I would get it. We just got back from land/sea vacation on Sunday. Before we left we found out my FIL was close to death. We didn't know if we were going to be able to go and we would not have received a refund because it was last minute (or at least a full refund). He ended up making it and we went, but while there, my DD got a 102 temp and threw up, my DH got a terrible rash, I got a 102 temp, and then my DH lost a crown. The day after returning I got the stomach flu really bad--if I was still on board I would have had to stay in my cabin and needed medical attention. With all these things going wrong, we never needed the insurance, but the peace of mind that if we needed to call the doctor and cancel our trip, it would have been okay. For the amount of money you spend on your vacation, this is such a small price--just don't purchase it through Disney. Much more expensive.