It appears that Livingood, Jason <Jason_Livingood@xxxxxxxxxxx> said: >In the US you can obtain travel insurance which permits cancelation or trip extension due to illness or even cancel for any >reason. I purchased that for a trip to London last December. As Jay noted this varies by country so folks need to sort that on >their own (just as with flight booking, etc.) In the US, insurance is regulated by the states. I doubt that the policy you got in Pennslyvania is available here in New York which has stricter regulators. I looked for travel medical insurance when I went to a meeting in London earlier this year and found that the kind of full year multi-trip insurance I used to get is not available at all in NY. I have to get a separate short-term policy for each trip. R's, John PS: tip for US residents over 65: Medicare has no coverage outside the US so you need travel medical.