We booked the Panama Canal last week with
DCL insurance, but now learned that we might have to cancel the cruise all together for medical reasons.
What happens to the insurance if we move the cruise before final payment? Does the insurance move as well or would we lose the premium?
What would be our options if we canceled the insurance now and try to add it later (when we learned we might be able to cruise after all). Is this still possible?
I just don't want to lose the $500 premium if we have to cancel the cruise. In that case we might need all the money we can get to fund the medical bill. On the other hand I don't want to cancel the cruise right away in case it's not as bad as it might look like now.
Just don't know what to do :-(
First off, if you think you might have to cancel the cruise for medical reasons, RIGHT NOW, TODAY, call Disney and drop their insurance. If you haven't made the final payment, Disney has probably not bought your insurance yet, so now you (or another traveler or relative) have a pre-existing condition with no pre-existing conditions waiver, and are past the lookback, and this is a very bad thing.
If you booked the cruise last week, then I think it is safe to assume you are within 14-21 days of your initial deposit. This is a good thing, because it means you will be able to purchase cruise insurance with a pre-existing conditions waiver. Even better, particularly if you are traveling with children, it will likely be cheaper than DCL's insurance, so you will, most likely, get better coverage and save money. You want to do this TODAY. The longer you wait, the fewer coverage options you will have.
If you change your cruise date, you may have to call the carrier, if the cruise cost changes, and increase your coverage limits, but I know that my carrier (TravelInsured) can do this and said it would be okay, at least at the time I booked. Double-check with the carrier, or the
travel insurance company. Try
http://www.tripinsurancestore.com ,
http://www.insuremytrip.com , or
http://www.squaremouth.com , unless you have somebody who could possibly deploy, in which case you should use
http://www.usaa.com , as they have special deployment insurance.
Let me illustrate why this is important:
Let's say that last week your wife was diagnosed with thyroid cancer (trust me, it can happen--and has

). You now have two issues with regards to your cruise:
1. Maybe you can't take the cruise because your wife is undergoing medical treatment.
2. Maybe you can work the radioiodine therapy around the cruise, but if something goes wrong on-board, you need to be covered for a visit to the doctor, and a potentially expensive evacuation from a Mexican or Columbian port (port evacuations ARE NOT covered by the Coast Guard).
Scenario 1: Disney Insurance:
Issue 1: If you can't take the cruise, and your claim is denied, you can apply the cost of the cruise, less the insurance, to another cruise, which might work for you, but you can't get the money back.
Issue 2: Since the issue will (from the sound of it) most likely need treatment through the pre-existing condition lookback period, you will be on the hook for the whole amount. That could dwarf the cost of your cruise.
Scenario 2: Cruise Insurance with a pre-existing conditions waiver
Issue 1: You get your money back from the cruise (although not your insurance premium), less whatever deductible (if any) the company has (mine will pay 100% in the event of a medical emergency)
Issue 2: Because you have a pre-existing conditions waiver, you have your medical care on-ship covered (remember, the ship is flagged for Nassau, so you're not in the US anymore), less whatever deductible your company has (mine is $50). Medical evacuation to whatever the limit is, assuming they approve the emergency, is also covered to the limit, less any deductible.
Other Issues: If you would have a difficult time making the initial medical payments, you may want to consider making sure your coverage will advance medical payments to providers, and is primary, and not secondary coverage.
Primary medical coverage means that you submit the receipts/proof for a covered event, and they pay you back.
Secondary medical coverage means that you submit the receipts/proof for a covered event to your existing health plan, you wait for them to deny it, or pay whatever portion of it they will pay, and then you submit both the receipts and the denial, and then your cruise insurance will pay the rest, less your deductible.
This is (I hope) a decent overview, but if you have more specific questions, I'd recommend contacting someone at any of the three sites above--they would really know best, and might be able to suggest the carrier who would best fit your needs if you are not sure.