I feel that anytime you can put 'peace of mind' on a charge card... Just do it! LOL
I sprung for the insurance and I'm not exactly loose with my money. My health insurance does cover ship and international urgent medical needs as out -of-network, but only 70% of the amount that they deem appropriate -read- not even 50%. So even the medical portion of the insurance could be handy. The biggest value would be for a 'qualified' trip cancellation. If we don't make it onto that ship ... believe me, it will be for a very qualified reason. Maybe once we become seasoned pro's, I'll feel more comfortable forgoing the insurance. But for now, I'm very relaxed about the cruise purchase, and that's worth a lot.