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    Avoid Big Medical Bills When Traveling Abroad

    What you need to know about travel medical insurance

    Illustration of a man traveling and walking towards a medical shield. Illustration: Jason Schneider

    Nearly 1 in 4 Americans have experienced a health problem when traveling internationally, according to a 2022 survey conducted by Harris Poll and GeoBlue, an international health insurance company. But most insurance providers, including Medicare, offer limited to no medical coverage outside the U.S., which means you could get stuck with a big bill if you need medical care while you travel.

    And even if your provider does cover you, insurance can still prove to be problematic. “If you’re at a hospital in a foreign country, the time difference means you may not get help from your domestic health insurer when you need it, which could create a delay in receiving care or obtaining verification of your coverage,” says Don Van Scyoc, GeoBlue’s vice president of individual sales.

    One solution is to buy a travel medical insurance policy. This type of insurance—offered by providers such as Generali Global Assistance, GeoBlue, and International Medical Group—can cost less than $100 per trip and typically provides coverage for a range of emergencies, from broken bones to heart attacks, some of which may require evacuation by air transportation to the necessary healthcare facility.

    Take these steps when considering a travel medical insurance plan.

    More on Travel

    Comparison shop. The average policy costs $89, according to travel insurance comparison site Squaremouth, but exclusions, coverage limits, deductibles, and costs vary by policy and by provider, so get multiple quotes. Check websites like InsureMyTrip and Squaremouth, which make it easy to shop around. And keep in mind that some travel insurance plans that cover other problems like airplane delays and disruptions may also include medical coverage.

    Look for a plan that covers medical evacuation in the event you need to be transported to receive care. This is especially important if you are going to a place with limited or no access to major hospitals (such as a small island) and might need to be flown to a facility for treatment. Also check to see whether the plan covers “emergency repatriation,” which will help you if you need to be evacuated back to the U.S. from a foreign country.

    Research the provider. Make sure the insurance carrier has a strong rating from the Better Business Bureau and earns top marks from A.M. Best, a credit rating agency for insurance companies.

    Check that the plan also covers any preexisting conditions you may have. Verify that the preexisting condition coverage applies to both medical services and prescriptions, Van Scyoc says.

    Get plenty of coverage. Squaremouth recommends that international travelers obtain a policy that provides at least $50,000 in emergency medical coverage and at least $100,000 in medical evacuation coverage. If you’re going on a cruise or to a remote destination, consider bumping up your coverage to a minimum of $100,000 in emergency medical coverage and at least $250,000 in medical evacuation coverage.

    Editor’s Note: This article also appeared in the July 2024 issue of Consumer Reports magazine.


    Headshot of freelance writer Daniel Bortz

    Daniel Bortz

    Daniel Bortz is a freelance writer and editor in Arlington, Va., who specializes in home improvement, real estate, and personal finance. His work has been published by the Washington Post, the New York Times, Money, Kiplinger’s, Entrepreneur, Good Housekeeping, Real Simple, This Old House, Travel & Leisure, Realtor.com, and more. Follow him on Twitter @DanielBortz.