The short answer: for most family trips, buy Travelex Ultimate. One child 17 and under travels free with each adult, so a family of four pays the price of two, and you get $250,000 of primary medical and $1,000,000 of evacuation for it. On a tight budget, buy Travel Insured FlexiPAX, which also carries the kids free. If your children are over 17, IMG iTravelInsured Choice is the cheapest plan that still covers everyone properly.
Those picks come from the 48 plans on our comparison, priced live for a family of four on a cruise and on a trip to Italy on the date above, and checked against the policy wording. There is no separate family product: a family plan is a regular plan with everyone on it, and the rule that matters is who rides free. The price is the same here as from the insurer.
There is no separate family product. You enter every traveler on one quote, with their ages, and every plan comes back priced for the group. Each person gets the same four promises: 100 percent of their share of the trip cost back for a covered cancellation, emergency medical care up to the plan’s limit, the flight to a proper hospital and home, and delay and baggage benefits. The differences between plans for a family are the medical and evacuation limits, and whether children are charged for.
Who rides free. On Travelex Ultimate and Travel Insured FlexiPAX a child 17 and under travels on the policy at no charge, one per adult. Most other plans price each child, usually at a low rate. That rule often makes a plan with high limits cheaper for a family of four than a basic plan that charges for everyone, which is why the two plans with free children are also our top two picks.
What it is not. It is not the protection a cruise line, airline or tour operator sells at checkout, which is usually a credit, not insurance, and rarely includes medical. It is not the coverage on a credit card, which pays only for the part of the trip you charged to that card and almost never covers a hospital bill. And it is not health insurance for living abroad: it covers one trip, for everyone on the policy, with a policy document you can read before you buy.
The plans. All 48 plans that came back for a family of four on the CoverTrip comparison, which is powered by Squaremouth. If a plan is not sold there we cannot show you its price, so it is not on this list. Allianz and Travel Guard, which also cover children free on some plans, sell direct; we review them here so you can compare on your own.
The trips. Two quotes run on 15 October 2026 for a family of four (44, 42, 12 and 9), Texas residents, deposit paid the same day, leaving 15 January 2027: a 7-day Bahamas cruise for $10,000, which is one of the five benchmark trips in our monthly Price Index, and 12 days in Italy for $10,000. Our best plans for every traveler page prices the same plans for five kinds of trip.
The four criteria, in order. 1. Emergency medical limit per person, and whether it pays primary (first), because children get the same limit as adults. 2. Evacuation limit per person. 3. Whether children travel free, because for a family that decides the price more than anything else. 4. Price for the two trips. Then the fine print: the pre-existing condition waiver window, cancel for any reason, the delay trigger, the free look period, and the insurer’s AM Best rating.
The judgment. A licensed travel insurance agent since 2006 made the calls, and they are the same ones I make for my own family of four. Where two plans were close, the one with the bigger medical limit won, because that is the claim that ruins people.
The money. When you buy through the comparison, the insurer pays CoverTrip a commission. It does not change your price, and it does not decide what is on this page. No company pays to be listed or ranked.
Every price on this page changes to match it. These are real quotes from our comparison for a family of four, run on 15 October 2026. The cruise is one of the five benchmark trips in our monthly Price Index.
Showing prices for a family of four (44, 42, 12 and 9) on a 7-day Bahamas cruise, $10,000 trip, quoted 15 October 2026. Prices are the total for all four, rounded to the dollar.
| Pick | What you get | Price | |
|---|---|---|---|
| Best overall for familiesTravelex Ultimate | $250,000 medical, primary · $1,000,000 evacuationCancel for any reason: add-on, 75% | $238 | Details |
| Cheapest family plan worth buyingTravel Insured International FlexiPAX | $100,000 medical, primary · $500,000 evacuationCancel for any reason: add-on, 75% | $200 | Details |
| Best for families with adult childrenIMG iTravelInsured Choice | $100,000 medical, primary · $500,000 evacuationCancel for any reason: add-on, 75% | $379 | Details |
| Best for three generationsTrawick International Pathway Premium | $200,000 medical, primary · $1,000,000 evacuationCancel for any reason: add-on, 75% | $364 | Details |
| Best medical coverage for the moneyTin Leg Gold | $500,000 medical, primary · $500,000 evacuationCancel for any reason: add-on, 75% | $458 | Details |
| Most coverage, best for family cruisesSeven Corners Trip Protection Choice | $500,000 medical, primary · $1,000,000 evacuationCancel for any reason: add-on, 75% | $570 | Details |
Medical is per person. “Primary” means the plan pays first, before your own health insurance. Cancellation is 100 percent of the trip cost on every pick; interruption is 150 percent. Prices are the base plan without add-ons.
Eight minutes on why your health insurance stops at the border, and what that means for everyone on the trip. From the CoverTrip channel.

AM Best rating A+
Pre-existing condition waiver if you buy within 20 days of your first deposit · Travel delay pays after 6 hours · Free look 21 days
One child 17 and under travels free with each adult, which is why a family of four pays $238 on a $10,000 trip, on a cruise or in Italy. For that you get $250,000 of primary medical and $1,000,000 of evacuation per person, a $750 missed connection benefit for air and cruise departures, and a 21-day free look, the longest here. Cancel for any reason is a 75 percent add-on, capped at $7,500 of trip cost and only if you buy 31 or more days before you leave.

AM Best rating A+
Pre-existing condition waiver if you buy within 21 days of your first deposit · Travel delay pays after 6 hours · Free look 14 days
Kids free again, and the cheapest real plan for a family of four: $200 on a $10,000 trip, with $100,000 of primary medical, $500,000 of evacuation, cancellation at 100 percent and interruption at 150 percent. The 21-day waiver window is the longest on this page, and cancel for any reason is a 75 percent add-on with no cap. Travelex Ultimate has more medical and evacuation for $38 more; on a tight budget this is the one.

AM Best rating A-
Pre-existing condition waiver if you buy within 20 days of your first deposit · Travel delay pays after 6 hours · Free look 10 days
Once a child turns 18 the free-child rules stop and every traveler is priced, so the question becomes the cheapest plan with real coverage per person. That is IMG Choice: $100,000 of primary medical, $500,000 of evacuation, a 20-day waiver window and, new since September, a 75 percent cancel for any reason add-on. It is the single most bought plan on CoverTrip. For a family with children 17 and under it is not the pick: $379 against $200 and $238.

AM Best rating A-
Pre-existing condition waiver if you buy within 21 days of your first deposit · Travel delay pays after 6 hours · Free look 10 days
When grandparents come along, the medical and evacuation limits and the waiver window start to matter more than the kids rule, and this plan has all three: $200,000 of primary medical, $1,000,000 of evacuation and 21 days after the first deposit to add the waiver for everyone on the policy. Children are priced, so for two adults and two kids it is $364, but for a retired couple it is our best overall pick, and the grandparents can go on the same policy priced at their ages.

AM Best rating A
Pre-existing condition waiver if you buy within 14 days of your first deposit · Travel delay pays after 6 hours · Free look 14 days
Half a million dollars of primary medical for every traveler, including the kids, for $458, with the highest customer rating on the comparison (4.5 from more than 5,600 reviews). Children are priced, and the pre-existing condition waiver window is 14 days from your first deposit, the shortest on this page. For a family where a hospital bill is the fear, that is still the most medical coverage per dollar.

AM Best rating A+
Pre-existing condition waiver if you buy within 19 days of your first deposit · Travel delay pays after 6 hours · Free look 14 days
The biggest medical and evacuation limits on this page, $500,000 and $1,000,000 per person, and the best missed connection benefit: up to $1,500 to catch up with the ship after a 3-hour delay. Children are priced, so it is the most expensive of our picks at $570, more than twice Travelex Ultimate. On a cruise with a child who has a health worry, or a long trip far from a good hospital, that is what the money buys.
Real prices from our comparison on 15 October 2026, for a family of four (44, 42, 12 and 9), Texas residents, deposit paid the same day, leaving 15 January 2027. Your price will differ with your ages, your state and your trip cost. Most plans price by trip cost, trip length and age rather than destination, which is why the 7-day cruise and the 12-day Italy trip cost the same on every pick.
| Plan | Family of four 7-day cruise, $10,000 |
Family of four 12 days in Italy, $10,000 |
|---|---|---|
| Travelex Ultimate | $238 | $238 |
| Travel Insured International FlexiPAX | $200 | $200 |
| IMG iTravelInsured Choice | $379 | $379 |
| Trawick International Pathway Premium | $364 | $364 |
| Tin Leg Gold | $458 | $458 |
| Seven Corners Trip Protection Choice | $570 | $570 |
Three things the grid shows. Kids free is worth more than any discount: the two plans that carry children free are the two cheapest real plans, and Travelex Ultimate at $238 carries more medical and evacuation than Tin Leg Gold at $458 or IMG Choice at $379. The gap between the cheapest good plan and the best one is small next to the trip cost: $38 between FlexiPAX and Travelex Ultimate on a $10,000 trip. And the cheapest plan overall was not one of our picks: battleface Discovery ($131) has no medical coverage at all, and Trawick Pathway Essential ($232) carries $25,000, which does not go far in a foreign hospital.
Two close calls that did not make the list. Arch RoamRight Pro Plus ($297) carries $100,000 of primary medical and $1,000,000 of evacuation and offers the waiver, but no cancel for any reason, and we have not checked its delay and free look wording the way we did the six above. HTH TripProtector Classic ($373) has $250,000 of primary medical and $1,000,000 of evacuation for less than Tin Leg Gold, with the same two gaps. Travel Insured’s Worldwide Trip Protector Deluxe and Platinum, which also cover children free, did not come back in our quotes for these trips.
Travelex Ultimate, or FlexiPAX on a budget.
Both carry one child 17 and under free with each adult. Ultimate has more medical ($250,000 against $100,000) and $1,000,000 of evacuation for $38 more, so it wins by a nose. If the budget is tight, FlexiPAX at $200 still covers every traveler properly.
Any pick. It is a covered reason on nearly every plan.
Sickness or injury of any insured traveler, confirmed by a doctor in writing, is a covered cancellation reason, and if the child stays home with one parent and the rest go, cancellation or interruption pays that share. It is the claim that paid for my own family: when my son came down with the flu a few days before a Christmas trip, the policy paid back the flights and the lodging in full, because a doctor had examined him and put it in writing. That last part is the whole rule.
Trawick Pathway Premium, with everyone on one policy.
They go on the same policy, priced at their ages, with the same limits as everyone else. After 65 the medical and evacuation limits are the whole decision, and the pre-existing condition waiver covers every traveler on the policy if you buy inside the window: 21 days on Pathway Premium. Our best plans for travelers over 65 page goes deeper.
IMG iTravelInsured Choice, or Pathway Premium for bigger limits.
The free-child rules stop at 17, so every traveler is priced and the kids rule no longer picks the plan. IMG Choice is the cheapest plan with real coverage per person; Pathway Premium adds $100,000 of medical and $500,000 of evacuation for $14 less on our two trips.
Travelex Ultimate, or Seven Corners Trip Protection Choice for the most coverage.
On a ship your health insurance is not accepted and the nearest hospital is a helicopter ride away. Ultimate carries $1,000,000 of evacuation with the kids free. Seven Corners carries $500,000 of medical and the best missed connection benefit, at more than twice the price. Our best cruise travel insurance page has the cruise line plans side by side.
FlexiPAX, or the cheapest plan with the kids free.
At home your health insurance works, so the medical limit matters less and cancellation is the main thing you are buying. FlexiPAX at $200 covers the trip cost at 100 percent with the kids free; there is no reason to pay for $500,000 of medical on a trip to Orlando.
FlexiPAX or Pathway Premium, for the 21-day window.
Travel insurance covers a condition that was stable. A condition that changed in the look-back period before you bought (60 to 180 days, depending on the plan) is excluded unless you have the waiver: buy within the plan’s window after your first deposit and insure the full trip cost, and it is covered like any other, for every traveler on the policy. How the waiver works.
Any pick. You have not missed anything except two add-ons.
Travel insurance has no deadline. You can buy any of these plans up to the day before you leave. The only things with a window are the pre-existing condition waiver and cancel for any reason, and the windows on each card tell you which plans still have them open for you.
The total price, not the per-adult price. The free-children rule shows in the total. Put everyone on one quote with their ages and the total non-refundable trip cost, and compare the plans on what the whole family pays.
Medical: $100,000 or more per person, paid primary. A child in a foreign hospital costs what an adult does, and children get the same limit as adults on every plan. Primary means the plan pays first, without waiting for your health plan to say no. $250,000 or more for a cruise or a remote trip.
Evacuation: $500,000 or more per person. The cost of getting a sick traveler to a proper hospital, and home. An air ambulance from a ship or a remote place runs into six figures, which is why the good plans carry $500,000 to $1,000,000.
Cancellation and interruption. What you get back if you cancel for a covered reason (a sick child, a sick grandparent at home, a hurricane, a job loss) or have to cut the trip short. Every pick here pays 100 percent of the trip cost for cancellation and 150 percent for interruption. Add later payments as you make them: the flights booked in March, the excursions in June.
Then three pieces of fine print: the waiver window (14 to 21 days after your first deposit on our picks; it covers every traveler on the policy), the delay trigger (every pick here starts paying after a 6-hour delay), and the free look (10 to 21 days to read the policy and cancel for a full refund).
For most family trips abroad, Travelex Ultimate: one child 17 and under is free with each adult, so a family of four paid $238 on a $10,000 trip in our October 2026 quotes, with $250,000 of primary medical and $1,000,000 of evacuation per person. On a budget, Travel Insured FlexiPAX, which also carries the kids free, was $200.
Yes. Every plan on the comparison covers all the travelers you enter on one policy, priced by age, with the same limits for everyone. There is no separate family product; a family plan is a regular plan with everyone on it, and on some plans the children ride free.
On the comparison, Travelex Ultimate and Travel Insured FlexiPAX cover one child 17 and under free with each adult. Travel Insured’s Worldwide Trip Protector Deluxe and Platinum, Travel Guard’s plans and Allianz OneTrip Prime and Premier also cover children free; the rest price each child, usually at a low rate, and the quote shows it in the total.
In our October 2026 quotes, a family of four paid $200 to $570 for our picks on a $10,000 trip, which is 2 to 6 percent of the trip cost. The plans with free children were $200 and $238; the plans that price every child were $364 to $570. Our monthly Price Index tracks the family cruise every month.
Yes, on nearly every plan we compare, as long as a doctor examines the child and says in writing that they cannot travel. It also covers cancelling for the illness of a family member who is not travelling, such as a grandparent.
No. They go on the same policy, priced at their age, with the same limits as everyone else. Buy inside the plan’s window after the first deposit so the pre-existing condition waiver applies to them: 21 days on Pathway Premium and FlexiPAX, 20 on Travelex Ultimate and IMG Choice, 19 on Seven Corners Choice, 14 on Tin Leg Gold.
Complications of pregnancy are usually treated as a sickness and covered for cancellation and medical care. A normal pregnancy or a routine delivery is not covered, and a few plans set a cut-off in the pregnancy after which they will not cover related claims; the policy document says which.
For a trip abroad or a cruise, yes, mainly for the medical and evacuation coverage, because your health plan usually pays nothing outside the US and a child in a foreign hospital costs what an adult does. For a cheap domestic trip you can refund, often no. Our two-minute quiz gives you a straight answer.
Yes. Travel insurance rates are filed with state regulators, so the same plan costs the same everywhere. What changes when you buy through CoverTrip is the help: our partner Squaremouth’s licensed claims adjusters take up a denied claim for you under the Zero Complaint Guarantee.
The family cruise price is re-run with our monthly Price Index, the Italy trip whenever we refresh the page, and the picks are re-checked whenever a plan changes. The date at the top is the last check.
Related: the best travel insurance plans for every traveler · best cruise travel insurance · best plans for travelers over 65 · trip cancellation insurance guide · how much trip cost to insure
Plan facts on this page (children-free rules, medical and evacuation limits, cancel for any reason terms, waiver windows, free look periods) were checked against the insurers’ plan pages and the policy documents on the CoverTrip comparison in September and October 2026. Prices are live quotes from the comparison on 15 October 2026 (quotes 6C81-884C and 6C81-8X25).
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