I have not looked too closely at the details of the travel insurance, but I think you are right in that alone could justify the fee. Even if it doesn't cover all medical expenses, it would likely cover more than enough to make it worth having. The paid plan also lets you earn 5.5% interest on savings accounts. The regular free plan I'm on at the moment offers 4%, which is still decent, but 5.5% is clearly better. USD deposits are FDIC insured up to 250K, so if you keep a decent balance with them in US dollars, the higher rate can make that a worthwhile option as well.
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