This is good advice. You may have the financial strength to absorb the loss of a trip cancellation or trip delay, in which case paying a premium to cover that potential probably will not be a good investment over a long period of cruising. However, the cost of a medical emergency while travelling overseas, especially if it involves evacuation, could be catastrophic. We are in that position. We purchase an annual plan from Allianz that provides high coverage for medical and evacuation and only token amounts for non-medical losses. It is very inexpensive (around $500 p.a.) compared to the thousands we used to pay each year to cover individual trips with coverage for all risks.