LX is the plan the limits are quoted from, and the other three are considerably thinner. It reaches up to $500,000 accident and sickness medical and up to $1,000,000 evacuation, plus a separate $50,000 for non-medical emergency evacuation — unrest, security incidents, natural disaster — which very little else in this series includes. Two things to check before you buy: IMG runs four different purchase deadlines rather than one, and Hospital of Choice is an LX distinction that may not be available in your state.
| Plan | Emergency medical | Evacuation | Worth knowing |
|---|---|---|---|
| Travel LX | Up to $500,000 | Up to $1,000,000 + $50,000 non-medical | Hospital of Choice; CFAR up to 75% |
| Travel SE | Higher than Choice; confirm on your quote | Included — confirm the figure | Adds Teladoc and pet kennel cover |
| Choice | Budget-end limits | Included — confirm the figure | IMG's economical plan |
| Lite | Basic emergency medical | Evacuation to hospital of choice | Thinnest benefit set; no Teladoc |
Who is actually behind it
Not one company, and not one rating. Depending on the plan form and your state, IMG cover may be underwritten by SiriusPoint America Insurance Company or by United States Fire Insurance Company.
Those two do not carry the same grade. AM Best upgraded SiriusPoint's rated operating subsidiaries to A (Excellent) in April 2026. United States Fire has held A+ (Superior) since the Crum & Forster upgrade of August 2025. Both are solid. Neither is the one you should assume you have.
Which means the useful instruction is short: read the underwriting company named on the certificate issued for your state. That document is the only thing that settles it.
There is a twist here worth the detour. IMG's own published disclaimer still describes an older, lower SiriusPoint rating — copy written before the upgrade and never refreshed. A carrier's own marketing lagging the rating agency by years is exactly why this site reads the source rather than the summary.
One more thread. United States Fire sits inside Crum & Forster — the group behind Seven Corners and Faye, and the outright owner of Travel Insured International. So several brands you would compare against each other place at least some of their travel risk with the same underwriting company. IMG is the most complicated of them, because its applicable underwriter can also be SiriusPoint.
Four plans, and the gap is at the top
Choice, Lite, SE and LX. The names suggest a gentle ladder. Step to the last one and look at what only it carries.
Well-rounded limits at the budget end of the range
Included — confirm the figure on your quote
IMG positions this for domestic and international trips including cruises, and it carries Teladoc access for remote consultations, which is unusual at this price point.
The lowest limits in the family. IMG itself says the SE and LX plans include benefits not found on Choice, so read what is missing rather than what is present.
Basic emergency medical
Evacuation to your hospital of choice included
Covers the fundamentals — cancellation, baggage, delays, emergency medical and evacuation — without extras.
No Teladoc, and the thinnest benefit set of the four. A reasonable domestic option; a hard sell on an international sailing.
Higher limits than Choice, with Teladoc included
Emergency medical evacuation included — confirm the figure on your quote
Adds benefits Choice does not carry, including pet kennel costs during a covered delay. A sensible default for most cruises.
Hospital of Choice is an LX distinction and may not be available in every state, and the $1,000,000 evacuation ceiling belongs to LX too. If your itinerary is remote, that gap is the argument for stepping up.
Up to $500,000 accident and sickness medical. Published as primary on this plan — which form applies depends on your state, so confirm on the certificate
Up to $1,000,000 emergency medical evacuation, plus $50,000 for non-medical emergency evacuation — older official materials use that broader label; go by your issued wording
Built for remote and high-value trips. Hospital of Choice is listed on LX in IMG's comparison, subject to state availability and the issued plan document. A missed-connection benefit is published as triggering after a three-consecutive-hour delay, with rental car cover up to $40,000 and search and rescue to $10,000.
CFAR is an optional upgrade reimbursing up to 75% and it has its own purchase deadline — which is where this carrier gets genuinely confusing. See the section below before you rely on any date you have read elsewhere.
The jump from SE to LX is where this range earns its reputation. Up to half a million in primary medical. Up to a million in evacuation. And a separate benefit for political, security and natural-disaster evacuation that almost nothing else in this series carries at all.
For a mainstream Caribbean sailing, SE is a reasonable default. For Alaska, the fjords, an expedition itinerary — anywhere the nearest adequate hospital and the hospital you would actually want are a long flight apart — the hospital-of-choice benefit alone is the argument.
And then there is the thing this carrier is genuinely bad at, which has nothing to do with what it covers.
Four published deadlines, across two benefits
The pre-existing condition waiver is the most time-sensitive thing you can buy in travel insurance — and the cancel-for-any-reason upgrade runs on its own clock. Here is what four published sources say about IMG's deadlines. Note that the fourth row is a different benefit from the first three.
This is not a reason to avoid IMG. The cover underneath is among the strongest in this series. It is a reason to ignore every date on this page, including ours, and read the plan document for your own state before you buy.
The practical version. Buying shortly after your initial deposit gives you the best chance of meeting the earliest window on offer. It does not on its own secure the benefit — you still have to satisfy the rest of the conditions in your plan document, including being medically able to travel when you buy and insuring later-added trip costs on time.
Scored on the eight that vary
The same eight dimensions every policy on this site is measured against. Compare carriers on anything else and you are comparing brochures. Scored across the range, because here the range is the product.
Each score is Seabound's judgement, not a figure published by any insurer. The underlying limits are researched from the carrier's own materials and stated as they appear there. The score answers one question: how well does this dimension serve someone booking a cruise? Ten means best-in-class for cruising. Five means adequate. Below five means a gap worth planning around. Where a benefit exists but only on one plan in a range, the score is marked down, because a benefit you cannot buy at your price point is not a benefit you have. Limits vary by state and the certificate you are issued is what governs.
Up to $500,000 accident and sickness cover on LX in current published materials — among the highest in this series, and well clear of the working floor for international cruising. The lower plans in the family are considerably thinner.
Up to $1,000,000 on LX, plus a separate $50,000 for non-medical emergency evacuation — unrest, security incidents, natural disaster — which very few policies carry at all. Against the $250,000 figure commonly cited as a sensible minimum, this is a serious ceiling.
LX provides primary cover, so IMG pays before your own health plan rather than behind it. That matters most to anyone on a high-deductible health plan, and on a cruise where you often settle with a foreign hospital yourself.
The waiver exists and the look-back is reasonable. Marked down hard for clarity, not for coverage — published sources give at least four different purchase deadlines across IMG's plans, and IMG states that the plan document you receive depends on your state. A benefit you cannot reliably date is a benefit you may lose.
Up to 75% reimbursement on the LX plan as an optional upgrade, which matches the market standard rather than the halved figure some carriers offer. Its purchase deadline carries the same ambiguity as the waiver.
IMG states that all four plans cover cruises, including port closures and itinerary changes. LX adds a missed-connection benefit triggered by a delay of three consecutive hours — the scenario that strands cruisers at an airport while the ship sails.
Depending on the plan form and state, cover may be underwritten by SiriusPoint America Insurance Company or United States Fire Insurance Company. They do not share a rating. AM Best upgraded SiriusPoint's rated operating subsidiaries to A (Excellent) in April 2026; United States Fire carries A+ (Superior) after the Crum & Forster upgrade of August 2025. Both solid. Short of full marks only because which one applies to you depends on the certificate you are issued.
The weakest thing about this carrier, and it is not about coverage. Deadlines are quoted inconsistently across distributors, benefits differ between four similarly named plans, and IMG says outright that your plan document depends on your state. Excellent cover is worth less when you cannot be sure what you bought.
Limits verified July 2026 and stated as up to figures. Published limits and deadlines differ between distributors for IMG more than for any other carrier in this series, benefits vary by state, and IMG says so itself. The plan document issued for your state is what governs.
Who it suits, and who should skip it
The shape of these scores matters more than any of them individually. Two of the highest limits in this series, sitting on the murkiest terms.
Buy LX if your itinerary goes somewhere remote. Up to $500,000 of primary medical, up to $1,000,000 of evacuation, and a separate benefit for political, security and natural-disaster evacuation that almost nothing else here carries. Alaska, Greenland, the fjords, expedition sailings — this is a serious policy for exactly those.
Buy it if you are on a high-deductible health plan. LX pays primary, so IMG settles first rather than waiting behind your insurer. On a cruise, where you often pay a foreign hospital yourself and claim later, that is a materially easier week.
Skip it if you cannot face reading a plan document. Said plainly: this carrier demands more homework than the others in this series. Four similarly named plans with genuinely different benefits, deadlines quoted four different ways, and terms that vary by state. If you want to buy something in ten minutes and never think about it again, another carrier will serve you better.
And find out which underwriter you actually have, because here your state can decide which company insures you. A (Excellent) and A+ (Superior) are both sound grades, so this is not a warning — but they are different companies with different balance sheets, and only your certificate says which one stands behind you. Given the size of the limits on LX, that is worth the ten seconds it takes to look.
Straight answers
When do I have to buy an IMG plan to get the pre-existing condition waiver?
Read your own state's plan document. Published sources give at least four different dates — and they cover two different benefits, the pre-existing waiver and the cancel-for-any-reason upgrade. Some of that spread may reflect different plans, forms, jurisdictions or document vintages rather than genuine contradiction. IMG issues a different plan document depending on where you live and says coverage varies by jurisdiction. Buying shortly after the initial deposit usually gives the best chance of meeting the earliest window — but you must still satisfy the other conditions in your plan document, including being medically able to travel and insuring later-added trip costs on time.
Who underwrites IMG plans?
It depends on the plan form and your state. IMG names SiriusPoint America Insurance Company for some forms and United States Fire Insurance Company for others. That second one sits inside Crum & Forster, the same group behind Seven Corners and Faye and the outright owner of Travel Insured International. So several supposedly competing brands place at least some of their travel risk with the same underwriting company — though IMG is the most complicated case, because its applicable underwriter can also be SiriusPoint. The companies page maps the rest.
Is an A- rating a problem?
Read the rating for the entity actually named on your certificate, and read it from AM Best rather than a brochure. SiriusPoint's rated operating subsidiaries were upgraded to A (Excellent) in April 2026, and United States Fire has carried A+ (Superior) since the Crum & Forster upgrade in August 2025. Worth knowing: IMG's own published disclaimer still describes an older, lower SiriusPoint rating — a carrier's copy lagging the rating agency by years is exactly why this site checks the source rather than the summary.
Which IMG plan should a cruiser buy?
LX, if the itinerary goes anywhere remote. (This page compares Choice against the Travel Series — Lite, SE and LX. IMG markets other products too, so treat this as the cruise-relevant set rather than the full catalogue.) That is the plan carrying up to $500,000 of primary medical, up to $1,000,000 of evacuation, the separate political and natural-disaster evacuation benefit, the hospital-of-choice benefit automatically, and the missed-connection cover that gets you to the next port. SE is a reasonable default for a mainstream Caribbean sailing. Choice and Lite are budget plans, and IMG says plainly that SE and LX include benefits not found on Choice.
What is the hospital-of-choice benefit?
It means an evacuation can take you to a hospital you select rather than only to the nearest adequate facility. On a cruise that is a more meaningful distinction than it sounds — the nearest adequate facility to a Caribbean port and the hospital you would actually want to be treated in are frequently not the same building. IMG lists it on LX and states plainly that it is not included in all plans for all states, so confirm it against your own plan document.
What do people complain about?
Public reviews mention customer service being hard to reach at peak travel times, confusion about the pre-existing condition waiver requirements, and adventure-activity coverage gaps that are not obvious in the policy documentation. Those reviews are anecdotal and do not establish the company's approval or payment rate. The waiver confusion, at least, is consistent with what we found trying to pin down a single purchase deadline.
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Tell us about the trip, and who's going.
What your booking is exposed to, which coverage types your group needs, and which deadline is closest to biting you.
Seabound Journeys is an independent travel advisory and does not sell insurance. Answers come from this guide and are general information rather than advice about your policy.
Sources and verification
Every limit on this page was taken from the carrier's own published materials, not from a summary of them. Where published figures disagreed, both are shown rather than reconciled. Here is what was read.
Plan structure, LX benefits and the statement that coverage varies by jurisdiction come from IMG's own materials.
IMG states that the plan document you receive depends on where you live, and that Hospital of Choice is not included in all plans for all states.
Benefit availability and the applicable underwriting entity both vary by plan form and state.
Four different purchase deadlines appear across published sources, covering two different benefits. They are shown side by side rather than reconciled.
Verified July 2026. Insurance terms change, ratings are revised, and carriers update plan documents without announcement. This page records what the sources said when it was checked and carries that date deliberately. The plan document issued for your state is the only binding version — nothing here replaces reading it.
Joey Boleslawski is the founder of Seabound Journeys and a CLIA-affiliated travel advisor with more than twenty years in the hospitality industry. He researches and writes every guide on this site himself, and books the sailings he writes about. The scores on this page are his judgement, not an insurer's figures — the limits behind them come from the carriers' own published materials, listed in full above. More about how this site works →
Four plans, eight scores, and four deadlines that cannot all be right. Back to the deadline problem →
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