I agree with Pauline. Trip Insurance can help in certain situations. That is why we choose to buy trip insurance, and there are several reasons why we choose to take GCT's.
We used Access America the first time we took a trip, not with GCT the agent' used that company. They had very good medical coverage and repatriation but cancellation only for medical emergency. Medical coverage was only $10,000 (2003). I used them again which I purchased on our own for our first trip with GCT. I just called Access America to see if I could buy it for just us two; their answer was yes. Just wanted us to inform them of the exact cost of the trip after we finalized booking with GCT. I then called them back and got the insurance. It was cheaper, then.
All subsequent trips (8) I used GCT's travel insurance, partly because I was too lazy to do the comparison, but also because by that time GCT had increased coverage for medical emergencies, medical evacuation to the US and repatriation. The cancel for any reason is not offered by all companies.
Another reason I take insurance is this: we were on the Tuscany and the Amalfi Coast trip, we had arrived in Rome, stayed overnight, then bussed to Sorrento. The next morning one of our group had a heart attack and was taken to the hospital. After a day of medical reviews they determined he had to be flown back to the US. So a long wait occurred for GCT in the US to give the permission for this to happen. The cardiologists in Italy insisted he be accompanied by a US medical doctor and a nurse for the flight back to the US.
We other travelers continued on our daily tours and dinners, etc. At the end of the week, the man was still in the hospital, but we all boarded a bus for Montecatini. After another 8 days, we drove back to Rome for departure. The man was still in the hospital but was released to the hotel until they could get a doctor and nurse to accompany him on the flight. All of this could have been a very costly endeavor had they not had trip insurance. Medical coverage since then has been increased to $50,000, and repatriation insurance is $500,000 now.
A year or two ago, I heard the on the news the cost for medical evacuation fron overseas was about the $500,000 figure, and locally about $100,000 in our area (Phoenix).
Twice I used medical insurance from GCT for visits to the emergency room, once in Moscow, and once in Belgrade. Both times I filed with GCT's insurance and was reimbursed almost entirely. The Russian doctor wanted to keep me a few days and take tests, etc., but I convinced him I was well enough to travel and saw my doctor when I got back.
We are in our 70's and anything could happen; but at any age, we are not prmised tomorrow. Just one person's perspective why trip insurance is a good to have. Check benefits of other companies--you'll probably come back and buy GCT's trip insurance.