Medallion Accessories ARE part of the premium package, though I have no idea what accessory it is. We always like the lanyards, so will be interesting to see what it is.
We did get the upgrade for a few reasons (I do drink, my husband does not, but Heineken Zero and ODouls will make him happy). He like games of chance, so he would have played Princess Prizes, now it's included. I love fitness classes, so would definitely do many of them. Juice bar also a draw for us (have to balance those martini's with some veggies, no?). I like that I can order a nice wine and not worry about upcharge (if it was just this, wouldn't be worth it, but it's all the things in our case...). We are platinum but 4 devices each is nice (yes, we could sign out, sign in, now we don't have to.. all the things). We will be celebrating our 20th, and absolutely would have done two specialty dinners, so throw that in.
Notice how I skipped those deserts (especially the ones with the little liquor bottle - cue evil laugh....) The upgrade made sense for us. We are six weeks away from our 4/14 departure and can't wait to experience... all the things..