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The one and only time I needed it was a few years ago when presented with a $14,000 bill for the wife’s hospital treatment in the US. Fuck me, was I glad I had cover!
Next year, though, we're planning a big trip to Australia and New Zealand, taking in Singapore and Vietnam, so I'll be checking it very carefully.
By the way, @Phil_aka_Pip - I hope you didn't pay for your EHIC card? There are some bogus twats about who charge you £10 just to redirect you to the Govt website.
Seriously: If you value it, take/fetch it yourself
Last year I paid around £90 for the Mrs and myself for annual cover for our trips to the USA. Due to renew again soon but I don't envisage paying a lot more TBH.
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Be careful on renewing though, last year it was cheaper to cancel my policy with them, then start a new one. Even though I pointed this out to them they wouldn’t budge on the renewal quote!