I just assisted an 83 year old friend traveling with me to Spain in September. She has Medicare Supplement F so there is foreign medical coverage after a deductible, $50,000 lifetime limit. She has no desire for extra medical coverage.
However, she was concerned about medical emergency evacuation and repatriation. I used SquareMouth to compare and price policies. Found one for her that adequately covers her needs. It was $52.00 for the two week trip.
She has no other pre-paid travel expenses (like air fare, hotels, car rental) so the cost to cover the trip is quite cheap. Emergency medical coverage of $15,000 only.
I’m in my 40s and have never purchased travel or trip insurance. But, each person is different. I know many people who have fallen and broken bones while in Europe.
Keep in mind many US credit cards also provide some sort of trip/medical insurance if your trip has been book/paid for using that card.
And of course what I didn’t mention was $150,000 emergency medical evacuationand $100,000 non-emergency evacuation.