It is correct that Medicare and Medicaid do not cover care out of the US. Our Blue Cross supplement does cover emergency care out of the country, but I suspect a cough might not qualify. We did purchase an emergency evacuation plan as well (not Skymed…a much cheaper policy with similar benefits). I’ll do a little research when we’re home, to see if either insurance might kick in a bit, but the receipt from the clinic was pretty vaguely worded as “medical consultation.”