i have personally used allianz and its predecessor, access america, for about 6 years. i've nothing but good luck and outstanding service from them. in 2012 when i got hit in nicargaua, my coverage was accepted as 100% and they paid 100% i was not out of pocket at any time for even a penny.
weeks after the accident after i returned to miami, they called me to ASK IF I HAD ANY UNPAID EXPENSES!!! simply fantastic. and they cover more than just medical.
i've heard several real horror stories of about world nomads and would recommend you google them before you send one penny to them.
one thing you want to be extra sure about is if the policy is a reimbursement policy. that is, will you have to pay for surgery, drugs etc and then wait for them to pay you back? this could be next to impossible to achieve if you are on the road, and even harder to fight if they decided to screw you.
find out if they are accepted as primary payment at the best places you are likely to be close to.
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