The US Embassy in Santo Domingo reminds travelers that one of the most important steps before traveling abroad is to consider purchasing international medical insurance. The US Department of State strongly urges US citizens and US residents to consult with their medical insurance company prior to departure to confirm whether their policy applies overseas and if it covers emergency expenses such as a medical evacuation.
A note in the US Embassy website reminds Americans that US medical insurance plans seldom cover health costs incurred abroad unless supplemental coverage is purchased. Medicare does not cover medical costs outside the United States. Many travel agents and private companies offer insurance plans that include coverage for medical care overseas, including emergency services and evacuations.
The US Embassy makes the point that those seeking medical attention may find themselves having to pay in cash before providing treatment. A medical evacuation to the United States can cost well over US$50,000, and uninsured travelers often face serious financial and logistical challenges.
The US Embassy also urges its citizens and residents to confirm with your insurer whether payments are made directly to overseas healthcare providers or if you’ll need to seek reimbursement later.
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US Embassy
17 February 2026