City Guide

Check your existing insurance policies and credit card coverage before you buy travel insurance. You may already be covered for lost luggage, canceled tickets, or medical expenses.

The cost of travel insurance varies widely, depending on the cost and length of your trip, your age and health, and the type of trip you're taking, but expect to pay between 5% and 8% of the vacation itself.

Trip-Cancellation Insurance -- Trip-cancellation insurance helps you get your money back if you have to back out of a trip, if you have to go home early, or if your travel supplier goes bankrupt. Allowed reasons for cancellation can range from sickness to natural disasters to the State Department declaring your destination unsafe for travel. (Insurers usually won't cover vague fears, though, as many travelers discovered who tried to cancel their trips in Oct 2001 because they were wary of flying.) In this unstable world, trip-cancellation insurance is a good buy if you're getting tickets well in advance -- who knows what the state of the world, or of your airline, will be in 9 months? Insurance policy details vary, so read the fine print -- and especially make sure that your airline or cruise line is on the list of carriers covered in case of bankruptcy. A good resource is "Travel Guard Alerts," a list of companies considered high-risk by Travel Guard International. Protect yourself further by paying for the insurance with a credit card -- by law, consumers can get their money back on goods and services not received if they report the loss within 60 days after the charge is listed on their credit card statement.

Note: Many tour operators, particularly those offering trips to remote or high-risk areas, include insurance in the cost of the trip or can arrange insurance policies through a partnering provider, a convenient and often cost-effective way for the traveler to obtain insurance. Make sure the tour company is a reputable one, however: Some experts suggest you avoid buying insurance from the tour or cruise company you're traveling with, saying it's better to buy from a "third party" insurer than to put all your money in one place.

For more information, contact one of the following recommended insurers: Access America (tel. 866/807-3982; www.accessamerica.com), Travel Guard International (tel. 800/826-4919; www.travelguard.com), Travel Insured International (tel. 800/243-3174; www.travelinsured.com), and Travelex Insurance Services (tel. 888/457-4602; www.travelex-insurance.com).

Medical Insurance -- Most health insurance policies cover you if you get sick away from home -- but check, particularly if you're insured by an HMO.

Lost-Luggage Insurance -- On domestic flights, checked baggage is covered up to $2,500 per ticketed passenger. On international flights (including U.S. portions of international trips), baggage coverage is limited to approximately $9.07 per pound, up to approximately $635 per checked bag. If you plan to check items more valuable than the standard liability, see if your valuables are covered by your homeowner's policy, get baggage insurance as part of your comprehensive travel-insurance package, or buy Travel Guard's "BagTrak" product. Don't buy insurance at the airport, as it's usually overpriced. Be sure to take any valuables or irreplaceable items with you in your carry-on luggage, as many valuables (including books, money, and electronics) aren't covered by airline policies.

If your luggage is lost, immediately file a lost-luggage claim at the airport, detailing the luggage contents. For most airlines, you must report delayed, damaged, or lost baggage within 4 hours of arrival. The airlines are required to deliver luggage, once found, directly to your house or destination free of charge.

Health & Safety

What To Do If You Get Sick Away From Home-- If you get sick, consider asking your hotel concierge to recommend a local doctor -- even his or her own. This will probably yield a better recommendation than any 800 number would. There are also several walk-in medical centers, like DOCS at New York Healthcare, 55 E. 34th St., between Park and Madison avenues (tel. 800/673-3627), for nonemergency illnesses. The clinic, affiliated with Beth Israel Medical Center, is open Monday through Thursday from 8am to 8pm, Friday from 8am to 7pm, Saturday from 9am to 3pm, and Sunday from 9am to 2pm. The NYU Downtown Hospital offers physician referrals at tel. 888/698-3362. You can also try the emergency room at a local hospital. Many hospitals also have walk-in clinics for emergency cases that are not life-threatening; you may not get immediate attention, but you won't pay the high price of an emergency room visit.

If you suffer from a chronic illness, consult your doctor before your departure. For conditions like epilepsy, diabetes, or heart problems, wear a Medic Alert identification tag (tel. 888/633-4298; www.medicalert.org), which will immediately alert doctors to your condition and give them access to your records through Medic Alert's 24-hour hot line.

Pack prescription medications in their original containers in your carry-on luggage. Also bring along copies of your prescriptions in case you lose your pills or run out. Don't forget an extra pair of contact lenses or prescription glasses.

If you have dental problems, a nationwide referral service known as 1-800-DENTIST (tel. 800/336-8478) will provide the name of a nearby dentist or clinic.

For domestic trips, most reliable health-care plans provide coverage if you get sick away from home. Bring your insurance ID card with you when you travel. For travel abroad, you may have to pay all medical costs upfront and be reimbursed later. See "Medical Insurance," under "Travel Insurance," above. Pack prescription medications in your carry-on luggage, and carry prescription medications in their original containers, with pharmacy labels -- otherwise they won't make it through airport security.

Staying Safe

The FBI consistently rates New York City as one of the safest large cities in the United States and it remains one of the safest, but it is still a very large city and crime most definitely exists here. Here are a few tips for staying safe in New York. For more, see "Playing it Safe" in chapter 6.

Trust your instincts, because they're usually right.

You'll rarely be hassled, but it's always best to walk with a sense of purpose and self-confidence. Don't stop in the middle of the sidewalk to pull out and peruse your map.

Anywhere in the city, if you find yourself on a deserted street that feels unsafe, it probably is; leave as quickly as possible.

If you do find yourself accosted by someone with or without a weapon, remember to keep your anger in check and that the most reasonable response (maddening though it may be) is not to resist.

Avoiding "Economy Class Syndrome"

Deep vein thrombosis, or as it's know in the world of flying, "economy-class syndrome," is a blood clot that develops in a deep vein. It's a potentially deadly condition that can be caused by sitting in cramped conditions -- such as an airplane cabin -- for too long. During a flight (especially a long-haul flight), get up, walk around, and stretch your legs every 60 to 90 minutes to keep your blood flowing. Other preventative measures include frequent flexing of the legs while sitting, drinking lots of water, and avoiding alcohol and sleeping pills. If you have a history of deep vein thrombosis, heart disease, or other condition that puts you at high risk, some experts recommend wearing compression stockings or taking anticoagulants when you fly; always ask your physician about the best course for you. Symptoms of deep vein thrombosis include leg pain or swelling, or even shortness of breath.

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