Arch Insurance/RoamRight
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Arch's RoamRight brand, founded in 2012, specializes in travel insurance for cruise vacations. Their policies offer primary medical coverage (meaning they pay first without requiring your regular health insurance to cover first) and generous evacuation limits, essential when you're far from shore.
RoamRight works well if you want primary medical coverage that doesn't require coordination with your home insurance. Their high evacuation limits are particularly valuable on longer itineraries where rescue or transfer to a medical center could be very expensive.