An estimated 1.5 to 2 million Americans take short-term mission trips each year, and roughly two-thirds of those trips leave the country [industry estimates; Barna Group], most often for the places where the work is needed precisely because the infrastructure is thin. The CDC notes that trauma centers are uncommon outside urban areas in many destinations [CDC Yellow Book, 2024]: the same remoteness that makes the trip worth taking is what turns a rolled ankle into a logistics crisis.
An air-ambulance evacuation back to the US runs $20,000 to $200,000 or more [U.S. State Dept / CDC, 2024], more than many churches’ entire annual mission budget, and the US government does not pay a citizen’s medical bills abroad [U.S. State Dept, 2026]. Many US health plans stop at the border. The travelers on a mission team, students, retirees, first-time passport holders, are usually the ones carrying the least protection, and the church stands behind every one of them.
Emergency medical and evacuation benefits are designed for exactly this trip: help with treatment costs and, where medically necessary, transport to adequate care.