I always buy full trip insurance due to the medical coverage which can pay for itself. People don't realize many doctors in places around the world only accept cash, plus you have the taxi cost to get there and back (also covered) and US senior citizens can not count on Medicare out of the country. I've gotten reimbursed for trip delays, an extra night in a nice lux hotel and better flights as well as medical. The credit card coverage is limited. And, I always travel on points including hotels, but sometimes use other cc reward cash back to pay for upgrades (that's non-refundable when prepaying to get the better rooms). For 2 of us, we usually place the value around $4500 to $5000 for a 2 week trip if prepaid upgrades are involved. I also get the best plan (lux) which covers pre-existing conditions. I use CSA. I have another claim I have to submit from my recent trip, so we'll see how they are compared to my previous experience with them. They are owned by a European company, and have worked hard to evacuate travelers out of bad areas.