cruise line medical

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Medical Services

Should a guest require medical attention while aboard one of our vessels, the Medical Center staff is available to assist 24 hours a day. The on board medical centers are staffed and equipped to treat routine medical conditions as well as to initiate stabilization of more serious conditions. Physicians are available to render services at a customary fee. While at sea or in port, the availability of medical care may be limited.

Medical Center Hours The Medical Center has daily office hours which are listed in the HUB App. The medical staff is on call 24 hours a day for emergencies. Routine hours are subject to temporary change due to extenuating circumstances: 

• Embarkation day: 8:00am-9:00am and 3:00pm-5:00pm
• Sea days: 9:00am-12:00pm and 3:00pm-6:00pm
• Port days: 8:00am-10:00am and 4:00pm-6:00pm

A charge for medical services will be billed to the guest's Sail & Sign® Account and a receipt will be provided for the guest to submit to their medical insurance provider upon return for possible reimbursement.

The physicians on board are independent contractors and are entitled to render services at a customary fee which may vary from ship to ship based on the time of day. The basic fee does NOT include medication, tests or treatment. 

Note: Guests who purchased  Carnival Vacation Protection™  may be eligible for reimbursement of up to $10,000 for covered medical-related expenses and up to $30,000 for necessary Emergency Medical Evacuation expenses should they become ill or injured or require medical evacuation while on their cruise vacation. The medical benefits are secondary to coverage the guest may have through their regular health insurance provider(s). Refer to  https://www.carnival.com/about-carnival/vacation-protection.aspx for additional details.

Medication Over-the-Counter medications for cold, cough, upset stomach or other minor illnesses can be purchased at the Medical Center during business hours. In addition, the shops on board may carry some of these items. Prescription drugs and vitamins may not be readily available, either on board the ship or in the ports. 

Meclizine, motion sickness pills can be purchased at the Medical Center, Guest Services or through Room Service. The cost is $3.29 USD for four pills. We do not carry motion sickness patches or wristbands. A motion sickness injection is available for a fee at the Medical Center but will only be administered to those who are actively vomiting and not as a preventative measure.

Diabetes/Medicine Storage

Staterooms on a number of  ships are equipped with  non-stocked mini bar units which are designed to maintain the temperature of beverages. Please do not use them to store medications that have specific temperature requirements. Should you need to store medicine that needs proper refrigeration, medi-coolers are available on board in limited quantities, and on a first come, first serve basis - please visit our Guest Services Desk once on board; a $75 refundable deposit is required. If a medi-cooler is not available, our ship’s Medical Center will arrange storage - please contact them once on board. Note: A small, personal-sized cooler no larger than 12” x 12” x 12” for the purpose of housing medications is permitted as carry-on luggage. 

Medical Staffing and Equipment  In order to maintain a safe and comfortable environment for our guests, our medical centers meet or exceed the standards established by the Cruise Lines International Association (CLIA) and the American College of Emergency Physicians (ACEP).

Our medical centers are staffed by qualified physicians and nurses who are committed to providing the highest quality of shipboard medical care. Medical staffing is correlated to the size of the ship and varies from one physician and three nurses to as many as two physicians and five nurses.

Ship’s physicians meet or exceed the credentialing guidelines established by the cruise ship medicine section of the American College of Emergency Physicians (ACEP). In addition, doctors must demonstrate competent skill levels and hold current certification in basic and advanced cardiac life support and cardiac care, have experience in general medicine or general practice including emergency or critical care, and have one to three years clinical experience and minor surgical skills, and board or similar international certification is preferred. The doctors on board are independent contractors.

Shipboard medical facilities are set up to provide reasonable emergency medical care for guests and crew. In cases of extreme emergency where more comprehensive facilities are required, patients are referred to shoreside facilities.

In addition to standard lifesaving equipment such as defibrillators and external pacemakers, our medical centers carry some of the latest in medical technology including thrombolytic therapy, electrocardiograph machines, lab equipment, pulse oximetry and x-ray machines on many of our ships.

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Do cruise ships have doctors, nurses, medical centers or hospitals?

Do cruise ships have medical facilities with doctors and nurses on board? The short answer is yes.

When you board a cruise ship you become part of a community of people of all ages who will be together for several days, a week or more. On large cruise ships carrying thousands of passengers and crew, your community may be the size of a town or even a small city. To handle any health issues that come up in this floating metropolis, cruise lines employ doctors and nurses who work out of an onboard medical center.

To be clear, the onboard facility is not a hospital – it's more akin to a health center or ambulatory care unit. The professionals who work there have training in emergency medicine and the equipment to stabilize a patient even in dire circumstances. Mostly, though, what they deal with are things like sprained ankles, upset stomachs and people who have forgotten to pack medication.

For more cruise guides, reviews and tips, sign up for TPG's cruise newsletter .

That said, in the wake of the COVID-19 pandemic, many cruise lines have expanded their medical care facilities on ships and added new requirements for medical personnel. Royal Caribbean , for example, now requires all its doctors to have training in acute respiratory illness and has added an infection control officer who oversees the line's infection control plan on each ship.

If you have an emergency on any cruise ship, you can push a button on your stateroom phone for help – the equivalent of dialing 911 from your home phone. For minor ailments, you can visit the medical facility during set office hours.

Who are the medical personnel?

The American College of Emergency Physicians, in conjunction with the Cruise Lines International Association, sets strict standards for who treats patients, as well as guidelines for medical facilities, on ships operating from the U.S. Similar authorities are involved for international cruises. All medical staff are both certified and experienced.

Under the ACEP standards, physicians must have three years of post-graduate/post-registration experience in general and emergency medicine or be board-certified in emergency medicine, family medicine or internal medicine. Staff also must be certified in advanced life support or have certification or physician specialist training in areas such as emergency medicine, anesthesiology or critical care.

Ships that carry children under age 12 are required to have at least one physician with training in pediatrics or with an equivalent emergency training that involves kids.

Training requirements for nurses also are quite detailed. Typically, one of the nurses is a trained paramedic and all nurses are experienced registered nurses.

Medical staff varies by ship size, but typically ships have a doctor and at least two nurses. The world's largest cruise ships may have two doctors and five or six nurses. River ships and small ships that hover close to shore have less staff since they can easily access health facilities on land.

Cruise lines find shipboard nurses and doctors via worldwide recruitment companies. Medical personnel typically work on ships on two- to six-month contracts.

Doctors and nurses report to a chief medical officer at the cruise line's headquarters, who is available 24 hours a day to deal with emergencies.

What to expect at a cruise ship medical center

Cruise ship medical centers usually are located on a lower deck, set apart from crowded areas and close to the back-of-the-house crew facilities. The medical personnel treat both passengers and crew.

While medical personnel are on call 24 hours a day, most passengers visit during scheduled hours. Carnival Cruise Line 's facilities, for instance, are open on embarkation day from 8 to 9 a.m. and 3 to 5 p.m; on sea days from 9 a.m. to noon and 3 to 6 p.m.; and on port days from 8 to 10 a.m. and 4 to 6 p.m.

Inside the medical center you'll find a waiting room – where you will fill out medical history forms as you would in any doctor's office – and exam rooms. Only if your medical situation requires it will you see a separate area with hospital beds, a small surgical suite where wound suturing and other minor surgeries may be conducted, or the ICU or isolation rooms.

Equipment in shipboard medical centers includes defibrillators, cardiac monitors, external cardiac pacing capability, a ventilator, oxygen tanks, x-ray machines and lab equipment. Some lines add technology; for example, select Carnival ships have thrombolytic therapy (to break down blood clots) and pulse oximetry (to test oxygen levels). There will also be wheelchairs and stretchers.

Pharmacy supplies include seasickness pills, aspirin and other over-the-counter products, antibiotics and limited supplies of prescription medications, as well as emergency medications such as those needed for advanced cardiac life support.

Serious situations

While most medical complaints on ships are routine, the medical team is equipped to perform life support services and stabilize anyone seriously ill. Personnel trained in medivac procedures would then generally medically disembark the patient on a stretcher at the next port of call and have the person transferred to a hospital.

If an extreme case occurs at sea, the U.S. Coast Guard (or equivalent local authority overseas) will be called in to hoist the patient off the ship by boat or helicopter.

No one likes to think about it, but your ship may also have a morgue with refrigerated units.

Who pays for treatment

Cruise ship doctors work as independent contractors and may charge a basic hourly fee. There will be additional charges for medications and tests.

All must be paid for at the time of service and will be billed to your shipboard spending account. You'll receive a receipt to submit to your health insurance company for possible reimbursement. Be aware: Many personal insurance policies purchased at home do not cover you while traveling outside the U.S.

Related: A guide to travel insurance for cruises

If you purchased separate travel health insurance from your cruise line or a third-party provider you will still be required to pay for the services up front and may have to wait several months to be reimbursed.

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June 1, 2020

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Medical Emergency on a Cruise Ship: What Should You Do?

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CRUISE LINE AND SEAFARER MEDICALS- DELIVERED BY THE TYBURN

Our highly experienced team delivers an approachable and professional Cruise Line and Seafarer medical service at our conveniently located central London clinic.

WE WORK WITH

We are highly experienced in each individual cruise’s requirements and can deliver a speedy turnaround on results.

We work closely with the world’s leading cruise lines and recruiters. We have close links with many of the pre employment medical examination (PEME) teams and know exactly what is required by each cruise line for successful clearance for working at sea.

We are also able to complete all necessary paperwork for those undertaking their medical through All Sea Medicals and directly through the following companies:

Royal Caribbean Cruises

Norwegian Cruise Line

Disney Cruise Line

Celebrity Cruise Line

MSC Cruises

All Sea Medical

Virgin Voyages

Oceania Cruises

Our highly experienced team delivers an approachable and professional Cruise Line Medical service at our conveniently located central London clinic.

We are an approved Cruise Line medical centre and can provide Pre-Employment Medical Examinations (PEME) required by all leading cruise lines. Our location in London’s Harley Street medical district is easily accessible from all main train stations and the US Embassy.

Undergoing a Cruise Medical is necessary for all new staff or rehires working as seafarers on a cruise ship, from Activity & Entertainment Staff, Medical Team Members, the Housekeeping & Hospitality Crew to the Deck & Engineering Departments.

HIGHLY EXPERIENCED TEAM LED BY AN ACCREDITED PEME DOCTOR

Cruise Line Medicals is run by Dr Adam Hazell, a highly experienced private GP, who is supported by his Practice Manager Alison Lewin. Between them, they have over 15 years’ experience in providing Pre-Employment Medical Examinations for all leading cruise ship lines.

Cruise Line Medicals is part of The Tyburn, a highly personalised, fully comprehensive private GP service situated in central London’s medical heartland. Based at the London Heart Centre, we have access to a comprehensive range of diagnostic tests.

WHAT TO EXPECT

Before your appointment.

If you’re in receipt of your medical report, please familiarise yourself with what will be required. If you are unsure of any of these requirements, please call us on 020 4530 7040 . It’s important you are fully prepared for your medical.

Medical conditions

The following are a list of conditions that may affect your ability to work onboard ship as outlined in International Maritime Laws & Regulations:

Required vaccinations

Please call the Practice Manager on 020 4530 7040 for confirmation of what vaccinations are required. You can obtain these records from your GP.

If you have not received these vaccinations, we can organise them for you but there will be an extra charge.

Things to bring to your appointment

It is essential you bring these with you, as we are unable to provide you with your Cruise Medical without them.

What takes place during your medical

During your medical, you can expect the following:

If you’re in receipt of your medical report, please familiarise yourself with what will be required. If you are unsure of any of these requirements, please call us on 020 4530 7040 and we can advise you further. It’s important you are fully prepared for your medical.

FREQUENTLY ASKED QUESTIONS

+ HOW MUCH DOES A CRUISE LINE MEDICAL COST?

Our Cruise Line Medicals are competitively priced and cost from £350, depending on the cruise line medical requirements. This includes all tests and examinations. It doesn’t cover travel vaccinations, but we are able to provide them for you. Get in touch in advance of your appointment and we can advise you whether travel vaccinations are required and how much we charge.

+ WHAT VACCINATIONS CAN YOU PROVIDE?

For an extra cost, we can provide a comprehensive range of childhood and travel vaccinations, including MMR, Tetanus and Yellow Fever. Call us on 020 4530 7040 to find out which ones you require during your contract.

Tetanus £40

Yellow Fever £70

+ IS A CRUISE SHIP PEME NECESSARY?

A Cruise Line Medical is usually required before you begin work on a cruise ship in any capacity or are rehired, as certificates typically last two years. Conditions vary between different cruise lines, but we have many years’ experience in this field and are able to fulfil all the necessary requirements.

+ DO I NEED TO BRING ANYTHING TO MY APPOINTMENT?

  Passport or photo ID

  Immunisations certificates

  Medical letters covering current medication or medical conditions

  Your glasses, if needed, as you will have to remove contact lenses if worn for an eye test. We will need to test your eyesight both with and without visual aids (glasses or contact lenses)

+ WHEN WILL I GET MY RESULTS?

If your results are normal, then we can offer a quick and efficient turnaround and you can expect your results within 24 and 48 hours of your appointment. In some cases, though, we have to request more information from your GP or further blood tests.

When the medical report results are fully complete, we email the medical report to you and to your nominated contact at the cruise line. If agreed, we also send to your recruiter/hirer, too.

+ WHERE IS THE CLINIC LOCATED?

Located just off Harley Street, our clinic is easy to get to from all the major train stations in London. Our nearest Tube station is Regent’s Park and we are a ten-minute walk from Oxford Street Tube station. If you are paying a visit to the US Embassy, we are approximately 40 minutes away (take the Victoria Underground Line from Vauxhall to Oxford Circus).

Near all major mainline train stations, London underground stations, coach and bus services.

  Your glasses, if needed, as you will have to remove contact lenses if worn for an eye test. We need to test your vision aided and unaided.

Located at the north end of Harley Street, our clinic is easily accessible from all the major train stations in London. Our nearest Tube station is Regent’s Park and we are a ten-minute walk from Oxford Street Tube station. If you are paying a visit to the US Embassy, we are approximately 40 minutes away (take the Victoria Underground Line from Vauxhall to Oxford Circus).

GET IN TOUCH

Full Name *

Date of Birth *

Mobile Number *

Landline Number

GP Name and Address

Name of Cruise Line

Date Due to Leave for Ship/Rehearsals

Proposed Employment Position

020 4530 7040

[email protected]

The Tyburn 127 Harley Street London W1G 6AZ

Located just off Harley Street, our clinic is easily accessible from all the major train stations in London. Our nearest Tube station is Regent’s Park and we are a ten-minute walk from Oxford Street Tube station. If you are paying a visit to the US Embassy, we are approximately 40 minutes away (take the Victoria Underground Line from Vauxhall to Oxford Circus).

Cruise Line Medicals are delivered by Tyburn Medical Limited.  Tyburn Medical Limited is a company registered in England and Wales. Registered Office: 22 Upper Wimpole Street, London, W1G 6NB, England. Company Number: 12922232.

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Cruise Ship Medical Jobs

Healthcare cruise ship careers: nurse, doctor and paramedic jobs.

All medical personnel working for a cruise line meet or exceed the recruitment standards established by the cruise lines and have proven proficiency in emergency medicine . Healthcare jobs on cruise ships include a wide range of tasks and responsibilities . The medical team onboard manages acute medical emergencies, trauma patients, and a diverse general practice case load for a population of up to 6000 passengers and crew from over 100 nationalities.

MEDICAL NURSE

Pro Sea Staff agency is recruiting medical nurses for the following cruise ship companies: Princess Cruises, Holland America, P&O Australia, Seabourn, Royal Caribbean International, Celebrity and Pullmantur. Cruise ship nurses work as a part of the onboard medical team to provide first class healthcare services to the passengers and the crew.

Contracts are 4 months on board and 2 months off Flights to and from ships are paid by the cruise lines Single cabin accommodation Meals and healthcare insurance provided by the company

MEDICAL DOCTOR

Pro Sea Staff recruitment agency works with Princess Cruises, Holland America, P&O Australia, Seabourn, Royal Caribbean International, Celebrity and Pullmantur to employ medical doctors for their respective fleet of vessels. As a part of the onboard medical team cruise ship medical doctors provide first class healthcare services to the passengers and the crew.

Working for a cruise line as a Doctor, Nurse or Paramedic onboard a passenger cruise ship

Cruise ship medical wards on board.

The medical team onboard a cruise ship works in the   ship’s medical enter  with  facilities similar to most small hospitals on land.  These facilities include Intensive Care Units, High Dependency Units and general wards, several treatment and examination rooms, a well-stocked pharmacy, a comprehensive clinical laboratory and digital radiology.

Although medical evacuation of patients to land-based hospital facilities is sometimes necessary, the onboard medical centers are designed to enable assessment, investigation, and care for relatively long periods. Cruise line medical teams are able to provide treatment and diagnostic services comparable to most small hospitals and can admit acutely unwell cases if needed.

Types of clinical cases and emergencies

Clinical cases include non-urgent general practice pathologies, adult and pediatric emergency medicine cases such as acute coronary syndromes, cardiac and respiratory failure, infective processes, anaphylaxis, trauma, orthopedic injuries and acute surgical conditions as well as occupational health issues and public health issues. Critically ill patients may require onboard medical treatment for several days in the medical center ICU’s which are equipped with telemetry, cardiac pacing, CPAP, electronic infusion devices, and mechanical ventilators.

Healthcare quality standards and professional development

All medical centers on ships are accredited to  international healthcare quality standards  and certified to ISO9001:2008. Medical facilities onboard also meet or exceed the American College of Emergency Physicians, Cruise Ships Medicine Guidelines.

In addition to being recognized as leaders in quality maritime healthcare, the cruise lines also invest in cruise ship staff development by facilitating access to  Continuing Professional Development programs  designed to educate staff about the  unique specialization of cruise ship medicine . Comprehensive onboard training is available to assist in transferring professional skills into the maritime environment. The medical team onboard is given the opportunity to progress through a competency program that provides familiarity with emergency equipment and develops new abilities ranging from laboratory work to x-ray acquisition.

Cruise ship jobs salary for medical staff

The salary offered to medical personnel working onboard a cruise ship varies between cruise lines. In addition to the monthly salary paid by the cruise lines, all other expenses such as flights to and from the ship, single Officer status accommodations, uniforms are provided by the cruise lines at no cost.

Cruise ship doctor salary

Most cruise ship Doctors working on passenger cruise ships can expect a  salary between $8000 and $12000 monthly . Cruise ship physician’s salary may vary in the beginning of their career, in function of different parameters: factors such as previous ship experience, years of practice and certifications may be taken into consideration when determining the starting salary.

Cruise ship nurse salary

Most cruise ship nurses working on passenger cruise ships can expect a  salary between $4850 and $5000 monthly . Cruise ship RN (registered nurses) pay can vary slightly: factors such as previous ship experience, years of practice and certifications may be taken into consideration when determining the starting salary.

Cruise line medical job profiles

• Our Medical Team

You will provide a broad range of medical care for our guests and crew in a modern medical center, reporting to the Senior Doctor and working closely with Nurses and Paramedics.

• Administer individualized outpatient, inpatient and ICU care for guests and crew
• Give timely, safe and evidence-based assessments
• Formulate differential diagnoses and treatment plans
• Perform clinical interventions and procedures
• Coordinate logistics of referrals and evacuations
• Manage crew health and wellness programs
• Adhere to public health practices
• Perform various technical and non-clinical administrative tasks that support an efficient and safe medical center
• Participate in drills, audits, inspections and training of other crew members
• Learn and practice technical skills on board, such as X-rays acquisition
• Perform various laboratory tests and other procedures
• Provide excellent customer service, maintaining a professional, dignified, friendly, assertive, and polite manner at all times
• Perform consistently with the organization’s Vision, Mission and Strategic Plan

Medical degree and current registration/licensing with an appropriate government or national regulatory body

At least three years post graduate clinical experience in emergency medicine, acute care or ICU, and most recent work experience should be in a clinical setting

Experience and certification in point of care ultrasound is preferred

prior to joining a ship

may be required before completing the first year of employment

both conversational and technical

with Microsoft Windows 7 (or higher) and MS Office programs

Experience with use of electronic health records is preferred

Outstanding interpersonal, customer services and communication skills

Advanced Airway Management, ICU, Primary Emergency Care, Immediate Medical Care, ECG, Advanced Trauma Life Support, Advanced Pediatric Life Support

WHY CHOOSE US?

Embark your medical career on a new international voyage of discovery. Join our team of skilled Medical team working on any of our 90 ships across our nine brands: Carnival Cruise Line, Princess Cruises, Holland America Line, Seabourn, Cunard, AIDA Cruises, Costa, P&O Cruises (UK) and P&O Australia. Our staff are passionate about providing quality healthcare to our guests and crew while they sail the world creating lasting memories.

90 SHIPS ACROSS 9 CRUISE LINES AND +8 NEW SHIPS COMING BY 2025

SAILING IN NORTH AMERICA, AUSTRALIA, EUROPE AND MORE

COMING SOON

The newer, the better: How wheelchair users can travel smoothly

Chris Ricci can walk only short distances at a time, but he has traveled the world on his scooter.

The 57-year-old U.S. Army veteran has limited mobility stemming from a foot injury he sustained in the 1980s and related complications has found cruises an accessible way to explore destinations like Alaska or the Caribbean. Just this month, he, his wife and friends took a week-long Royal Caribbean International cruise to Belize, Honduras and Mexico.

Ricci, who is based in Lakeland, Florida, simply had to drive to Tampa to board the Enchantment of the Seas. “I think it’s pretty easy,” he told USA TODAY. They booked an accessible stateroom for the first time, too.

“It was really big,” said Ricci, who chronicles his cruises and other travels on his YouTube channel, Scootin Around the World.  “I had no problem getting the scooter into the room.”

Cruise ships can offer guests who use mobility devices an accessible, streamlined way to travel. But some extra planning can go a long way toward ensuring the trip goes smoothly. Here’s what to know.

How this adult-only cruise line integrated accessibility into its experiences

Do cruise ships have accessible staterooms for mobility devices?

Cruise lines do offer accessible staterooms, but they’re not all the same. “Make sure that you have the accessible room that's best for you,” said Joy Burns, organization and PR manager at accessible travel booking platform Wheel the World .

For instance, some staterooms may be better suited to motorized wheelchair users, but the setup may not be conducive for passengers who use other kinds of devices, according to her husband, Bert, who has been paralyzed since 1982 and has taken more than 20 cruises.

“If I got a wheelchair-accessible room that's made for a power wheelchair with a Hoyer lift, the bed’s up real high,” he said. “I can’t transfer with a high bed. I use a manual wheelchair, so I’m down low.”

Standard staterooms may also be able to accommodate mobility devices, but guests should familiarize themselves with cruise lines’ requirements.

Passengers booking a standard cabin on Carnival Cruise Line ships must have devices that can fit through a 22-inch-wide doorway, according to its website . The devices must also fold and collapse to allow for safe exit from the room (passengers cannot store mobility devices in corridors or public spaces).

“Guests who bring scooters that are larger than 21" (53.34 cm) wide, or travel with multiple scooters in the same stateroom, must purchase a fully accessible stateroom with a wider doorway (32”, 81.3 cm), or rent a smaller scooter appropriately suited for their stateroom,” the line said on its website. “Guests may be required to have their scooters sized at the time of check-in to ensure it fits in the stateroom.”

Major cruise lines typically have accessibility departments that can help guests navigate the process, according to Sylvia Longmire, an accessible travel writer who runs the blog and travel brand Spin the Globe .

“Talk to the accessibility department to ask the questions and let them know what kind of equipment you're bringing if you're bringing your own stuff,” said Longmire, who has multiple sclerosis and has taken over 30 cruises, most of which have been with a scooter or wheelchair. “Let them know what your ability or disability is, what your level is, what your accessibility requirements are. And that way, they can tell you what kind of cabin you might need, what location, (information) about the ship, and everything before you even call to make the reservation.”

For those booking through a travel agent, she said she “highly” recommends working with someone who has a disability or is an expert in accessible travel.

What cruises are best for guests with mobility devices?

Some destinations may also be better suited to guests with mobility devices than others. 

Once, during a New Zealand cruise, the Burnses’ ship hit some rough water, causing Bert to roll out of the casino and crash into the bar (though no one was hurt). Joy recommended researching the conditions of the seas. ( Click here for USA TODAY’S guide to the best times to cruise by region.)

She added that expedition cruises , which often feature activities that require guests to get on and off Zodiac boats, may not be as accessible.

What cruise ship is best for guests with mobility devices?

New ships tend to have more features that can make a trip easier for guests with mobility devices, said the Burnses and Longmire. Those include automatic sliding doors in public spaces, stateroom locks that allow passengers to wave their key to open the door and pool lifts.

“The newer the ship, the better the accessibility,” said Longmire.

Can I get a mobility device through a cruise line?

Guests can arrange to rent mobility devices through vendors like Scootaround or Special Needs at Sea (Longmire is a contract employee for Scootaround).

Rentals may also be available at the cruise terminal, and some lines have a limited number of scooters and wheelchairs available on the ship, according to Longmire. She estimated rentals can run from roughly $80 to $250 depending on the type of equipment, the length of time guests need it and other factors.

Do cruise lines have accessible excursions?

Yes, but options may be limited. Joy said accessible shore excursions available through cruise lines are “few and far between,” and she and Bert have taken cruises where there were none available through the cruise line at all.

Longmire noted that “cruise lines are entirely dependent on the availability of excursions with whoever they're contracting with.” If a given destination doesn’t have wheelchair taxis, for example, that limits cruise lines’ offerings.

Are there blind scuba divers? Here's the accessible way anyone can explore the ocean

When they are available through the line, Longmire said many of them are what she calls windshield tours – bus tours with a group of other passengers that might include one or two 15-minute stops to take photos. “And the rest of it is just seeing everything out the window,” she said.

However, she added that cruise lines “get a little bit better” each year about offering those.

Joy said passengers can also book accessible shore excursions through companies like Wheel the World. Longmire has had luck booking shuttles and tours directly through providers in various ports as well, though guests should take care to be back in time before the ship leaves.

Are tender ports accessible?

When it comes to accessibility at tender ports – where guests have to take a small vessel from the ship to shore – Longmire said it’s “not very black and white.” Cruise ships may let guests board tenders and some have technology to help passengers with wheelchairs do so, but the port’s capabilities may be different.

“Just because you're able to get from the ship to the tender doesn't mean that you'll be able to get from the tender to the dock,” said Longmire.

Rules may differ as well, with some lines allowing guests in manual wheelchairs to use tenders but prohibiting motorized devices. She recommended checking with the accessibility department about those policies.

The Burnses, for their part, have generally found tender ports to be inaccessible, and Joy suggested travelers review itineraries to see how many they include. 

Overall, Longmire said her experience on cruises has been “really good,” both for their accessibility and convenience (you can visit multiple places but unpack once, for instance). “I always recommend to wheelchair users for their first travel experience, like, if you don't get seasick and you’re okay with cruises, a cruise is the way to go.”

Nathan Diller is a consumer travel reporter for USA TODAY based in Nashville. You can reach him at [email protected].

Cruise travel insurance: What it covers and why you need it

What does cruise travel insurance cover? And does it pay to buy cruise travel insurance?

The answer is not always clear-cut, as we'll discuss in this guide. But consider this: It's not always smooth seas when it comes to cruising. Even the best-laid plans for a cruise vacation can sometimes be thrown off course by an unexpected event.

You might need to cancel a cruise in advance due to the sudden onset of an illness, such as COVID-19 or the flu. Or, maybe you fall ill during the cruise and need emergency medical attention. Maybe your flight to your ship gets canceled, and you miss the vessel's departure. Or your ship is late arriving in port at the end of a voyage, and you miss your flight home.

In all of these situations, you might benefit from having cruise travel insurance — keyword "might."

Cruise insurance policies vary widely, and not every policy covers every type of mishap. That's why it always pays to read the fine print in a travel insurance policy before you purchase it to know what you're getting in advance.

It's also why you should read this introduction to everything you need to know about cruise insurance. It has many details, but the next time something unexpected happens on your cruise vacation, you'll be glad to be educated and covered by a comprehensive travel insurance policy.

What does travel insurance cover when you cruise?

The typical cruise insurance policy covers a wide range of circumstances that can go wrong in conjunction with a vacation at sea — both before and during the sailing.

For starters, policies often will reimburse you for the cost of canceling a cruise due to a last-minute crisis. They will also often cover costs related to an interruption of a cruise (maybe your ship breaks down, requiring you to fly home mid-voyage ). These two elements are known as trip-cancellation and trip-interruption insurance, and they are bundled into a typical travel insurance policy.

Some policies will also cover out-of-pocket costs related to a flight delay or cancellation that results in you missing your cruise departure (for instance, the cost of catching up to the ship at its next port). Expenses related to baggage delays and loss are often covered as well.

But perhaps most importantly, many travel insurance policies will cover medical expenses you incur while on a cruise. Some will even cover the cost of evacuating from a foreign destination if you are in the midst of a medical crisis.

Travel insurance giant Allianz Global Assistance reports that 53% of all cruise-related "billing reasons" for claims are because of illness for the insured person, while 14% are for an injury. Another 8% are for the illness of a family member, 4% for the death of a family member and 4% for the illness of a traveling companion, among other reasons.

Those percentages include illness and accidents that happen to cruisers just before a trip, making travel impossible. But, in many cases, such claims result from illness and injuries that occur during voyages.

"People often take risks during vacation that they might not take back home, whether riding a jet ski, zipping around on a motorized scooter in a city they don't know well or hiking unfamiliar terrain," James Page, senior vice president and chief administration officer of AIG Travel, told TPG .

Some policies also cover the financial default of a travel provider. In such cases, if your cruise line goes out of business before you sail, you could get all — or at least some — of your money back.

Cruise travel insurance policies don't cover everything. For instance, standard travel insurers generally will not reimburse you for the cost of a cruise you cancel due to worries about an outbreak of an illness. That's true even if a U.S. government agency such as the U.S. Centers for Disease Control and Prevention issues a recommendation that you don't cruise due to an illness outbreak, as it did during the COVID-19 pandemic .

If you want the ultimate flexibility to cancel for such a reason or any other, you'll want to look into a more expensive cancel for any reason travel insurance upgrade.

Related: Avoiding outbreaks isn't covered by most travel insurance policies

Where to find a cruise travel insurance policy

You can buy a travel insurance policy directly from your cruise line when booking your trip or through your travel agent (if you're using one, which often is a good idea when booking a cruise). You also can go directly to a third-party travel insurance provider or a travel-insurance aggregator site, such as InsureMyTrip or TravelInsurance . Your credit card might even give you some travel protections.

Here's what you need to know about each type of cruise travel insurance.

Third-party insurance companies

Third-party insurance companies that specialize in writing travel insurance include AIG Travel, Allianz Travel Insurance, Travelex Insurance and American Express Travel Insurance.

One reason to use a travel agent or a travel aggregator: They can help you find a policy that offers added coverage specific to cruising.

Related: The Points Guy's guide to the best travel insurance companies

"Many plans now offer benefits that will specifically appeal to cruise travelers, such as missed connection, missed port-of-call and cruise disablement coverage," Stan Sandberg, cofounder of TravelInsurance.com, said.

Missed connection coverage reimburses cruisers for a set dollar amount if they need to rebook travel to catch up with their cruise at the next port. Missed port-of-call coverage pays a benefit if the cruise ship misses a scheduled port of call due to weather, a natural disaster or a mechanical breakdown.

Cruise disablement coverage pays a benefit if the traveler is confined on a ship for more than five hours without power, food, water or restrooms.

As noted, policies vary widely. It's a good idea to compare plans and make sure the one you buy has the elements that are most important to you. One size doesn't fit all.

Credit cards with travel benefits

Some premium credit cards offer valuable travel protections comparable to what you might get from a standard travel insurance plan. For example, the travel insurance provided when you pay for travel with select cards can reimburse you for expenses if your baggage is damaged, you're stranded overnight due to a flight delay or cancellation, or you have to return home to handle a family medical emergency.

The Chase Sapphire Reserve card, for example, offers trip delay reimbursement, trip cancellation and interruption insurance, emergency medical coverage and even medical evacuation coverage , among other benefits. And yes, cruise lines are considered common carriers just like airlines.

If you're planning to rely on a card like the Chase Sapphire Reserve or The Platinum Card® from American Express * (among others) for travel insurance, just be sure to recheck your card's benefits and limits carefully against regular travel insurance. You must pay for at least part — and sometimes all — of the trip with that credit card to take advantage of its protections.

*Eligibility and benefit level varies by card. Terms, conditions and limitations apply. Visit americanexpress.com/benefitsguide for details. Policies are underwritten by New Hampshire Insurance Company, an AIG Company.

Related: The best credit cards for booking cruises

Find out if your credit card protection includes travel accident insurance or covers preexisting medical conditions, and figure out when it will pay you back. Other questions to ask: What are the coverage limits? Will you have to pay for a foreign hospital bill upfront and then seek reimbursement later?

Cruise lines

Cruise lines often ask consumers booking a cruise to buy the line's own protection at the time of purchase. If specifics about the coverage are lacking, always ask the line for details in advance, review coverage perks and limits; then, compare those to one or two independent travel insurance policies or your credit card's insurance benefits.

Related: A beginners guide to picking a cruise line

Cruise line travel insurance policies sometimes have quirks. Many cruise companies will only offer a travel voucher or credit for future use in the event of a covered cancellation, not an outright refund.

Also, financial default may not be a covered event in a cruise line-sold policy, but it's typically covered with plans from third-party travel insurance companies.

Cruise line policies also can be more restrictive.

"Cruise line insurance seems to have become better and has more widespread coverage than in the past, but it typically won't cover air or pre- and post-travel [arrangements] unless those elements are purchased through [the line]," said Debra Kerper, a Cruise Planners travel adviser from Carrollton, Texas, who books travel and sells private insurance. "This is when private insurance coverage becomes so very important."

How much does cruise insurance cost?

Expect to pay anywhere from 4% to 8% of your total prepaid, nonrefundable trip expenses for a travel insurance policy. That's a wide range, we know, but it reflects the wide range of products out there.

You'll also find some basic plans that cost even less than 4% of your trip expenses, while some super-premium plans that cover just about any conceivable issue can cost as much as 12% of your trip expenses.

Related: What's included in your cruise fare?

All reputable insurance companies will offer a "free-look period" during which you can receive a 100% refund on your premium. This allows you to review the policy you've selected and return it for any reason within the period allotted — usually for a small administration fee of less than $10.

Under normal circumstances, you don't need to purchase a so-called "cancel for any reason" add-on to your cruise travel insurance policy unless you really need the flexibility. The upgrades are significantly more expensive.

You can receive a quote and purchase a policy online in minutes with any credit card. Although you may think travel insurance should code as "travel" when paid on a credit card and thus be eligible for bonus points on certain cards, that isn't always the case. Your points earnings will depend on the individual underwriter's merchant code. When in doubt, expect the purchase to fall under the insurance category for earnings.

Should I buy travel insurance for a cruise?

Whether you buy travel insurance is a personal decision that will depend on many factors. Would you be willing to absorb the loss of canceling a cruise on short notice due to an illness or accident? Could you afford an evacuation flight from a far-off port if you suddenly became seriously ill? Only you can answer those sorts of questions.

Here are some things to consider as you make that decision.

You might not be covered by regular medical insurance while cruising

If you're a U.S. citizen traveling internationally (which will be the case for most cruises), you may find that most private medical insurance plans in the U.S. won't cover you.

Additionally, Original Medicare only covers people traveling outside U.S. borders in limited circumstances.

While certain Medicare Supplement Plans do have some foreign emergency medical benefits, not all do. Be sure to talk to your Medical Supplemental Plan provider to see if you're covered, what's covered, what the limits are and how the bill is paid.

Also note that, in some countries (particularly those in Central and South America), travelers may not be discharged from a hospital until their bill is paid in full.

Related: Trip wrecked: 7 ways to prepare for any kind of travel disaster

Plus, if you have a medical incident overseas, you could find yourself stuck in a shared hospital room without air conditioning or a private bathroom. The level of care may not be what you expect.

"For people traveling internationally, it's crucial to know beforehand where to go for any treatment … and how they're going to pay for that treatment," Page said.

Getting evacuated for a medical condition is expensive

Most airlines won't accept seriously ill passengers, those carrying bulky medical equipment or those requiring a full medical team.

Even a low-cost weekend getaway on a cruise to the Bahamas out of Miami can turn costly if you suffer a serious accident or illness requiring medical treatment or an emergency medical evacuation.

Related: Do cruise ships have doctors, nurses, medical centers or hospitals?

Being flown back to the U.S. from a far-flung overseas location in a private, medically equipped aircraft, with a professional medical team on board, can run between $70,000 and $180,000, according to Mike Hallman, president and CEO of Medjet, a medical transport membership company.

"Domestic transports, which we cover as well, can cost upwards of $30,000," Hallman said.

Without proof of medical evacuation coverage, foreign providers will also want that money upfront. Hallman said that regular travel insurance will typically get you to an acceptable overseas hospital and even to a higher-level care facility if "medically necessary." Alternatively, medical evacuation coverage means you can fly home to your own hospital, doctors and family — without claim forms, cost caps on transports or surprise bills.

The tandem approach — buying both travel insurance and a separate medevac transport membership — is a good option, Hallman said.

"We always recommend travel insurance, as it covers trip interruption, which is important, as well as medical coverage for the hospital and treatment costs," he said. "We pick up where they leave off."

You can't predict the weather

Cruising is a great way to explore multiple destinations in one trip. But it's good to remember that unexpected delays, interruptions or cancellations due to weather can happen during cruises, particularly during hurricane seasons in places such as the Caribbean and Asia (where hurricanes are called typhoons).

During a typical hurricane season (June 1 to Nov. 30), Allianz pays about 6,000 claims from customers whose travel plans in the Caribbean, Gulf of Mexico and southeastern U.S. are affected by the storms, according to a spokesperson for Allianz Global Assistance USA.

If you're hoping to insure against a storm-related disaster, it's good to buy travel insurance as early as possible. Once a storm or hurricane is named, it's too late to buy travel insurance to cover it.

Of course, cruise lines will move ships away from a weather threat. When the port lineup is adjusted or the cruise shortened, the company will offer the guest an onboard credit, onboard gift or future cruise credit rather than any refund. It depends on the circumstances of that specific voyage. You won't be able to make a claim on your cruise travel insurance policy just for a minor itinerary change .

Related: Everything you need to know about cruising during hurricane season

Costs can mount quickly when things go wrong

Even if the cruise line does provide a full or partial refund or cruise credit for an itinerary change or some other interruption, travelers could have to swallow the cost of other travel elements not purchased through the line. That could include nonrefundable flights , prepaid resort or hotel nights, nonrefundable tour fees and more.

Travel insurance can cover those, plus help with flight delays or cancellations, baggage loss or theft.

If a winter storm causes you to miss your flight to where the ship is boarding , "travel insurance could help you get to the next port to join the cruise, so you don't miss your entire trip," Page said.

In fact, 13% of "billing reasons" for claims to Allianz are for common carrier delays (such as a flight delay), while weather and natural disaster-related claims account for about 3%.

The government probably won't bail you out

While cruise ships have medical facilities, they're usually not equipped to treat serious illnesses. If you experience a serious medical problem on a vessel, you may have to get off the ship in a foreign port to seek treatment at a hospital. In such a case, if you don't have medical evacuation insurance, you may then find yourself stranded in that port awaiting a medical evacuation.

Don't expect Uncle Sam to step in and help foot the bill.

The U.S. Department of State's Bureau of Consular Affairs clearly states the importance of buying travel insurance.

"The U.S. government does not provide medical insurance for U.S. citizens overseas," the bureau says on the website. "We do not pay medical bills. You should purchase insurance before you travel."

You may need more assistance than you think

If you're injured or become severely ill during a cruise, especially in a foreign country, it may be difficult to access help without the assistance of trained professionals that comes with many insurance plans.

Many travel insurance companies provide around-the-clock assistance with locating overseas clinics and pharmacies, getting to a doctor or hospital, refilling lost or depleted prescriptions, assisting with up-front payments to hospitals, and arranging flight changes so you can get home.

Travel insurance companies also can arrange for an air ambulance, a nurse escort, oxygen and a lie-flat seat on a flight home if your medical condition warrants it.

You want to be careful if you have preexisting conditions

When you cruise, it's important to be fully covered, which means having comprehensive medical coverage that includes any preexisting conditions. Otherwise, if you head into a doctor's office overseas, have any tests completed, or visit an urgent care center or emergency room, you might not be covered.

Here, timing is extremely important. Cruisers seeking coverage of preexisting conditions, as well as cancel for any reason insurance, generally must book within seven to 21 days of the first payment they make for a trip. The timing varies by insurer.

Bottom line

Cruise insurance isn't for every traveler — or even for every sailing. It's not inexpensive. However, it can bring a lot of peace of mind if you're about to head out to sea. Do your homework, compare plans and always assess the risks.

Planning a cruise? Start with these stories:

• The 5 most desirable cabin locations on any cruise ship
• The 8 worst cabin locations on any cruise ship
• A quick guide to the most popular cruise lines
• 21 tips and tricks that will make your cruise go smoothly
• Top ways cruisers waste money
• 12 best cruises for people who never want to grow up
• The ultimate guide to what to pack for a cruise

Editorial disclaimer: Opinions expressed here are the author’s alone, not those of any bank, credit card issuer, airline or hotel chain, and have not been reviewed, approved or otherwise endorsed by any of these entities.

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Moscow (Russia)

Cruise port schedule, live map, terminals, news.

Region Russia Rivers

Local Time 2024-05-01 05:40

Moscow is a Volga River cruise port, Russia's capital and largest city (population over 12,2 million, metro 17 million). Moscow City covers a total area of approx 2610 km 2 (970 mi2). By population, the city is ranked the world's 14th largest. Moscow is one of the Russian Federation's all 3 federal cities - together with St Petersburg and Sevastopol .

Being Russian Federation's capital, Moscow is a major economic, political, scientific and cultural center, as well as Europe's biggest city.

According to Forbes 2013, Moscow has been ranked as the 9th most expensive city in the world by Mercer and has one of the largest urban economies, being ranked as an alpha global city according to Globalization and World Cities Research Network. It is also one of the fastest-growing tourist destinations in the world according to MasterCard Global Destination Cities Index. Moscow is the northernmost and the coldest megacity and metropolis on the Earth. It's home to Ostankino Tower, the tallest free-standing European structure; the Federation Tower, the tallest European skyscraper; and the Moscow International Business Center. 

Moscow is situated on Moskva River in the Central Federal District of European Russia, which makes it the most populated inland city in the world. Moscow city is well known for architecture, particularly its historic buildings like Saint Basil's Cathedral. With over 40% of its territory covered by greenery, it's one of the greenest capitals and major cities in Europe and the world. Moscow is the seat of power of the Russian Government, being the site of Moscow Kremlin, a medieval city-fortress that is now the residence of the President of Russia. Moscow Kremlin and Red Square are among the several World Heritage Sites in the city. 

Moscow has 2 passenger terminals, North River Terminal (Rechnoy vokzal) and South River Terminal. The regular ship routes and cruises along Moskva and Oka rivers are used mostly for entertainment. North River Terminal (1937-built) is currently the main hub for long-range routes along the river. There are 3 freight ports that serve Moscow.

In late-July 2021 the city announced plans to incorporate a fleet (unspecified number) of fully electric passenger ferries into its public transportation network from summer 2022, the goal being to reduce the dependence on cars.

• The boats are designed with length ~22 m (72 ft), passenger capacity 42, modern amenities (Wi-Fi, USB charging points, tables for working commuters), spaces for storing scooters and bicycles.
• Moscow Transport confirmed that two routes (with max daily capacity ~16,000 passengers) have already been mapped out.
• Passengers will be able to pay via bank cards, the city’s Troika card (smart card for travel by any public transportation) or biometric payment cards. Those with monthly/yearly public transit tickets will use the boats at no extra cost.
• The new electric ferry service is up to 5 times faster (in comparison to other city public transports) and ~2 times faster than by car.

Moscow cruise terminal

Moscow's cruise terminal is called North River Terminal or River Station  ("Rechnoy Vokzal" / "речной вокзал").

The terminal was opened in 1937 and is one of 2 passenger terminals (the other being South River Terminal) of the city's river transport. North River Terminal is the main hub for long-range (including cruise) shipping routes. 

South River Terminal (above photo) was opened in 1985.

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Health Center

Medical emergencies.

For medical emergencies, call 7-3000 from any ship phone.

If you forget your EpiPen and suffer from life-threatening food allergies, EpiPens are available on a case-by-case basis at the ship's Health Center and at First Aid on Disney's Castaway Cay. If, in the event of an emergency, you do not have an EpiPen, notify the nearest Crew Member, or dial 7-3000 from any ship phone.

In the event of a medical emergency, a doctor and nurse are on call 24 hours a day, 7 days a week. Occasionally, it may be necessary for a patient to disembark the ship for transport to a nearby medical facility. Please note that medical personnel are employed by a company independent of Disney Cruise Line, and standard prevailing fees will be charged for all services. Fees incurred at the Health Center will appear on your stateroom account. Additionally, because onboard medical services are considered “care outside the United States,” you will be responsible for paying any such charges prior to leaving the ship. The Health Center will gladly provide you with the paperwork you’ll need to process any claim through your health insurance or travel insurance supplier.

For minor first aid, the Health Center stocks over-the-counter medications, bandages and other remedies for quick relief. First aid and over-the-counter drugs are also available at the Guest Services Desk on Deck 3, Midship and at select onboard shops.

Guests who need to refrigerate medication may do so in their provided stateroom refrigerator.

Sharps Container

A small sharps container for the disposal of needles, syringes and lancets is located in each stateroom bathroom. If you need a sharps container in your stateroom and do not see one, please tell the Crew Member who attends to your stateroom and a container will be provided. Sharps containers are also located in public restrooms.

Location, Hours and Phone Number

Hours are 9:30 AM - 11:00 AM and 4:30 PM - 7:00 PM

For non-emergencies, call 7-1923 from any ship phone.

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Columbia University issues shelter-in-place order. Scores of police in riot gear swarm area while protesters occupy building.

Rhode Island children stranded in Mexico after medical emergency

by LEANNA FAULK, NBC 10 NEWS

(WJAR) — Two Rhode Island children are stranded in Mexico after a medical emergency abroad a cruise ship.

Sarah Martin sent her kids on a spring break cruise vacation with their grandparents, which was smooth sailing until their grandmother had a heart attack.

Now, her kids are stuck in Mexico with no passport, and no way to get to home.

"They were having the time of their lives just having so much fun," said Martin.

The fun stopped when she said their grandmother suffered a heart attack.

According to Martin, she was too critical to return to their original port of Miami.

The family was rushed to a local hospital in Cozumel where their grandmother remains in a medically-induced coma.

"They keep on asking me the same thing, mommy, how am I gonna get back to you? And it's just really sad because I don't have an answer," said Martin.

• MORE NEWS: Riverside business seeks local support amid Washington Bridge traffic

Some cruises that begin and end in the United States do not require guests to have a passport, however they are encouraged.

Now, Martin is begging the US Embassy for a lifeline to allow them to fly home.

"The US Embassy was misinformed on all of the options that we had. Nobody would help me," she said.

Martin said her 8-year-old son is days away from finishing his epilepsy medication.

"I don't want him to you know, join as his grandmother at the hospital," she said.

"I can fall down and crumble when they're not on camera. But when I'm on camera with them. I have a brave face, and I think it's helping them be brave."

An hour after NBC 10 reached out to Carnival Cruise, Martin said the company called her and confirmed they were in contact with the Embassy.

She said they are working to get her kids on a flight home as soon as Tuesday.

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Moscow to Saint Petersburg

13 days – 12 nights

Collapse Full Itinerary

Gold, Platinum  Airport transfer / Check-in at centrally located Marriott Aurora***** or Ararat Park Hyatt*****

Imperial : Private airport transfer / Check-in at the luxurious Four Seasons Moscow***** only a minute from the Kremlin and Red Square

Volga dream experience:

Gold: City Tour / Novodevichy Cemetery Imperial, Platinum:  City tour / Lunch in a Moscow City Skyscraper / Novodevichy Cemetery / Sparrow Hills

Meals: Breakfast

Platinum / Imperial

Meals: Breakfast, Lunch

Gold:  Moscow Kremlin / Armory Museum / Red Square / GUM Department Store

Platinum:  Moscow Kremlin / Armory Museum / Red Square / St. Basil’s Cathedral / GUM Department Store / Park Zaryadye

Gold:  Tretyakov Gallery / Moscow Metro Tour.

Platinum:  Leo Tolstoy House-Museum in Hamovniki / Tretyakov Gallery / Moscow Metro Tour.

Meals: Breakfast, Dinner

Meals: Breakfast, Lunch, Dinner

Gold, Platinum:  Town of Uglich / Church of St. Dmitri-on-the-Blood

Volga dream experience: Costumed Russian Tea Ceremony & Russian Cooking Class

Gold, Platinum:  Yaroslavl City Tour / Governor’s house 

Volga dream experience: Sun Deck Barbeque

Gold:  Kirillo-Belozersky Monastery  

Platinum:  Ferapontov Monastery

Meals: Breakfast, Lunch, Russian Dinner with Vodka Tasting

Gold, Platinum: Kizhi Island / Lake Onega

Volga dream experience: Piano Concert – Compositions by Tchaikovsky and Rakhmaninov

Gold, Platinum:  Svirstroy village / Local resident’s home / Local primary school

Volga dream experience: Farewell Dinner, Captain’s cocktail

Gold:  City Tour / Peter and Paul Fortress

Platinum:  City Tour / St. Isaac’s Cathedral / Canal boat / Yusupov Palace

Gold:  The State Hermitage Museum / Peterhof: Park and a historic Cottage

Platinum:  The State Hermitage Museum (Early Entrance!) / Gold Room / Peterhof: Park and a historic Cottage

Gold:  Catherine’s Palace / Amber Room

Platinum:  Faberge Museum / Catherine’s Palace / Amber Room

Meals: Breakfast / Imperial

Gold, Platinum, Imperial: Check-out / Airport transfer

Volga dream experience: -

The rates are set for a cruising season. The price is not dependent on the month within a selected year

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All prices are per person based on double occupancy.

All rates are per person, based on double occupancy. Actual size of cabins can slightly differ within one category.

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Journey: Volga Dream

Price per person: not specified

Children identified in deadly north Spokane house fire that killed 4

The Spokane County Medical Examiner’s Office identified the two children who died in a north Spokane house fire on April 20.

Christopher Desislets, 7, and Aiden Desislets, 2, died from combustion inhalation and “thermal injuries.” The manner of death was an accident, the office said.

The children’s mother, 33-year-old Arielle Desislets, died a day after the fire from combustion and thermal injuries. Their father, 38-year-old Robert Desislets, died on the scene. His cause and manner of death are still pending.

The family was pulled from the second floor of the burning house at 1717 N. Howard St., where CPR was performed before the victims were transported to a hospital. The three remained on life support for a short time, according to relatives. The Spokane Fire Department determined the cause of the fire was the use of an extension cord instead of permanent wiring near the front porch, which quickly engulfed the second story. No functional smoke detectors were found in the home.

The family of the fire victims started a fund to pay for funeral expenses through gofundme.com, and it has raised more than $17,000. The page indicates some family members who live in Georgia are planning on having their own funeral service.

From prenatal care to pediatrics, Providence is creating a healthier future for families

Like many expectant mothers, Miranda Kekauoha had a plan.