Dialysis at Sea: Cruising with Kidney Disease

Learn how to manage dialysis while cruising. Find kidney-friendly cruise lines and essential tips for a safer, more enjoyable voyage with proper medical care.

Cruising has become more popular with each year as millions of travelers discover the joy of life at sea. Kidney disease doesn’t have to stop you from experiencing that joy. Cruising is still an option for you as many cruise lines offer cruises that have dialysis treatment centers onboard. Whether you do peritoneal or hemodialysis treatment, you can find a cruise to meet your needs. The medical capabilities of cruise ships aren’t often well-known, so we’ve compiled frequently asked questions about cruising with kidney disease to help you book and prepare for your cruise vacation.

Can you go on a cruise if you have kidney disease?

Generally yes, you can cruise if you have kidney disease. Even if you’re on dialysis, certain cruise lines and itineraries have options for treatment onboard. Many cruise lines partner with companies who can provide medical specialists and hemodialysis equipment for certain cruises and itineraries. Since dialysis treatment isn’t available on every itinerary and treatment spots are limited, you’ll want to book early.

Before booking your cruise, check the policies of the cruise line. There may be different requirements depending on the type of dialysis you’re on. For home hemodialysis, check cruise line policies to confirm if they allow portable hemodialysis machines onboard. Regardless of the type of dialysis most cruise lines require you to have been stable on your dialysis routine for a minimum of one year.

Always consult with your doctor before booking a trip to discuss your travel plans. Your doctor can determine if you’re fit to travel and help you create a treatment plan for while you’re traveling.

Can you get dialysis on a cruise ship?

Generally yes, you can get dialysis on a cruise ship, but the availability of treatment will depend on the stability of your condition and the type of dialysis you’re on.

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Peritoneal Dialysis (PD)

Travelers who are on peritoneal dialysis usually have a wider range of options when it comes to cruising, since you can do treatment in your cabin.  When planning your cruise, think about the medical supplies you’ll need to pack, your cabin’s location and the storage space available in your room. Let the cruise ship know about your treatment as soon as possible so they can accommodate medical supplies and be prepared for potential emergencies. Finally, make a list of nearby hospitals or dialysis centers near the port cities you’re visiting in case you need to go in for treatment.

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Home Hemodialysis (HHD)

Before you book, be sure and check with the cruise line to see if you can bring your portable dialysis machine on the ship. Not all cruise lines will allow the machine or may have specific requirements around bringing it onboard. Once you are clear to book, consider a cabin in the lower middle section of the ship where you’re less likely to feel the motion of the ship, which can be helpful during treatment. Remember to pack extension cords for your dialysis machine to make sure you can sit comfortably in your cabin while you administer treatment.

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Onboard Hemodialysis

To get onboard hemodialysis, you’ll need to book through a medical group like Dialysis at Sea. Cruise lines work with specialized medical groups to provide dialysis treatment to passengers on certain itineraries. The medical group provides medical professionals, like dialysis nurses and nephrologists, who will be on board to administer hemodialysis treatment during your trip. Spots for onboard treatment are limited and can fill up fast so book in advance to help ensure a spot. Then, schedule your treatments around the fun activities and excursions you have planned to get the most out of your cruise. You’ll go through an orientation shortly after you board to get to know the other patients and go over important information like where to check in to get your treatment.

What types of dialysis facilities can you expect to find on a cruise ship?

For patients on peritoneal or home hemodialysis, most do their treatment right in their cabin. The cruise ship may want your treatment to have been in stable condition for at least a year to be able to board. While the cruise ship may have some emergency medical supplies for you, you’ll want to bring everything you may need with you just in case.

Patients who require hemodialysis and have booked a cruise offering dialysis treatment can expect a dedicated dialysis treatment center with all the advanced medical equipment, supplies and staff needed for administering treatment. The dialysis centers are staffed by experienced medical personnel who only work in that unit, they don’t bounce between dialysis treatment and the onboard clinic.

What to expect when having dialysis on a cruise ship

Dialysis treatment on a cruise can feel intimidating since it takes you outside your normal treatment routine, but with the right planning you can step on board knowing what you may need and where to get it.

Before Departure

Before settling on a cruise package, talk with your doctor to confirm that you’re medically cleared for travel. Most cruise lines require you to be in a stable condition for at least one year before you can board the ship. Schedule your treatments as far in advance as possible as time slots often fill up quickly due to the limited number of appointments available. Lastly, most cruise ships will have passengers complete a wellness check before boarding. This is a series of questions about your health that every passenger will go through, it’s used as a screening to prevent the spread of illness onboard the cruise ship. Bring documentation about your condition from your doctor like a record of your treatment, your dialysis prescription, emergency contacts and necessary lab results to provide the cruise line with during your wellness check.

On Board

If you’re a hemodialysis patient, the organization you booked through to secure your treatment spots will likely have an orientation on your first day aboard the ship. You’ll get to meet the medical staff and the other dialysis patients onboard.  At the orientation you’ll find out where to check-in for your treatments, how to contact staff and other resources available to you.

Which cruise lines offer dialysis?

Cruise lines may offer hemodialysis for their passengers through medical group partners like Dialysis at Sea on certain cruise ships and itineraries. Dialysis at Sea, or a similar company, will bring the medical staff, equipment and supplies needed to run a dialysis treatment center onboard the ship. You will have certified nephrologists and specialized nurses to provide you with the hemodialysis treatment you need.

Is there an additional cost for dialysis on a cruise?

Dialysis treatments on cruise ships can cost up to $700 per session, which means the total cost will depend on how long you are cruising.

Medicare and Medicaid typically do not cover dialysis treatment on a cruise. Some health insurance plans may cover a portion of the services so it’s worth checking into. Your bill for dialysis must be paid prior to the cruise, so you should expect to pay out of pocket for the costs.

Travel Guard travel insurance plans provide coverage for certain emergency medical situations that happen while you’re traveling. So, while dialysis would not be covered by a travel insurance plan, it’s a good idea to have a travel insurance plan in case you run into a covered emergency medical situation. Be sure and buy early to get our Pre-Existing Medical Conditions Exclusion Waiver – which removes the exclusion for pre-existing medical conditions if coverage is purchased within a certain number of days of your initial trip deposit.

What potential risks should you be aware of if taking a cruise with a kidney condition?

Travelers with kidney disease should enjoy their time at sea, just be aware there are still some risks you should be cautious of during your trip.

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Risk of Infection

If you are a peritoneal dialysis patient, take extra care in your cabin when performing your treatment and carry disinfectants, plenty of medical supplies and practice good hygiene.

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Hydration

Since both dehydration and overhydration can cause issues like swelling or high blood pressure, you should carefully track your fluid intake. Try using a water-tracking app or taking notes on your phone.

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Diet Challenges

Buffets are a popular option for cruise goers, but they usually offer foods high in sodium and potassium. When you book your cruise contact the cruise line to provide your dietary restrictions so they can make accommodations. You can also make reservations for the ship’s table service restaurants where meals are made fresh, and you can ask for alternative ingredients as needed.

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Fatigue

It’s easy to overdo it and experience fatigue when you’re cruising. Between long walks around port cities, exciting excursions and onboard activities, remember to pace yourself and choose your activities wisely to get the most out of your time cruising.

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Stress

It’s easy to overdo it and experience fatigue when you’re cruising. Between long walks around port cities, exciting excursions and onboard activities, remember to pace yourself and choose your activities wisely to get the most out of your time cruising.

[5] Tips for going on a cruise with kidney disease


Kidney disease doesn’t have to stop you from enjoying your next big adventure. So, set yourself up for success on your cruise vacation by following these five helpful tips:

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Schedule In Advance

If you’re a dialysis patient, you’ll want to plan your treatment sessions out in advance since the availability for dialysis is limited so you’ll need to make sure you secure a spot.

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Pack a Med Kit

Bring your own first aid kit with plenty of essentials for your dialysis treatment, like tubing, antiseptics, disinfectants, hand sanitizer and medication.

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Bring Entertainment

Dialysis treatments can take up to five hours per session, so bring something to entertain you while you get treated. Some travelers like to bring headphones to enjoy audiobooks, watch a movie, listen to music or follow a guided meditation while others may bring a crossword puzzle or a book.

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Monitor Symptoms

Talk with your doctor before your trip to go over a care plan for managing your health while you’re traveling. Tracking your blood pressure, fluid levels and overall health helps you identify any concerns early so you can bring them up to medical staff onboard as soon as you notice something is off.

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Plan For Emergencies

While it’s not fun to think about an emergency, it’s best to have a plan. Before your trip, go over the nearby hospitals and dialysis centers that are in each port city you plan to visit by using tools like Global Dialysis which help you find treatment centers in 161 countries. Having a travel insurance plan with 24-hour emergency assistance can also help in an emergency. Our specially trained staff can help with locating hospitals, treatment centers, medical equipment and specialized doctors. We can help with translation assistance and making travel arrangements if you need to head home early or catch up with your cruise.*

Life has its complications, and you deserve to enjoy a relaxing vacation. If you’re planning on taking a cruise as a dialysis patient, remember to take the proper precautions to keep your health stable during your time on the ship. Plan ahead, carefully choose your activities and get ready to enjoy a wonderful, relaxing vacation. When you’re ready to book, consider packing a travel insurance plan from Travel Guard. Whatever plan you decide to go with, our 24-hour specialized assistance services team can be there to help in times of crisis.

Hear from travelers like you:

On our latest cruise to Australia, I got very ill and was quarantined to the Stateroom. After filing a claim, Travel Guard was very beneficial by reimbursing us for days quarantined and the remaining hospital/infirmary bill that was not covered by my primary health insurance. It made the trip a little more tolerable with the travel insurance plan to cover unexpected expenses.

- Joe G.

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