I did extensive research yesterday, as the 10 day pre-existing coverage window was running out to purchase my usual Nationwide single trip coverage. I've decided that for this coming series of trips, I'll purchase Nationwide's Annual Plan.
- I live in California; the plan is not available in Washington state (perhaps other states, I did not check.)
- my health coverage includes international emergency/urgent care
- I researched my current credit cards (before my intended research for a new one); guess what, one of them has Trip Cancellation / Trip Interruption for common carriers (airfare, trains)! I'll be using that to buy transport tickets.
- I usually book refundable hotels
- I've booked 2 RS tours; thanks to this thread and others, I carefully read the RS Tour Conditions Agreement; my greatest tour risk is 50% within 30 days / 100% once I'm on the tour
My biggest exposure is med evac / repatriation.
I found that my preferred carrier, Nationwide, offers an Annual Travel plan for my age/state:
- $59 for $50,000 MedEvac and Repatriation (too low coverage for my taste)
- $79 for $250,000 MedEvac and Repatriation (in the "Additional Details" section, click on the "Pro Deluxe Upgrade (+$20)")
Note: SquareMouth recommends $100,000 for Europe
Note 2: a Physician must order the emergency evacuation, this policy does not allow for evacuation at the individual's discretion.
The medical coverage is low, $20,000 per person / per trip (secondary.) With my own health insurance, this is sufficient.
There are options for Trip Cancellation/Interruption:
Add $86 for $1250 of coverage
Add $150 for $2500 of coverage
Add $300 for $5000 of coverage (higher coverage options available; this is sufficient for my trips)
Note, you do NOT have to insure all of your non-refundable expenses with this policy, just choose the level of coverage you want.
Note 2: the Trip Cancel/Interrupt coverages are aggregate for all trips within the policy year. And unlike single travel plans that allow you to increase your coverage before your trip departure, you must choose a fixed coverage level up front.
Age did not affect the premium until 80, when it was no longer available. Not available to residents of WA (and perhaps others I didn't check.)
At a minimum, I'll buy the $79 Annual plan for the higher level of MedEvac coverage. I'll probably buy one of the lower tiers of Trip Cancellation/Interruption, since I have a small enough additional amount of non-refundable risk that I'm willing to self-insure.
I will buy this nearer the time when my tour deposit becomes non-refundable or I have other costs at risk. There is no reason to buy it now because it does not have a pre-existing conditions waiver if you buy within XX days.
(I have no affiliation whatsoever with Nationwide, except as an insurance customer.)