The short answer
Cruise ships have an onboard medical center, typically staffed around the clock, that works more like an urgent-care clinic than a full hospital. It can treat many common problems and stabilize serious ones, but care is billed separately from your fare, and serious cases may require transfer to a hospital ashore. This article is general information, not medical advice. If you have a health condition, talk to your doctor and your cruise line before you sail.
What the medical center can treat
Cruise ship medical centers generally handle everyday problems such as seasickness, minor injuries, infections, flu-like illness and stomach upsets. Larger ships tend to have a wider range of equipment, which may include X-ray, lab testing, ECG machines and defibrillators. Specific equipment differs by ship and cruise line, so check with yours if you need something particular.
Who staffs it
Cruise lines usually say their medical centers are staffed by doctors and nurses available 24 hours a day. Some lines state that their medical facilities follow guidelines from the American College of Emergency Physicians or the cruise industry’s own guidelines. The number of staff depends on the size of the ship. Physicians on some lines are independent contractors who charge customary fees.
What it cannot do
Ship medical centers are not hospitals. They generally do not have major surgical facilities, and some advanced diagnostic equipment is not available. If you need more advanced care, the team will stabilize you and arrange a transfer. Weather, location or logistics can delay a transfer.
What it costs
Medical services are not part of the standard cruise fare. Consultations, tests, treatments and medications are typically charged to your onboard account, and you pay at the end of the cruise. Fees vary by line and treatment. If you are referred to a hospital ashore, the cruise line generally does not cover the cost.
Emergencies and evacuation
For serious emergencies, the ship’s team will stabilize the patient and, if needed, arrange transfer to a shoreside facility at the next port, or in some cases medical evacuation. Evacuations can be very expensive. Tell any crew member or call the ship’s medical emergency number if someone needs urgent help, and follow instructions. You can also learn about emergency procedures in our guide to the cruise muster drill.
Preparing before you sail
- Talk to your doctor if you have a serious condition, are pregnant, or recently had surgery.
- Bring enough prescription medicine for the whole trip, plus extra for delays, in your carry-on bag in original containers.
- Bring a list of your medicines and conditions.
- Ask the cruise line if you need to submit forms for special needs or equipment.
- Report contagious illness to the medical center, as ships require.
- Pack basic first aid items and over-the-counter remedies you rely on, noting that the ship’s shops are limited and prices may be higher.
Travel insurance
Many regular health plans, including some government plans, may not cover care at sea, in foreign ports or medical evacuation. Cruise lines commonly recommend travel insurance that includes medical coverage and evacuation. Read policy terms carefully, especially on pre-existing conditions. For other costs to plan for, see what’s included on a cruise.
Seasickness and common minor ailments
Modern large ships use stabilizers, and many travelers find seasickness is uncommon, but it can still happen. Some lines provide basic remedies at no charge or you can buy them. If you are prone to it, bring remedies your doctor recommends. Choosing a cabin in a middle, lower location may help, and see our French balcony cabin guide for other cabin considerations.
Related reading
For another health-and-safety topic, read what a cruise muster drill is.