We bought it because we were going to Europe and Africa. We actually used it last month while in San Diego and my husband broke his hip. They flew him via private jet from San Diego to Phoenix. It only works if you are inpatient and going to another inpatient facility. We chose the facility that he wanted to go to. Their staff was very responsive and proactive in helping us through the process. They even offered to fly me with him, but I decided to drive home. We will definitely be keeping the Medjet insurance.