I used to think travel insurance was a scam. Or at best, a boring bit of admin tacked onto the end of a booking โ€“ a checkbox you tick without really thinking, like seat selection or โ€œYes, Iโ€™d like to receive promotional offers.โ€

That was before I started travelling more seriously. Not just weekend city breaks or two weeks in the Med, but longer, slower journeys to further-flung places. The kind of travel that makes you never want to return to your normal life.

At some point, I realised that buying travel insurance wasnโ€™t a nuisance. It was a mark of maturity. An unglamorous, deeply sensible decision that quietly acknowledges the truth: things go wrong. People fall, luggage disappears, flights get cancelled, knees buckle, and food poisoning doesnโ€™t care how many Instagram followers you have. Travel isnโ€™t risky, per se โ€“ but it is unpredictable. And pretending otherwise doesnโ€™t make you brave; it makes you a liability.

If that sounds dramatic, hereโ€™s something more concrete: in the past three years, UK-based travel insurance specialist True Traveller has paid out over ยฃ165,000 to airlift a traveller from Queensland, Australia back to Scotland after they fell seriously ill. Another ยฃ121,900 went toward emergency care and repatriation after a car crash in Texas. And a jet ski injury in the US racked up nearly ยฃ61,000 in hospital bills and flights home.

Even some of the so-called โ€œcheaperโ€ countries can deliver eye-watering costs. In Thailand, a cyclist hit by a truck needed ยฃ46,640 worth of treatment and transport home. Two stranded trekkers in Nepal racked up more than ยฃ14,000 just to be rescued from the mountains.

In Tim Rileyโ€™s words, managing director of True Traveller: โ€œThere simply is no โ€˜cheapโ€™ country should you become ill or have an accident. Thereโ€™s expensive, very expensive, and eye-wateringly expensive.โ€

And thatโ€™s the thing. In the UK, weโ€™re used to a system where medical help doesnโ€™t come with an invoice. But step outside that safety net โ€“ especially to places like Florida, California, or New York, where medical costs are astronomical and youโ€™re suddenly playing a very different game. In the USA, True Traveller reports a hospital bill following a car accident recently passed $500,000. Even if itโ€™s negotiated down, thatโ€™s still a six-figure problem most of us aren’t prepared to solve with a credit card.

All of this has changed the way I think about travel. I still love spontaneity. I still like the romance of turning up and seeing what happens. But I now pair that with a very unromantic habit: reading the fine print on insurance policies. I check the evacuation clauses. I look for adventure sports cover. I make sure my gear is insured and my baggage delays are included. Is it dull? Yes. Is it necessary? Absolutely.

These days, buying travel insurance feels a bit like carrying a first-aid kit: you hope you wonโ€™t need it, but if you do, itโ€™s the most important thing you packed. I donโ€™t skimp. I donโ€™t forget. And I definitely donโ€™t assume the worst wonโ€™t happen to me.

Maybe itโ€™s age. Maybe itโ€™s the sheer volume of โ€œI was lucky it wasnโ€™t worseโ€ stories Iโ€™ve heard from fellow travellers over the years. But mostly, I think itโ€™s this: being a responsible traveller isnโ€™t just about watching your travel footprint or eco habits, itโ€™s also about being prepared.

And buying decent travel insurance? Thatโ€™s where preparation begins.