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Health & Insurance

Travel Insurance

The cost of travel insurance varies widely, depending on the destination, the cost and length of your trip, your age and health, and the type of trip you're taking, but expect to pay between 5% and 8% of the vacation itself. You can get estimates from various providers through InsureMyTrip.com. Enter your trip cost and dates, your age, and other information, for prices from more than a dozen companies.

U.K. citizens and their families who make more than one trip abroad per year may find an annual travel insurance policy works out cheaper. Check www.moneysupermarket.com, which compares prices across a wide range of providers for single- and multi-trip policies.

Most big travel agents offer their own insurance and will probably try to sell you their package when you book a holiday. Think before you sign. Britain's Consumers' Association recommends that you insist on seeing the policy and reading the fine print before buying travel insurance. The Association of British Insurers (tel. 020/7600-3333; www.abi.org.uk) gives advice by phone and publishes Holiday Insurance, a free guide to policy provisions and prices. You might also shop around for better deals: Try Columbus Direct (tel. 0870/033-9988; www.columbusdirect.net).

Trip-Cancellation Insurance -- Trip-cancellation insurance will help retrieve your money if you have to back out of a trip or depart early, or if your travel supplier goes bankrupt. Trip cancellation traditionally covers such events as sickness, natural disasters, and State Department advisories. The latest news in trip-cancellation insurance is the availability of expanded hurricane coverage and the "any-reason" cancellation coverage -- which costs more but covers cancellations made for any reason. You won't get back 100% of your prepaid trip cost, but you'll be refunded a substantial portion. TravelSafe (tel. 888/885-7233; www.travelsafe.com) offers both types of coverage. Expedia also offers any-reason cancellation coverage for its air-hotel packages.

For details, contact one of the following recommended insurers: Access America (tel. 866/807-3982; www.accessamerica.com); Travel Guard International (tel. 800/826-4919; www.travelguard.com); Travel Insured International (tel. 800/243-3174; www.travelinsured.com); and Travelex Insurance Services (tel. 888/457-4602; www.travelex-insurance.com).

Medical Insurance -- For travel overseas, most U.S. health plans (including Medicare and Medicaid) do not provide coverage, and the ones that do often require you to pay for services upfront and reimburse you only after you return home.

As a safety net, you may want to buy travel medical insurance, particularly if you're traveling to a remote or high-risk area where emergency evacuation might be necessary. If you require additional medical insurance, try MEDEX Assistance (tel. 410/453-6300; www.medexassist.com) or Travel Assistance International (tel. 800/821-2828; www.travelassistance.com; for general information on services, call the company's Worldwide Assistance Services, Inc., at tel. 800/777-8710).

Canadians should check with their provincial health plan offices or call Health Canada (tel. 866/225-0709; www.hc-sc.gc.ca) to find out the extent of their coverage and what documentation and receipts they must take home in case they are treated overseas.

Lost-Luggage Insurance -- On international flights (including U.S. portions of international trips), baggage coverage is limited to approximately $9.07 per pound, up to approximately $635 per checked bag. If you plan to check items more valuable than what's covered by the standard liability, see if your homeowner's policy covers your valuables, get baggage insurance as part of your comprehensive travel-insurance package, or buy Travel Guard's "BagTrak" product.

If your luggage is lost, immediately file a lost-luggage claim at the airport, detailing the luggage contents. Most airlines require that you report delayed, damaged, or lost baggage within 4 hours of arrival. The airlines are required to deliver luggage, once found, directly to your house or destination free of charge.

Staying Healthy

Keep the following suggestions in mind:

  • On some islands, it's best to drink bottled water during your trip.

  • If you experience diarrhea, moderate your eating habits and drink only bottled water until you recover. If symptoms persist, consult a doctor.

  • The Caribbean sun can be brutal. Wear sunglasses and a hat and use sunscreen liberally. Limit your time on the beach the first day. If you do overexpose yourself, stay out of the sun until you recover. If your exposure is followed by fever or chills, a headache, or a feeling of nausea or dizziness, see a doctor.

  • One of the biggest menaces is the "no-see-ums," which emerge mainly in the early evening. You can't see these gnats, but you sure can "feel-um." Window screens can't keep these critters out, so carry bug repellent.

  • Mosquitoes are a nuisance. Malaria-carrying mosquitoes in the Caribbean are confined largely to Haiti and the Dominican Republic. If you're visiting either, consult your doctor for preventive medicine at least 8 weeks before you leave. Dengue fever is prevalent in the islands, most prominently on Antigua, St. Kitts, Dominica, and the Dominican Republic. To date, no satisfactory treatment has been developed; visitors are advised to avoid mosquito bites -- as if that were possible.

  • Infectious hepatitis has been reported on islands such as Dominica and Haiti. Unless you have been immunized for both hepatitis A and B, consult your doctor about the advisability of getting a gamma-globulin shot before you leave. The United States Centers for Disease Control and Prevention (tel. 800/394-1945; www.cdc.gov) provides up-to-date information on necessary vaccines and health hazards by region or country.

  • Pack prescription medications in your carry-on luggage. Carry written prescriptions in generic, not brand-name, form, and dispense all prescription medications from their original labeled vials. Many people try to slip drugs such as cocaine into the Caribbean (or pick them up there). Drugs are often placed into a container for prescription medication after the legal medications have been removed. Customs officials are well aware of this type of smuggling and often check medications if they suspect a passenger is bringing illegal drugs into or out of a country.

  • If you wear contact lenses, pack an extra pair in case you lose one.

    What to Do If You Get Sick Away from Home -- Finding a good doctor in the Caribbean is not a problem, and most speak English.

    If you worry about getting sick away from home, you might want to consider medical travel insurance. In most cases, however, your existing health plan will provide all the coverage you need. Be sure to carry your identification card in your wallet.

    If you suffer from a chronic illness, consult your doctor before your departure. For conditions like epilepsy, diabetes, or heart problems, wear a MedicAlert identification tag (tel. 888/633-4298; www.medicalert.org), which will immediately alert doctors to your condition and give them access to your records through MedicAlert's 24-hour hot line.

    Contact the International Association for Medical Assistance to Travelers (IAMAT; tel. 716/754-4883 or, in Canada, 416/652-0137; www.iamat.org) for tips on travel and health concerns in the islands you're visiting, and for lists of local, English-speaking doctors. The United States Centers for Disease Control and Prevention (tel. 800/311-3435; www.cdc.gov) provides up-to-date information on health hazards by region or country and offers tips on food safety. Travel Health Online (www.tripprep.com), sponsored by a consortium of travel medicine practitioners, may also offer helpful advice on traveling abroad. You can find listings of reliable medical clinics overseas at the International Society of Travel Medicine (www.istm.org).


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    Note: This information was accurate when it was published, but can change without notice. Please be sure to confirm all rates and details directly with the companies in question before planning your trip.


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    Frommer's Caribbean 2009 Frommer's Caribbean 2009

    Author: Christina Paulette Colon
    Pub Date: September 02, 2008
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