Depending on the level of membership you have with AMEX? AMEX will send a doctor directly to you with one telephone call. That doctor working with the medical staff at AMEX will determine the care you need and the best way to get you there. We never buy any airline travel with anything other than AMEX. When you are a loved on is sick in a strange place to you. The ability to just dial the number on the back of The Card and get a local doctor screened by AMEX can be invaluable. Like the previous poster. AMEX do not leave home without it. Always use the AMEX first and foremost. Doubt any vendor of services who does not want the AMEX Membership Cards.