If you vacation outside the United States (for US residents), consider Medical Repatriation Insurance also. Most medical insurance, if it covers you outside the US (Medicare does NOT) will only cover transportation "to the nearest hospital" - which will probably be in whatever country you are visiting. If you have a six week (for example) recovery in the hospital you probably wouldn't want to stay in Belieze that long. MedJet Assist is the one I carry. If I'm more than 150 miles from home anywhere in the world, they will transport me to the hospital of my choice so I can spend that recovery time under the care of my doctor near my family. This is not the same as air ambulance insurance which covers you from an accident scene to the hospital, although I suppose some air ambulance insurance policies might cover both.