Working with American Express we have coverage that will get us to both medical care and home on any travel that was charged to the card. We do not buy air travel that was not charged to those cards with those evacuation benefits. You simply contact the number on the back of the card and a US MD and local MD are put in contact with you to determine the required medical care and transportation. This is the same type of benefit I have enjoyed with my fortune 100 employers during any business travel. That is just one of the many member services American Express is built around. You may remember the old saying. "American Express do not leave home without it". We follow those rules when it comes to travel away from home.