Based upon my experience paying hospital bills for family members there, a cc with a 2k limit should cover most medical expenses. For example, I just had a 19 year old niece go to Holy Child and had a very extensive battery of tests and a few nights stay. I am thinking total costs were around 40k php, which at today's exchange rate of 48 peso to 1 usd is about $833.00. Add in surgery and costs could go up quite a lot. To fully self insure, I would guess a minimum of 10k USD, or 480,000 php would be close. For someone with many high risk factors, you may one closer to 20k usd. This brings in to question also cc rates. I have 3 with no foreign transaction fees, something everyone should have. No sense paying 3% extra if you don't have to. Interest rates are also something to look at. Compound interest on a cc can bankrupt you on super high amounts if your not careful. Your best bet is to save, save, save. Have a local account at a bank, plus one in the US. Maybe even set up a second account in the local bank just for a health savings account. Sure it will take away from your fun, but it will save you loads of trouble when you need it. The added advantage to this format is transferring money via transferwise or xoom both have less fees going directly into a bank account. If your wondering which is better, xoom or transferwise, transferwise is better for direct bank account to bank account transfers. They have a couple issues delaying payments-especially over a weekend- but they will save you a lot in the long term. If you have to transfer via credit card xoom is better. We actually had to do this not to long ago as we had just finished almost 8 months worth of upgrade work to our house in Bacong, when my wife's dad died. We didn't have enough capital left for the cows, pigs, and a few other things for the funeral, so we used a credit card knowing we could pay it off in a month or two. Xoom beat transferwise fee wise for cc transfers. Again this is all based solely on my experiences, however they are all within the last couple months.