Travel insurance is the only product you buy hoping to never use it — but when you need it, the fine print decides whether you get paid or ghosted. Here is the clause-by-clause audit of what actually matters, the red flags that void claims, and the two policies we recommend for 2024.

The five clauses that pay

  1. Trip cancellation/interruption (TC/I) — covers non-refundable costs if you cancel before departure or cut the trip short. Key: “cancel for any reason” (CFAR) upgrade adds 40–60% premium but pays 75% of costs for any cancellation reason. Worth it for trips >$5,000.
  2. Emergency medical + evacuation — the only clause that can bankrupt you without it. Minimum $100,000 medical, $500,000 evacuation. Must cover COVID-19 as any other illness (most now do).
  3. Baggage delay/loss — pays for essentials if bags are delayed >12 hours. Typical limit: $100–$200/day up to $500. Keep receipts.
  4. Travel delay — meals + hotel if delayed >6–12 hours. Typical: $150–$200/day. Missed connection due to airline fault = covered.
  5. Rental car collision damage waiver (CDW) — secondary to your auto insurance; primary if you have none. Declines the $30/day rental counter upsell.

The three red flags that void claims

  1. Pre-existing condition exclusion — unless you buy within 14–21 days of first trip deposit (the “look-back” waiver window). After that, any condition treated in the last 60–180 days is excluded.
  2. Alcohol/drug clause — any claim arising “while under the influence” is denied. One beer with dinner usually fine; blood alcohol >0.08% at incident time = automatic denial.
  3. Adventure sports exclusion — scuba >30 m, skiing off-piste, motorcycling >125 cc, any guided climb. Need a “hazardous sports rider” (adds 15–25% premium).

The two policies we recommend (2024)

  • World Nomads Standard/Explorer — digital-native, covers 150+ activities, CFAR available, 24/7 chat claims. Price: $80–$150 for two weeks global. Best for: active travellers under 50.
  • IMG Global / Patriot America — medical-first, higher limits ($1M–$2M evacuation), covers pre-existing with waiver, US-friendly network. Price: $100–$200 for two weeks. Best for: over 50, US citizens, medical-focused trips.

The credit-card “free” insurance trap

Chase Sapphire Reserve / Amex Platinum / Citi Premier offer “free” travel insurance — but they are secondary (pay after your primary), exclude CFAR, cap medical at $50k–$100k, and require the entire trip on that card. They are a supplement, not a substitute.

One-line verdict

  1. Buy within 14 days of deposit for pre-existing waiver.
  2. Minimum $100k medical / $500k evacuation.
  3. World Nomads (active) or IMG (medical-first) — skip credit-card “free” as primary.
  4. Read the alcohol and adventure-sports clauses before you pack.