TRAVEL

The Doctor's Note That Got My $400 Cruise Deposit Back

I booked an Alaska cruise on February 9 with a $400 deposit. A cardiac procedure on May 28 made sailing June 6 impossible. The line kept the deposit. My trip cancellation insurance denied the claim on day 12. An appeal with two forms worked. The $400 arrived on day 34.

Johan Eriksen
Staff Writer
August 25, 2026 · 4 min read

Four hundred dollars. At 7:31 p.m. on May 25 I was on a bleacher bench at my son's practice field in Minneapolis, phone at 12 percent, reading a denial that said the claim was refused for "insufficient documentation of covered sickness" about a cruise I could no longer medically take.

The deposit went out February 9: $400 to hold an ocean-view stateroom on a seven-night Alaska sailing outta Seattle, June 6, $1,610 total for Astrid and me. The fare rules said the deposit was nonrefundable from the day of booking, printed on the second page of the cruise booking confirmation, clause 4.

On April 14, Dr. Shah scheduled a cardiac ablation for May 28. Recovery rules were blunt: no travel until cleared, and the clearance would not happen before July. A June 6 sail date was over. His letter, dated April 28, contains the words "advised against travel on June 6."

The cruise line pointed at the insurance; the insurer pointed at my paperwork. The approval, which arrived on day 34, turned on a two-page physician statement form my clinic had never filled out before, a $25 records fee, and a procedure note I had to request twice.

booking 8K4T219, February 9

The cruise booking confirmation has the reference 8K4T219 at the top and the deposit terms underneath. $200 per person, $400 total, nonrefundable immediately, balance due April 8, which I paid with the March statement. The sailing: seven nights, Seattle round trip, Juneau and Skagway, one glacier day.

Alaska was Astrid's pick, and it had sat on the list for four years before it finally made it onto a credit card application and a calendar. The stateroom was midship on deck 8, number 8124, chosen for less motion and shade on the balcony. Nothin' ambitious. Day one was going to be coffee out there at 4:30 p.m., watching the port fall behind.

April 14, one consult

Dr. Shah drew the heart's plumbing on an exam-room pad and said the ablation would be May 28. I asked about June 6 before he finished capping his pen. The answer was short: recovery comes first. His letter arrived April 28, one page, signed, with the June 6 date in it.

the cancel, May 12, two minutes

Cancelling online took two minutes. Taxes and fees, $86, came back to the card in five days. The $400 deposit did not move, and a phone rep confirmed the fare terms in a flat tone: the deposit is nonrefundable by fare rules; the insurance is the path. I wrote that phrase down. The insurance is the path.

policy 44-88213, $132

The trip cancellation insurance policy cost $132 for the two of us, bought at booking on February 9, policy number 44-88213. Covered reason number one: sickness of an insured traveler, documented, preventing travel. I had skimmed that line in February and assumed it would never matter.

the claim portal, 9 uploads

May 13, I filed: booking confirmation, cancellation number, fare rules screenshot, the card statement line showing the $400, the deposit invoice, Dr. Shah's April 28 letter, and three identity documents. Nine uploads in all, one per field, each with a green check. The portal promised a decision in 10 to 14 business days.

The portal timed out twice during upload nine, a 4.2-megabyte scan of Dr. Shah's letter, and I redid the entire page from scratch both times, nine uploads each round. No drafts, no partial saves. I began keeping my own timestamps in a notebook after the second timeout.

day 12, one denial line

Day 12 brought the opposite, one line of it: insufficient documentation of covered sickness. The insurer's reader had decided Dr. Shah's letter did not establish that the illness prevented travel on the specific dates. June 6 was printed inside that letter, one line under his signature.

the two-page form, $25

The appeal needed their own physician statement form: two pages, diagnosis, treatment date, and a checkbox for "medically unable to travel on [date]" with a signature and NPI number. The clinic's records office charged $25 and took eight business days. I added the procedure note from May 28, requested twice before it came, and submitted the appeal on June 2, day 20.

day 34, one deposit

June 16, day 34: a $400 direct deposit, memo line blank. The ledger: premium $132 out, $400 back, net $268. Rebooking the same itinerary for June 2027 quoted $2,140, up 33 percent from what we paid, which is a separate bill for another year.

Astrid called the clinic that afternoon to thank the records office, and the woman there said ours was the third physician statement form she had filled out that month, all of 'em for travel refunds. Three families, three trips that did not happen, the same two-page form. She sounded tired. Clinics do not take tips, so I left a five-star review naming the records office instead.

the inbox, two emails

The denial from May 25 and the approval from June 16 sit one above the other in my inbox, unarchived. Four hundred out on February 9, four hundred back on day 34, $132 for the policy that did the lifting. That is it. That is the whole claim.