Alison..this makes me wonder. When I have bought trip insurance, I only buy for the amount of my trip that is non-refundable. If your total trip cost is $4,0000, does that include food, getting into sights, places to stay that you haven't booked or paid for yet, etc. I don't cover that with trip insurance, since I don't have anything at risk there. Previously, I have bought insurance for between $1500-2,000. Most of that is arifare and then I usually have a few expenses that I won't be able to get back (pre-paid hotels, etc.) I figure if my trip is canceled, I will get my investment back. My trip overall may cost me $3500-$4,000. But I can cancel my car rental at no expense, I won't be eating or seeing sights if I don't go, etc. It has been awhile since I have researched, but when I talked to travelguard years ago (my first trip) they said I only needed to insure for the part of my trip that I would lose if I had to cancel. (Keep in mind, I travel with my husband and we buy him a policy for the same amount). Perhaps others have wisdom on this, but it may be cheaper for insurance than what you think. All the other insurances are the same (medical, lost luggage, etc) whether you are insuring for $1,000 or $5,000. The 2 things that affect the cost of your insurance is 1. The amount your are insuring your trip for...your investment and 2. The length of your stay-how long you will be covered.