sep120

I'm pretty sure the pre-existing conditions waiver is based on the first payment, not the final payment. At least, that's what I read for the Allianz single-trip policies I bought.

Yes, that would be my primary reason for getting travel insurance, too. But, I figure you don't know ahead of time whether whatever medical catastrophe occurs might be related to something you've been treated for in the past, so I want to be covered in the event that there's any (real or plausible) connection that an insurer might want to use to get out of paying.

When did you first put down a deposit on your cruise in February 2025? If your main concern is having medical coverage in the event of a large medical cost, my understanding is that any costs related to any pre-existing conditions will only be covered if you purchase the insurance within 14 days of your first payment for your trip. I wouldn't cancel the insurance you already bought (providing you bought it near to the time you put down a deposit) and get a new plan unless you're still within that 14 day period.If you're not, I'd keep the existing plan and buy the annual plan for trips after your February trip.