Our ADVantage plan is called and ESP plan. I'm sure some are differant, but ESP is extended service plan. It "should" cover us worldwide, or is suppose to. I really don't want to test that out. I have seen several world plans that worked well. Most are designed to get you stable, and then transport you back to the USA. The motorcycle community is pretty well versed in them. As in Ask @ ADVenture rider about it and you will get lots of hits. Also, Medicare "may" pay. But in most countries you will need to contribute a good credit card with large limits in order to start treatment, or they send you down the road, no matter how critical you are. One country applied $10k US $$$ to my card to start to treat a co-worker, otherwise, GET LOST. That said the medical treatment was extremely good. In that case, the cost was not of consideration. So now to Medicare. Medicare is not really opposed to paying the bill in foreign countries ,but since its govt, it has unlimited redtape. So you will pay, then submit to Medicare for reimbursement. If everything is in English and in US dollars and in US approved code, they MAY reimburse you. I have seen it reimbursed, but it must be interpreted in their language properly. Probably best to find a good world wide plan, and pay the premium. Ours is sponsored by my last employer,(I'm retired) and is through Aetna. Extremely expensive monthly, but a very good plan.