Medical facilities are available, but limited in Anguilla, the British Virgin Islands, and the Turks and Caicos. There is a small public hospital on Grand Turk and a private clinic on Provo. This clinic has a hyperbaric chamber. Most serious cases require medical evacuation by air from the Turks and Caicos to the United States, which is expensive. Travelers should ensure that their medical insurance is valid outside the U.S. and that it will cover the expense of air evacuation.
Medical facilities are very limited in Montserrat.
Although the quality of medical care in the Cayman Islands is comparable to that in the U.S., some procedures and critical care require medical evacuation to the United States. Because of the Cayman Islands highly developed diving sector, a hyperbaric chamber is available. Doctors and hospitals often expect immediate cash payment for health services. U.S. medical insurance is not always valid outside the United States. U.S. Medicare and Medicaid programs do not provide payment for medical services outside the United States.