I always buy the trip medical insurance. I have gotten it through my bank and through AMA. I have never used it, but do like the protection that it gives me, in case something should happen. I have through my credit card company protection against lost or stolen luggage, trip cancellation, lost ticket replacement, and emergency document replacement. Check with your credit card company to see if you have anything, and if you have AMA, see if the membership you have covers anything.