What Happens If You Get Sick Out Of State

8/21/2025

What Counts as an Emergency?

Under federal law, Marketplace plans must cover emergencies anywhere in the U.S. However:

  • Once you’re stabilized, your plan may require transfer back to an in-network facility.
  • Follow-up care out of state may not be covered.

Example: You break your leg skiing in Colorado. The ER visit is covered, but your follow-up orthopedic appointments there are not.


The Out-of-State Specialist Problem

If you have a rare or complex condition and the best specialist is in another state, your Marketplace HMO/EPO likely won’t cover it. You’d pay the full bill out of pocket.


Why PPO Coverage Changes Everything

A National PPO plan offers:

  • In-network coverage across state lines.
  • Out-of-network benefits if you need care from a non-network provider.
  • Peace of mind while traveling for business or leisure.

Real-Life Scenarios

  • Frequent Traveler – A consultant from New York who visits clients in multiple states has seamless access to care with a PPO.
  • Snowbird – Someone who spends winters in Florida avoids paying out-of-pocket for routine care there.
  • College Student – Parents in one state, student in another—both have full coverage with a PPO.

How to Protect Yourself

  1. Review your current plan’s out-of-state coverage.
  2. If you travel often, consider switching to a national PPO.
  3. Ask your broker for options that match your travel and lifestyle.

Final Thought: Marketplace plans work fine if you stay in one place, but if you cross state lines often, they can leave dangerous gaps in coverage. A national PPO ensures you’re protected anywhere in the U.S.

Want nationwide health coverage that travels with you? Call (716) 503-1113 for a free consultation.