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Compare Worldwide Holiday Insurance

Last updated 12 June 2026 Reviewed by Josh T.How we wrote this

You can compare worldwide holiday insurance to find cover for travel outside of Europe, including destinations like the USA, Canada, and the Caribbean. Most UK insurers split worldwide policies into two distinct categories: those that include North America and those that do not. Comparing these options ensures you have the correct medical limits and repatriation cover for high-cost healthcare regions. This guide explains how to select the right territory, what specific exclusions to look for, and how to verify that your policy meets FCDO requirements.

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Key facts

Typical cost range
£35-£120 per person for a typical 1-week trip (UK-priced 2026)
Medical cover limit
Recommended minimum of £5 million for worldwide travel
USA medical costs
Can exceed £10,000 per day for intensive care treatment
FCDO compliance
Policies are generally void if travelling against FCDO advice
Age limits
Some standard policies cap at age 75 or 80 for worldwide cover
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TL;DR

Worldwide insurance is vital for travel outside Europe where the GHIC does not work. You must choose the correct zone, specifically noting if you need cover for the USA or Canada. Always declare medical conditions and check FCDO advice to ensure your policy remains valid for your destination.

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Why worldwide cover is essential

When travelling beyond Europe, the safety net of the Global Health Insurance Card (GHIC) no longer applies. In many parts of the world, particularly the USA, Singapore, and Hong Kong, the cost of emergency medical treatment can reach tens of thousands of pounds. Without a dedicated worldwide policy, a UK traveller would be personally liable for these costs, as well as the expense of an air ambulance back to the UK if required. A robust policy provides peace of mind that your financial interests are protected against unforeseen mishaps on a global scale.

  • Medical expenses often exceeding £5 million in cover
  • Emergency repatriation to a UK hospital
  • Search and rescue costs in remote locations
  • Legal expenses and liability protection abroad
  • 24-hour emergency medical assistance helplines

What is typically covered

A standard worldwide policy focuses on high-value risks associated with long-haul travel. Beyond medical emergencies, insurers provide protection for your financial investment in the trip. This includes cancellation cover if you are unable to travel due to illness or bereavement, and protection for your personal belongings. Given the longer flight durations and multiple connections often involved in worldwide travel, many policies also include enhanced cover for travel delays and missed connections.

  • Cancellation and curtailment of the holiday
  • Lost, stolen, or damaged baggage and gadgets
  • Missed departure due to public transport failure
  • Hospital daily cash benefit during admission
  • Personal money and passport replacement

Common exclusions and limitations

While worldwide policies are extensive, they are not catch-all solutions. Most insurers exclude claims arising from undeclared pre-existing medical conditions or incidents occurring while under the influence of alcohol. It is also vital to check the 'hazardous activities' list; common holiday experiences like scuba diving or trekking at high altitudes often require a specific premium add-on. Furthermore, standard policies will usually be void if you travel to a country against the advice of the Foreign, Commonwealth and Development Office (FCDO).

Understanding the two worldwide zones

UK insurers typically categorise the world into 'Worldwide excluding USA, Canada, Mexico and the Caribbean' and 'Worldwide including USA, Canada, Mexico and the Caribbean'. The reason for this split is the exceptionally high cost of healthcare in North America. If you are travelling to New York or Toronto, you must select the 'including' option. If you are visiting Australia or Thailand, selecting the 'excluding' option can significantly reduce your premium while still providing comprehensive protection for those regions.

  • Worldwide Zone 1: Often excludes North America and the Caribbean
  • Worldwide Zone 2: Full global cover including the USA
  • Check if your cruise itinerary enters US waters
  • Stopovers in the USA usually require Zone 2 cover
  • Verify specific country groupings with your insurer

Factors that influence the cost

The price of worldwide insurance is determined by several risk factors. Age is a primary driver, as the statistical likelihood of a medical claim increases with older travellers. The duration of the trip also plays a role, with longer stays requiring higher premiums. Finally, the inclusion of the USA and Caribbean will always increase the cost due to the potential for million-pound medical claims that UK insurers must factor into their pricing models for those specific regions.

Declaring pre-existing medical conditions

Honesty is critical when you compare worldwide holiday insurance. You must disclose all diagnosed conditions, even if they seem minor or are well-managed with medication. Failure to declare a condition could lead to a claim being rejected, even if the claim is not directly related to that condition. Specialist insurers exist for those with complex histories, ensuring that even travellers with serious illnesses can find appropriate cover for global destinations.

FCDO advice and regulatory context

The Financial Conduct Authority (FCA) regulates UK insurance providers to ensure they treat customers fairly. However, the validity of your policy often hinges on FCDO travel advice. If the FCDO advises against 'all travel' or 'all but essential travel' to your destination, most standard insurance policies will not provide cover. Always check the latest status of your destination on the gov.uk website before booking your trip and again before you depart to ensure your policy remains active.

A practical checklist for global travel

Before you set off on a worldwide adventure, ensure your insurance paperwork is in order. Keep a digital and physical copy of your policy schedule and the emergency 24-hour contact number. If you are involved in an accident, contact your insurer as soon as possible, as they often prefer to manage payments directly with international hospitals rather than having you pay upfront and claiming back later.

Policy checklist

  • Medical cover limit at least £2 million (£5m+ for long-haul)
  • Cancellation limit covers the full cost of your trip
  • Excess you'd be willing to pay per claim
  • Activity list includes everything you've planned
  • Age limits and medical screening completed
  • Cruise / winter sports / golf extras if needed

Insurance disclaimer: This page is general guidance, not regulated financial advice. Cover, limits, excesses and exclusions vary by insurer and policy. Always read the policy wording.

Affiliate disclosure: Holiday Insured may earn a commission when you click through to a provider and buy a policy. This does not affect what you pay or which policies we describe. Read our full affiliate disclosure.

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Frequently asked questions

Plain English answers to common holiday insurance questions.

UK insurers split worldwide cover into two zones based on medical costs. One zone covers the whole world except for the USA, Canada, and the Caribbean. The other zone includes every country. Choosing the 'excluding USA' option is cheaper for destinations like Australia, Japan, or South Africa, but you must have the 'including USA' version for any travel to North America.
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Sources and further reading

Sources are independent UK authorities. Holiday Insured is not affiliated with any of the bodies listed. Read our editorial policy.

Written by

Holiday Insured Editorial Team

Reviewed by

Josh T.

Last updated

12 June 2026

Read our editorial policy. This content is general guidance and not regulated financial or medical advice.

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