If there's one place where people should always have insurance, it's the USA. You risk being refused medical care without it.
I fainted with chest pain while on a work trip over there. I was taken by ambulance to the local hospital. It was a 5 minute ride. While still in the ambulance (& with oxygen make on), I was asked to sign an iPad agreeing to pay the ambulance costs before I was taken out. I was rolled to the front desk and asked for proof of insurance. I now know that they had contacted the insurance company to confirm I was covered before they started treating me.
A few months later, a bill for the ambulance of £1000 turned up at my home. The insurance company hadn't dealt with it fast enough, so the ambulance company decided to send it to me. (My work sorted it out immediately!)
I dread to think how much my 2 day stay in hospital, plus tests, cost my work's insurance, but I was so relieved that they were on the ball and remarkably helpful. I was stuck in hospital, completely on my own without so much as a toothbrush. I felt very, very alone. (The aunt of the woman in the next bed took me under her wing. I remember crying at her kindness, bringing me cups of tea, snacks and she brought me an ice cream. The food was worse than the NHS.)
The insurance company was available via text, email and phone 24 hours a day & they answered me within 5 minutes every time. They arranged everything I neededextended my stay at the hotel (as I was due to leave the day I was admitted), rebooked fights and trains for me & kept my husband up to date. The day I was discharged, I was supposed to be doing a 2 hour bus journey to the airport. While rearranging my flight, the insurance company went ahead (on their own volition) and paid for a taxi to take me insteadabout 80 miles. I was so grateful!
It made a massive difference to have an insurance company that went the extra mile to help me. It made me think more about which companies I will use when on holiday myself--I will pay more attention to their reputation, rather than snapping up the cheapest.