[ghaff]

IMO travel insurance sometimes makes sense. Circumstances like high altitude trekking that may require expensive evacuation. Expensive non-refundable trips, especially those that a broken ankle before or during the trip could put a rapid stop to.

That said, I've only purchased travel insurance maybe a half-dozen times out of probably hundreds of trips.

[rexarex]

You need to make sure it covers that altitude. They top out around a certain altitude in the fine print you usually need to pay a little extra for altitudes like Kilimanjaro. Make sure it has helo evacuation covered for all altitudes.

[ghaff]

Good point. The few times I was up at that sort of elevation or higher, the insurance was always through someone the guide company specifically recommended. Fortunately, I've never had any significant altitude issues.