Two terms appear in the medical section of most policies and get read past. The circumstances they address are uncommon. These are the scenarios with genuinely serious costs. Getting you from where you are to where treatment exists. This applies where local care cannot handle the situation. Destination depends on where suitable treatment is. Transport home rather than to another hospital. Long recoveries are usually better handled at home. These are clinical determinations. Treating doctors, the insurer’s medical team, and transport specialists all contribute. Transport carries its own risks for some conditions. Several options exist. Accompanied travel on a scheduled service. A section of a commercial cabin adapted for lying flat. A dedicated air ambulance is the heavy end. Even the lightest option is a serious expense. This is the exposure that makes cover worth holding. A generous overall medical limit may still cap transport. Longer journeys mean higher costs. Companions raise their own questions. Accommodation and changed flights for psu connect those who remain. The travellers who never need any of this understand that the unlikely case is the whole point.