Recently there has been conversation on TTOL regarding medical coverage for seniors while in SXM. Most of us know that Medicare won't cover anything out of the US. We just checked with our Advantage (supplemental) medical coverage plan and learned that they will cover most medical problems while we are in SXM. We are in our 70s and had thought that we might need medical evacuation insurance as well as medical and travel insurance to avoid potential $50,000 fees for evacuation. That is not necessarily accurate. I suggest that you contact your supplemental insurance carrier to get your coverage information. Understand that they won't replace travel insurance (usually only around $50) but may cover all standard medical and emergency evacuation when you cannot get the required medical attention you need in SXM. Some of us may save considerable $ with coverage we already have.