
TL;DR
Embarking on a long-term cruise is the adventure of a lifetime. But to truly relax as you sail from one horizon to the next, you need absolute certainty that your health is protected. Here at WeCovr, with our experience helping over 900,000 people secure their protection, we know that standard travel or UK private medical insurance simply won't suffice for extended life at sea.
Key takeaways
- Trip Duration Limits: Most annual multi-trip policies have a maximum duration per trip, often just 30, 60, or 90 days. A long-term cruise will exceed this limit, voiding your cover.
- Limited Medical Cover: While it covers emergencies, the financial limits are often lower than IPMI. It's intended to patch you up and get you home, not to manage ongoing care or complex procedures in a foreign country.
- No Routine Care: Travel insurance does not cover GP visits, health check-ups, or the management of long-term conditions.
- Definition of "Home": These policies are predicated on you having a primary residence in the UK to return to after a short trip. Living at sea for a year or more complicates this.
- Geographical Restrictions: A standard UK PMI policy will only cover you for treatment within the UK. Some may offer limited emergency overseas cover, but this is typically for short holidays and is not a substitute for proper international cover.
Embarking on a long-term cruise is the adventure of a lifetime. But to truly relax as you sail from one horizon to the next, you need absolute certainty that your health is protected. Here at WeCovr, with our experience helping over 900,000 people secure their protection, we know that standard travel or UK private medical insurance simply won't suffice for extended life at sea. This guide explains why.
A complete guide to choosing the best IPMI for extended cruise travel and living at sea, including worldwide cover, emergency evacuation, and pre-existing conditions
The dream of swapping a fixed address for a floating residence, exploring multiple continents from the comfort of your cabin, is becoming a reality for more and more UK citizens. Whether you're a retiree planning a multi-year world cruise, a digital nomad working from the ocean, or simply taking an extended sabbatical, your health and wellbeing are paramount.
However, healthcare at sea and in foreign ports is a complex landscape. Your standard UK-based Private Medical Insurance (PMI) is geographically limited, and annual travel insurance policies are not designed for trips lasting longer than 90 or 180 days.
The solution is a specialist policy: International Private Medical Insurance (IPMI). This guide will walk you through everything you need to know to choose the best IPMI plan for your long-term cruise adventure in 2026.
Why Your Standard Insurance is Not Fit for Purpose
Before we explore the solution, it's crucial to understand why your existing policies are inadequate for long-term life on a cruise ship. Relying on them can be a costly, and potentially dangerous, mistake.
Limitations of Standard Travel Insurance
Travel insurance is designed for temporary trips away from your home country. It is not designed for long-term residency abroad or at sea.
- Trip Duration Limits: Most annual multi-trip policies have a maximum duration per trip, often just 30, 60, or 90 days. A long-term cruise will exceed this limit, voiding your cover.
- Limited Medical Cover: While it covers emergencies, the financial limits are often lower than IPMI. It's intended to patch you up and get you home, not to manage ongoing care or complex procedures in a foreign country.
- No Routine Care: Travel insurance does not cover GP visits, health check-ups, or the management of long-term conditions.
- Definition of "Home": These policies are predicated on you having a primary residence in the UK to return to after a short trip. Living at sea for a year or more complicates this.
Limitations of UK Private Medical Insurance (PMI)
Your domestic UK PMI policy is designed to provide treatment within the United Kingdom. It is not portable.
- Geographical Restrictions: A standard UK PMI policy will only cover you for treatment within the UK. Some may offer limited emergency overseas cover, but this is typically for short holidays and is not a substitute for proper international cover.
- Residency Requirement: To maintain a UK PMI policy, you must be a UK resident. Spending the majority of the year at sea could invalidate your policy.
- Chronic Conditions: UK PMI is designed for acute conditions (illnesses that are curable and short-term). It does not cover the management of chronic, long-term conditions like diabetes or heart disease.
Travel Insurance vs. UK PMI vs. IPMI: A Comparison
| Feature | Standard Travel Insurance | UK Private Medical Insurance (PMI) | International PMI (IPMI) |
|---|---|---|---|
| Primary Purpose | Emergency cover for short trips | Private treatment for acute conditions in the UK | Comprehensive healthcare for those living abroad/at sea |
| Policy Length | Per trip or annual (with trip limits) | Annual, requires UK residency | Annual, renewable, for expatriates & long-term travellers |
| Geographical Cover | Worldwide (for the trip) | UK only | Worldwide or specified region (e.g., Excl. USA) |
| Medical Evacuation | Usually included (to get you home) | Not included | A core, comprehensive feature (to nearest centre of excellence) |
| Routine Care | No | No (acute conditions only) | Yes, often included or available as an add-on |
| Pre-existing Conditions | Generally excluded | Excluded at outset (via moratorium or underwriting) | Can often be covered (subject to underwriting) |
| Annual Limit | £1m - £10m | Typically £500k - unlimited | £1m - unlimited |
As the table clearly shows, only IPMI provides the robust, flexible, and comprehensive cover required for a long-term life at sea.
What is International Private Medical Insurance (IPMI)?
International Private Medical Insurance is a specific class of health insurance designed for individuals and families living outside their home country for an extended period (typically one year or more). Think of it not as "travel insurance," but as your "private health system" that travels with you.
IPMI provides comprehensive, long-term medical cover for both emergency and routine healthcare. It gives you access to private medical facilities across the globe, ensuring you receive a high standard of care no matter which port you sail into.
Key characteristics of IPMI include:
- Annual, Renewable Policies: Just like your home car or health insurance, it's a 12-month contract you can renew each year.
- High Levels of Cover: Annual limits are typically very high (often over £1,000,000) to cover the cost of treatment in any country, including expensive ones like the USA.
- Global Access: You choose your area of cover, from worldwide to worldwide excluding certain high-cost countries like the USA, to reduce premiums.
- In-patient and Out-patient Options: You can build a plan that covers everything from major surgery and hospital stays (in-patient) to GP visits and diagnostics (out-patient).
- Medical Evacuation as a Core Benefit: This is a non-negotiable feature for cruisers, covering the cost of transporting you from a medically ill-equipped location (like a ship mid-ocean) to a hospital that can treat you.
Key Features to Look for in an IPMI Policy for Cruising
Choosing the right IPMI policy is about more than just picking the cheapest option. For the unique environment of a long-term cruise, certain features are essential. An expert broker like WeCovr can help you navigate these options to tailor a plan to your specific voyage and health needs.
1. Comprehensive Worldwide Cover (Including USA & Caribbean)
Your cruise itinerary dictates your required area of cover. Many world cruises include ports in the USA, Canada, or the Caribbean. Healthcare in these regions, particularly the USA, is the most expensive in the world.
- Insider Tip: Many insurers offer "Worldwide excluding USA" as a standard option to keep costs down. If your cruise even might divert to or have a port of call in the US, you must have cover that includes it. Choosing to exclude it is a false economy that could lead to financial ruin.
- Real-Life Scenario: A simple case of appendicitis requiring surgery and a few days' hospital stay in a US city could easily exceed £40,000. A more serious event like a stroke could run into hundreds of thousands.
2. Medical Evacuation and Repatriation
This is arguably the most critical benefit for any long-term cruiser. A cruise ship's medical centre is equipped for first aid and stabilising patients, not for major surgery or critical care.
- Medical Evacuation: This covers the cost of moving you from your current location (the ship) to the nearest facility that can provide the appropriate level of medical care. This could involve a helicopter airlift from the ship to a land-based ambulance, which then takes you to a hospital. The costs for this alone can be astronomical.
- Repatriation: This covers the cost of returning you to your home country (e.g., the UK) to continue treatment or recover, if it's deemed medically necessary and you are fit to fly.
Check the fine print. Does the policy cover evacuation from a ship? Does it cover a "compassionate visit" for a relative to fly out to you? These details matter.
3. High Annual Limits and Full In-Patient Cover
In-patient cover relates to any treatment that requires you to be admitted to a hospital bed. This is the foundation of any good IPMI policy.
- High Annual Limits: Look for policies with an annual limit of at least £1 million, or preferably, unlimited. This ensures that in a worst-case scenario, you will not run out of cover.
- Pay in Full: The best policies will state they cover in-patient costs "in full" for things like hospital accommodation, surgery, nursing care, and intensive care.
4. Out-Patient Cover and Wellness Benefits
Out-patient cover is for medical care that doesn't require a hospital stay. For long-term living, this is vital for maintaining your health.
- What it includes: GP appointments, specialist consultations, diagnostic tests (MRI/CT scans), and prescription drugs.
- Why it's important: On a long cruise, you can't simply wait until you're back in the UK to see a doctor about a persistent cough or a worrying mole. Out-patient cover allows you to get checked out promptly in any port.
- Wellness: Many IPMI plans now include routine health checks, vaccinations, and dental/vision care as optional add-ons. To support our clients' wellbeing, WeCovr also provides complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero.
5. Pre-existing and Chronic Condition Coverage
This is a complex area and one where getting expert advice is essential. Unlike travel insurance, which almost always excludes pre-existing conditions, IPMI can often cover them, subject to medical underwriting.
There are two main ways insurers assess pre-existing conditions:
-
Full Medical Underwriting (FMU): You must declare your entire medical history on your application. The insurer's medical team will review it and make a decision:
- Cover in full: The condition is accepted at no extra cost.
- Cover with a premium loading: They will cover the condition but charge a higher premium.
- Exclude the condition: They will cover you for everything except that specific condition.
- Decline cover: In rare cases, they may decline the application.
- Our Advice: FMU provides certainty. You know exactly what is and isn't covered from day one. For long-term travellers, especially those with known health issues, this is the safest route.
-
Moratorium Underwriting: You do not declare your conditions upfront. Instead, the policy automatically excludes any condition you've had symptoms of, or received treatment for, in the 5 years before your policy starts. This exclusion lasts for a set period (usually 24 months). If you remain completely symptom and treatment-free for that condition during those 24 months, the insurer may then agree to cover it. This is simpler to apply for but creates a huge grey area.
Crucial Note on Chronic Conditions: IPMI is primarily for acute (new, unexpected) conditions. However, some top-tier IPMI plans are now offering benefits for the management and maintenance of certain chronic conditions (e.g., routine check-ups for a stable heart condition). This is a significant advantage over UK PMI and a key reason to work with a broker who understands these nuances.
Top-Rated IPMI Providers for Long-Term Cruisers (2026)
The IPMI market is dominated by a few large, reputable global insurers. Each has different strengths, and the "best" one depends entirely on your personal circumstances, itinerary, and budget.
Here is a comparison of leading providers popular with our long-term travel clients:
| Provider | Key Plan Names | Worldwide Cover | Medical Evacuation | Best For... |
|---|---|---|---|---|
| Cigna Global | Silver, Gold, Platinum | Yes, including or excluding USA | Comprehensive; a core strength | Flexibility and modular plan design |
| Bupa Global | Select, Premier, Elite | Yes, including or excluding USA | Excellent, with own medical response teams | High-end, premium cover and service |
| AXA Global Healthcare | Standard, Comprehensive, Prestige | Yes, including or excluding USA | Strong evacuation and 24/7 support | Comprehensive benefits and global network |
| Allianz Care | Care, Care Plus, Care Pro | Yes, including or excluding USA | Robust evacuation and assistance services | Strong brand reputation and clear plan structures |
A Note on these Providers:
- Cigna Global: Known for its highly flexible, modular approach. You start with a core in-patient plan and add out-patient, dental, and wellness modules as needed. This can be a very cost-effective way to build a tailored policy.
- Bupa Global: Often seen as the premium choice, offering very high levels of cover and exceptional service. Their direct access to a global network of hospitals and their own medical teams is a significant plus for those who want the absolute best.
- AXA Global Healthcare: A major global player with extensive experience. Their plans are well-structured and comprehensive, offering a good balance of benefits and service, backed by a huge worldwide medical network.
- Allianz Care: Part of the huge Allianz Group, they offer clear, easy-to-understand policies with strong backing. They are particularly well-regarded for their customer service and efficient claims processing.
How Much Does IPMI for a Cruise Cost?
The cost of an IPMI policy varies significantly based on several key factors. It is a significant investment, but one that pales in comparison to the potential cost of a medical emergency abroad.
Main Factors Influencing Your Premium:
- Age: This is the single biggest factor. Premiums rise sharply after the age of 60 and again after 70.
- Area of Cover: A "Worldwide" policy will be significantly more expensive than a "Worldwide excluding USA" policy.
- Level of Cover: A basic in-patient only plan is the cheapest. Adding comprehensive out-patient, dental, and vision cover will increase the price.
- Deductible/Excess: This is the amount you agree to pay towards a claim before the insurer pays out. A higher deductible (£500, £1000) will lower your annual premium.
- Medical History: Under a Full Medical Underwriting policy, pre-existing conditions may attract a premium "loading" (an extra percentage).
Illustrative Annual Costs for IPMI (2026)
The table below provides estimated annual premiums for a comprehensive Worldwide (excluding USA) plan with a mid-range deductible. These are for illustrative purposes only.
| Profile | Indicative Annual Premium |
|---|---|
| Single Person, Age 55 | £4,500 - £6,500 |
| Couple, Both Age 65 | £12,000 - £18,000 |
| Single Person, Age 75 | £9,000 - £15,000+ |
Adding USA cover can increase these premiums by 50-100%. While the figures may seem high, they reflect the real risk and cost of providing unlimited medical care anywhere in the world. A specialist broker like WeCovr can compare the entire market to find a plan that fits your budget without compromising on essential cover.
The Application and Underwriting Process Explained
Getting IPMI cover is more involved than buying simple travel insurance. The process typically takes 2-4 weeks, so it is vital to start well in advance of your departure date.
- Needs Analysis: The first step is to speak with an expert adviser. WeCovr will discuss your cruise itinerary, your medical history, your budget, and the level of cover you feel comfortable with.
- Market Comparison: We will then research the market on your behalf, gathering quotes from the leading insurers that match your specific requirements.
- Application Form: Once you've selected a preferred option, you will need to complete a detailed application form. If you choose Full Medical Underwriting, you must be meticulously honest and declare every condition, consultation, and medication from the last 5 years.
- Underwriting Review: The insurer's medical team reviews your application. They may request further information from your GP (with your permission). This is the longest part of the process.
- Offer of Terms: The insurer will issue their decision: acceptance, acceptance with exclusions, or acceptance with a premium loading. We will review this with you to ensure you understand it fully.
- Policy Activation: Once you accept the terms and pay your first premium, your cover is active. You will receive policy documents and emergency contact cards to take with you.
Common Mistakes to Avoid When Choosing Cruise IPMI
- Under-insuring: Choosing to exclude the USA to save money when your itinerary passes through the Caribbean, which often relies on US facilities for serious emergencies.
- Ignoring Evacuation Details: Not checking if the policy has specific clauses about ship-to-shore evacuation.
- Dishonesty on Applications: Failing to declare a "minor" condition on an FMU application can invalidate your entire policy at the point of a claim.
- Buying Last Minute: The underwriting process takes time. Start at least 2-3 months before you set sail.
- Relying on the Ship's Doctor: Assuming the onboard medical centre is a full-service hospital. It is an emergency clinic, designed for stabilisation, not complex treatment.
- Not Using a Broker: Trying to navigate this complex market alone can lead to confusion, gaps in cover, or overpaying for benefits you don't need.
How WeCovr Can Help You Find the Perfect IPMI Policy
Navigating the world of international health insurance is daunting. As an independent, FCA-regulated broker specialising in private medical insurance in the UK and globally, WeCovr is here to make the process simple and secure.
- Expert, Impartial Advice: We are not tied to any single insurer. Our goal is to find the best policy for you.
- No Cost to You: Our service is free. We are paid a commission by the insurer you choose, which is already built into the premium. You pay the same price as going direct, but with expert guidance.
- Market-Wide Comparison: We have access to plans and rates from all the leading IPMI providers, saving you hours of research.
- Application Support: We help you complete the complex application forms correctly, minimising delays and issues with underwriting.
- Ongoing Support: We are here to help if you need to make a claim or renew your policy while you're away.
- Extra Value: As well as discounts on other insurance policies like Life Insurance when you buy IPMI, we provide all our health clients with complimentary access to our CalorieHero AI app to help you stay healthy on your travels.
Your grand voyage deserves the peace of mind that comes from knowing you have the very best medical protection in place.
Is IPMI the same as annual travel insurance?
Do I need to declare all my pre-existing conditions?
Can I get IPMI cover if I am over 75?
What happens if I need treatment in a foreign port?
Ready to secure your peace of mind for the adventure of a lifetime? Contact our friendly team of experts at WeCovr today for a free, no-obligation discussion about your international private medical insurance needs. We'll help you compare the market and set sail with confidence.










