters—even on a domestic NZ cruise—you’re on your own financially.
Medical emergencies at sea cost tens of thousands, and one unexpected illness could wipe out your savings and ruin years of planning. Getting a free, no-obligation quote takes just 2 minutes and costs you nothing. But not having insurance when something goes wrong?
That could cost you everything. See what protection actually costs before you decide—you might be surprised how affordable peace of mind really is.
Commonly Asked Questions – Cruise Insurance
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Do I really need cruise insurance for a cruise around New Zealand?
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What's the difference between cruise insurance and regular travel insurance?
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How much does cruise insurance cost?
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Will my cruise insurance cover pre-existing medical conditions?
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When should I buy cruise insurance?
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What happens if I need to cancel my cruise?
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Am I covered if I'm confined to my cabin due to illness?
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Does cruise insurance cover medical emergencies onboard?
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What if my flight is delayed and I miss my cruise departure?
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Can I get cruise insurance if I'm over 70 years old?
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Have more questions?