What to expect if you’re expecting to cruise

Bryan and Fola Nelson were excited about their upcoming five-night Bahamas cruise on the Carnival Fascination. It was to be their last vacation before the birth of their first child.

Then, not long before their scheduled departure, Carnival delivered some bad news: Not only would Fola Nelson be denied boarding, but the cruise line would also pocket her entire fare, minus port taxes.

Why? Because like many other cruise lines, Carnival bans passengers who are 25 weeks or more pregnant.

“My wife will be 10 days over that,” says Bryan Nelson, a teacher in Minneapolis. “And despite her doctor’s okay, the cruise line is sticking to its policy.”

Cruise lines’ rules on pregnancy are a common source of complaints from travelers. But like so many other cruise industry policies, this one wasn’t always a hard-and-fast rule. Had Nelson become pregnant a decade ago, the company probably would have let her reschedule her trip at a minimal cost.

Not today. And the change is something that her cruise line seems happy to let the world know about.

Carnival’s policy allows pregnant women to sail only through the 24th week of pregnancy. Every passenger who is expecting must show a physician’s letter verifying that mother and baby are in good health and fit to travel. The letter must also include the estimated date of delivery. “Carnival’s pregnancy guidelines are put in place as a precaution to protect the unborn baby and the mother,” says Aly Bello, a spokeswoman for the cruise line.

That makes sense. Cruise ships offer reasonable emergency medical facilities for guests and crew members. But prenatal and early infant care can require specialized diagnostic facilities or treatment that might not be available on a ship or in the closest port of call.

Even with the rules in place, complications can arise. This month, a 31-year-old passenger was airlifted from the Disney Magic, 180 miles off the Texas coast, because of medical problems related to her pregnancy.

Other companies have virtually identical policies. Norwegian Cruise Lines refuses to admit passengers past the 24-week mark. So does Royal Caribbean Cruise Lines. “This decision is made because of the unique nature of a cruise ship being at sea for extended periods of time and the possibility of a guest’s medical condition becoming critical during those times at sea,” says Royal Caribbean spokeswoman Cynthia Martinez.

But not every pregnancy is planned, and cruises are often booked months in advance. You’d expect cruise lines to help passengers who get pregnant in the months between the booking and sailing dates, particularly if the company can re-sell the cabin to another customer.

But Carnival turned down requests from both the Nelsons and their travel agent to waive its rules. Bello noted that the Nelsons should have bought the travel insurance that Carnival offered. If they had, they would have received a 75 percent future cruise credit.

That’s becoming an increasingly common response. Cruise lines appear eager to make a public example of customers who didn’t buy travel insurance. The reason? Travel protection now accounts for a significant portion of their profits, and bending a rule would effectively undermine the business model.

“I don’t think it’s unreasonable for the cruise lines to adopt pregnancy policies, particularly given the limited nature of the medical facilities on cruise ships and the absence of doctors who are experienced in obstetrics and gynecology,” says James Walker, a Fort Lauderdale, Fla., attorney specializing in maritime law. “The problem arises when there is a good-faith misunderstanding by the pregnant passenger, and the cruise line takes a rigid attitude and pockets the consumer’s money.”

The Nelsons say that they’re troubled by the way their situation was handled. Neither their travel agency nor Carnival bothered to disclose the pregnancy restrictions in a clear way before they booked, they say. “We reviewed cruise tickets from our travel agency and found nothing about pregnancy,” says Bryan Nelson.

I asked that agency, Orlando-based Cruise Vacation Outlet, what it tells its customers. Todd Elliott, the president, said that the agency directs all clients to complete an online check-in to review any terms and conditions. The agency’s welcome letter to new customers also directs them to the terms and conditions, which contain information about a cruise line’s pregnancy restrictions.

In an e-mail to the Nelsons, their travel agent, Jay Garcia, bottom-lined it: “We are not responsible for unforeseen circumstances that are beyond our control.”

Nelson is not entirely satisfied with that response. He says that the welcome letter refers only to visa and passport requirements and that he was never told to review the terms and conditions on the cruise line’s Web site. His wife’s pregnancy was flagged a few weeks before the cruise, when they tried to check in online.

Even if they’d booked their cruise using Carnival’s Web site, they would have had to wade through four screens of information before reaching the details about cruising and pregnancy. It’s something they could have easily missed.

As someone who once had to postpone a family cruise because of the 24-week rule, I’m sympathetic to Nelson’s problem. I don’t think it’s right for him to lose his entire cruise. No one is arguing that the cruise line policy on pregnancy is wrong. But waiving a rule for a borderline case such as the Nelsons’ wouldn’t affect Carnival’s stock price, and it would go a long way toward creating loyal repeat customers.

At any rate, making an example of the Nelsons seems insensitive and opportunistic — even if Carnival’s contract allows it.

Should cruise lines waive their change rules for passengers who get pregnant?

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  • Cybrsk8r

    And yet one more reason why I would never take a cruise. I think I’m up to about 15 reasons now. These cruise line should be legally required to refund a fare if the cabin is re-sold. Only in the travel biz are you allowed to sell a single item to multiple people and keep all the money.

  • http://flyicarusfly.com/ Fly, Icarus, Fly

    I don’t think this is the cruiseline’s fault and I see their point re: making the OP as whole as insurance would. If so, this would go into the “I didn’t know” file along with people who don’t have proper documentation. That said, I wonder if the travel agent didn’t drop the ball a bit here. If they are first-time cruisers, is there a checklist of some sort to go through with them, as I’m sure most people wouldn’t think of the pregnancy clause that’s unique to cruising.

    And I hate to be hard-hearted, but the point isn’t re-selling that specific cabin, it’s selling out the entire ship. If it was just the cabin, then in theory the cruiseline is at a disadvantage.

    This is a tough one. I doubt Carnival is going to do anything about it, because it’d set a bad precedent. If they refunded 50%, they’d probably end up even and the OP would likely be happy with that. Or the OP could beg Carnival to allow transferring the ticket over to someone else and try to sell it. The Carnival site says, “This ticket is valid only for the person(s) named hereon as Guests and cannot be transferred or modified without Carnival’s written consent.” At least if Carnival allowed that, they wouldn’t be out anything and the OP could get as much as they could from the sale. Has anyone ever heard of a cruiseline allowing that before?

  • jeffb

    I am sure there are multiple medical conditions which a cruise ship is not equipped to handle. Are they handled the same way? Or is pregnancy special? Perhaps the cruise line should require everyone to have a physical before being allowed to board. That way they could collect even more money from their customers by selling the same cabin multiple times.

  • sirwired

    This is on the agent; it is the agent’s job to go over all this with the customer. (Or, at the least, let the customer know, in big, bold, type, that they are responsible for reading the cruise contract; the contracts aren’t terribly long considering what is involved.)

    As far as Carnival is concerned, it’s a nearly last-minute cancellation, and one that could have been prevented had the agent done their job. And yes, Carnival is perfectly aware that they will probably be able to re-sell the cabin. However, as with airlines, the possibility of “free” money is already “baked in” to the cruise price. If there was a new law that required that you receive a refund if the cabin is re-sold, you can be sure that fares would go up to pay for the new rule.

    I don’t know why so many people that write in here have trouble understanding that non-refundable travel does not magically become refundable travel because you have a “good reason.” If you want to cover most reasons you’ll have to cancel, buy insurance. And if you want to cover every reason, buy the (expensive) Any Reason rider. (Incidentally, if cruise credit is enough, most line-sold policies include a decent Cruise Credit Any Reason rider as part of every policy.)

    Travel providers (airlines, cruise lines, hotels, rental cars, etc.) know that they will be able to pocket, cancelled pre-paid bookings. And every provider makes available a way around it. If you don’t pay for it, don’t expect any sympathy.

    And Chris, the argument “waiving a rule for a borderline case such as the Nelsons’ wouldn’t affect Carnival’s stock price” is silly. Of COURSE refunding, in full, every cancelled booking with a “good reason” would effect the stock price. Refunds up = profits down = stock price decline.

  • sirwired

    No travel provider I’m aware of hides the fact that if you want your non-refundable travel to be refundable, you need to pay extra money. They aren’t “getting away” with anything. They offer once price if you want to take the risk of cancelling, and another if you want the travel provider to take the risk instead.

    Some people can absorb the cost of losing their travel booking, and for such people, non-refundable bookings make sense. Why impose the added costs of fully refundable travel on people that are willing to take non-refundable bookings?

  • sirwired

    There actually is a mini-physical of sorts prior to boarding; namely they screen any passengers reporting symptoms that may be norovirus. To keep people from lying on the questionnaire (spreading a highly-communicable, profit-sucking, disease), I believe they DO provide refunds to passengers denied boarding. However, this rarely happens; unless you are ill right there in the check-in area, you usually still get to board, but are confined to your cabin until you feel better.

  • TonyA_says

    I don’t believe travel insurance covers cancellations due to pregnancies (known before the policy is bought).

  • lost_in_travel

    How did the cruise line know she was pregnant? I did not even show at 25 weeks. I picked clothes that were looser than usual for comfort and most of my friends did not even know.

  • Raven_Altosk

    Yup, good old Carnival. I told you the story of how they treated a friend of mine who fell into the “booked it, became pregnant before sailing” story, right?

    Basically, Carnival’s stance is get an abortion or don’t sail.

    I can understand the nature of the rule, however, when the unexpected happens, the cruiselines should do better than that. A rebooking (with perhaps a $150 per person fee) would be reasonable, methinks.

    Oh, and “insurance” that gives you a 75% discount on a future sailing is not insurance.

  • Raven_Altosk

    It doesn’t. This is how my friends were screwed by Carnival. It’s one of their “exceptions.”

  • LDVinVA

    The OP says “…the cruise line is sticking to its policy”. You don’t like the policy, don’t book with that cruise line. If pregnancy occurs between initial booking and final payment, and the pregnancy is beyond the limit, don’t make the final payment, get your deposit back, and no problem. Seems simple to me!

  • TonyA_says

    I am not aware of different restrictions in fares (refundable vs. non-refundable) for a cruise. I thought cruise fares are all non-refundable. Am I missing something.

  • lost_in_travel

    Where would one find information about pregnancy on Carnival’s website? I started looking around in FAQ, then tried travel with disabilities, finally searched “pregnancy” and got a section that talked about minors and the documentation needed for them and the very last paragraph mentioned the 24 week rule. Given the popularity of cruises with people of child bearing age shouldn’t this have been easier to find – especially because I was LOOKING for it!
    As one who left work at noon for my daughter’s birth before 5 pm, I do understand that one should plan ahead, but if the timing of the pregnancy is a deal breaker, then it needs to be clearly stated somewhere early in the planning.

  • TonyA_says

    Wow what a long explanation! But aren’t hotels in the same “boat”? Why is it possible to get a 6PM cancellation for a hotel? A cruise is nothing but a floating hotel.

  • JenniferFinger

    I don’t like how the cruise line tried to blame the Nelsons for not having insurance, but it’s also not their fault that she got pregnant. Even with a doctor’s note, travel is iffy. So they have a policy in place to avoid those iffy situations. That said, the line ought to refund the fee if they’re not going to let her sail-because she might not ever want to take another cruise with them again.

  • http://www.facebook.com/people/Alan-Gore/100000957978287 Alan Gore

    The disagreement here seems to be over how much pre-sale disclosure there was on the pregnancy restriction. The real problems is that if this passenger should never have been ticketed for this cruise, why is Carnival stealing her money?

    Oh yes, I’m sorry – I only needed to read as far as “Carnival” to understand why.

  • http://flyicarusfly.com/ Fly, Icarus, Fly

    Neither am I. It sounds like the OP didn’t realize it until they completed the online check-in at which point it’s really too late to do anything about it at all. I think it was just an amateur mistake in picking a cruise vacation for a pretty-far-along pregnant woman. I think if they had realized it much earlier, Carnival would’ve been more lenient at giving them a re-do.

  • TonyA_says

    While I agree with the re-do, would that be hard with a newborn baby?

  • http://flyicarusfly.com/ Fly, Icarus, Fly

    At this point, I don’t think a doctor’s note carries one iota of weight. If she goes into labor at sea, it’s not the doctor who’s going to be saddled with the responsibility / potential of something going wrong. I’m not a proponent of big business, but the cold hard math is that the OP wanted to cancel at a late date. The cruise line would rather have sure money in their hand as opposed to perhaps them cruising at some later time. But then if she just had a baby, it probably won’t be for a long time. What’s in it for the cruise line other than a very slim chance of having the OP as a future customer? On paper, it’s not a good wager.

  • LDVinVA

    I don’t think so. Someone can walk into a hotel after 6pm and ask for a room. Once the ship has sailed, any empty cabins stay emtpy!

  • technomage1

    And, as others have noted, it’s in the “fine print”.

  • ToriBlue

    Still, I wonder how the cruise line could police this….haven’t cruise employees seen I Didn’t Know I was Pregnant?

  • emanon256

    I am curious why cruise lines would have a 25 week limit, that is very early in the pregnancy. The airlines have a 34 week limit, and 98% of women deliver between 38 and 42 weeks. I understand the cruise line having a slightly earlier limit since there is more time before they land than a plane, but 25 weeks is ridiculous. However, I do still support the doctors note.

    Also with most people bookign cruises 40 week to a year out, how would they even know they will be pregnant or 25 weeks along at the time of the cruise? Many couples take months or even years to get pregnant, its not like anyone can just plan it, and plan their cruise around it. If all the civil rights and workers rights act protect a pregnant woman, why would cruise lines and insurance be able to simply deny someone based on pregnancy?
    Yet another reason I think cruise line are evil. Even airlines will refund tickets if you can’t fly due to pregnancy as they consider it a medial condition. As bad as the airline are, cruise line are worse.

  • http://profiles.google.com/saucywench S E Tammela

    Harsh perhaps, but the 24 week number is not plucked from the sky. It’s the generally-accepted age of viability. If she went into labour at 23 weeks, it’s considered a heartbreaking loss as nature takes its course. If she went into labour at 25, it’s premature labour requiring emergency hospital care for both mother and baby… something that NOBODY wants to happen on board a cruise ship in the middle of the ocean. I feel so sorry for this couple, but I can understand why it comes back to a question of travel insurance.

  • lost_in_travel

    Impossible – rules prohibit a child under six months

  • Heather

    I had a very similar experience; My husband and I booked a cruise to the Bahamas as a “last hurrah”. We were supposed to go when I would have been 27 weeks. There was no mention ANYWHERE of any pregnancy restrictions. (I looked before I booked!) Fortunately, I decided to be proactive and call Carnival the same day I made the booking to ask about their pregnancy restrictions. They told me that because I called the same day (and we had purchased the travel insurance) we would be refunded 100% of the cost… but it took MONTHS and a multitude of phone calls and emails to finally get our money back. One agent finally admitted that “Refunds were not a priority because we already have your money.” My daughter was born before we finally got our refund.

  • Nikki

    I can’t be the only female that is taking this as a lesson, based on the discussion here: If you’re a female of childbearing age, don’t bother booking a cruise.

  • Candice

    Most of our trips are land trips where only a hotel and airfare is at stake, hence we never buy travel insurance. Oh and for the record, as most good TA’s will tell you, never buy your travel ins. from the cruiseline; you get less coverage than if you buy it from an independant agency and the cost is the same. That said, wee always buy travel insurance when we take a cruise knowing that “stuff happens” and we don’t want to lose our money if something goes wrong. I think the Nelsons were nuts not to buy insurance when the wife is pregnant – 25 week rule or not – too many things can go wrong in a pregnancy to not have insurance, just in case.
    That said, I think Carnival is wrong not to either give them a 75% refund of their money, or a full credit to use in the future – good for a few years when the baby is a toddler.
    As a child-free couple, we don’t bother to read the pregnancy rules, but what happens if a couple books a cruise one to two years in advance (as the cruiselines encourage you to do) and then the wife becomes pregnant unexpectedly? Do they get a full 100% refund under the “Act of G-d” rule? They should! After reading Raven’s post, I see that apparently Carnival has a “get an abortion or lose your money” rule.
    I’ve been on about 10 cruises, never one on Carnival. Never will.

  • http://twitter.com/reamworks ראובן סווירסקי

    I can’t beleive the attitude of the people here. What about all the other passengers who didn’t get knocked up?

    I’ve known people who have gone into labor at 26 weeks. The cruise ship is not prepared to deal with this sort of medical emergency. If she knew she’d be planning a child, she should have bought a refundable fare, or insurance that covers this, or at least see if she could transfer her tickets so someone else could go in her place.

  • http://twitter.com/reamworks ראובן סווירסקי

    What a great idea for a show! “I Didn’t Know I was Pregnant–At Sea!”

  • TonyA_says

    His wife’s pregnancy was flagged a few weeks before the cruise, when they tried to check in online.

    A FEW WEEKS!

  • TonyA_says

    What if they PREPAID?

  • Christina Conte

    I completely agree, Raven! I was also going to point that out about the 75% discount being the offering for the insurance payment, but saw your post. This is laughable. Can you imagine another business offering this kind of insurance? It would NEVER fly.

  • TonyA_says

    I can’t read your name or handle.

  • Christina Conte

    They were being honest. Also, every woman is different. People were asking me when I was due at that point in my pregnancies (thinking it was days away.)

  • frank windows

    All this might apply if the Nelsons wanted to cancel, but they didn’t. Carnival made them cancel due to a policy that was not clearly disclosed. Ergo, Carnival is stealing their money.

  • Christina Conte

    *Don’t bother booking it far in advance, but yes, I was thinking the same thing. Pretty ridiculous.

  • TonyA_says

    I often wonder what kind of people own these cruise lines. Why do they want to screw people, especially those who are weak and need the most help.

  • BobbyC

    That is it. I will never sail on Carnival again.

  • Mel65

    For me, the crux of this hinges on whether they made the booking when they knew she was pregnant or beforehand and she became pregnant. It SOUNDS like they knew she was pregnant since they say it was to be “a last hoorah before the birth of the child.” If so, then the OPs had the obligation to check if that was a limiting factor for the cruise, either online, or by asking the TA because it is a distinct possibility it might be. If they DID ask the TA about it early on and the TA failed to give them accurate information, then I see a small claims case since they took action based on the TAs (faulty) information. Carnival are being d****s here, but there is plenty of blame to go around for not getting the information prior to purchase *if* they knew they were pregnant. If not, well then that just sucks all the way around and Carnival really needs to be more flexible. I have to admit, my first instinct was to say “So lie and say “false alarm…not pregnant” but Carnival would probably require documentation of THAT, too.. Sigh. This sucks all the way around for these people :(

  • LDVinVA

    Did not consider that – I think with most cruise lines you could get your money back if it is before final payment time. Forgot that Carnival has that no-refund prepaid arrangement. I’m not sure I’d book it that way, kind of risky, in my opinion. I do sympathize with the OP, but I also see the cruise line’s position.

  • EvilEmpryss

    Let’s see, if the history of American litigation teaches us anything it’s that if you bend the rules for someone you’re opening yourself up to getting bent yourself. It will take only one woman to miscarry at 26-27 weeks while on the high seas and sue the cruise line for letting her sail in her condition. It won’t matter if she had no reason to fear miscarrying, or that she was warned against traveling, she’ll blame the cruise line and public sympathy will side with the poor grieving mother.

    A couple of decades ago a lawsuit like that would have been unheard of. Now, they’re so commonplace they’re cliche.

  • LDVinVA

    Not sure I understand – pregnancy was “flagged”.

  • Sasha

    It is not the pregnancy clause that bothers me it is their refusal to refund their clients money that is really wrong.

  • emanon256

    To quote Dr. Seuss, “If they didn’t do it, someone else would.”

    I’m not sure if thats the real reason, but I believe they think they have enough customers lined up to replace them, and they already got this persons money and its unlikely that person would cruise again anyway even with a refund, so keep the money. Or possibly they think like the Hostess CEO who lowered his employees salary and gave himself over 2 million in raises while the company was going bankrupt. Its all about greed. In their mind, the customer not sailing is a great thing becuase they get that money, plus they can re-sell the room and get the same amount of money again, and the new person is going to spend money on liquor while the pregnant woman is not. Its a triple win for the cruise line.

    If it were my company, I would be more concerned about customer service. I would want people to be happy and have a good experience. But I guess in the mind of the cruise line, happy people are not as profitable, and by running their cost benefit analysis on the various contract restrictions and customer outcomes, I think they found that they need to do this in order to maximize their profitability and since there are always new people wanting to cruise, it won’t hurt them long term either. Its sad that that is how people do business these days.

  • TonyA_says

    Isn’t this the same cruise line that refused boarding a grandma (who immigrated from Italy) because her naturalization certificate did not have a raised seal? They kept the poor family’s money they saved for a year.

    Isn’t this the cruiseline whose founder gave up his American citizenship and moved to the land of milk and honey to avoid paying taxes?

    No wonder you canot expect this cruiseline to do the RIGHT thing. Something is wrong with their moral compass.

  • http://elliott.org Christopher Elliott

    Nice to see some international readers here. Welcome.

  • http://www.facebook.com/tjwoody Tim Woody

    Indeed you are correct about non-refundable bookings. However, If I have bought a non-refundable booking on any mode of hospitality or travel and am unable to use it, if the provider, be it hotel, airline, cruise line or whatever, resells it to someone else, they have stolen something that is mine. I paid for it and whether I show up or not, it belongs to me for whatever duration I paid for. If they resell it they are obligated to, at the minimum, return my money.

  • Joe Farrell

    Does a cruise company offer a refundable fare? Or does their trip interruption insurance cover it? I would think that a cruise company sold cancellation waiver would not cover known pregnancy and further not cover a subsequent pregnancy since it, for the purposes of lawyers and insurers, is a preventable condition.

    Chris would know – but has a cruise company ever refused to cover pregnancy which occurred after final payment under the pre-ex or customer caused clause?

  • Joe Farrell

    Amen. I have not cruised since 2001 and have no intention of doing so again – 2000 people competing for every time for every service, 2000 people competing to get off the ship at port calls, the cattle atmosphere, the forced tipping, the automatic surcharges added to everything, the onerous contract, And the horror stories you hear. Done, done and done.