6 Things You Need to Know About Getting Medical Care Abroad

If you're on a road trip with young children and you're looking for a place to let them blow off some steam, check out the playgrounds at local elementary schools. They almost always have equipment that your children will love to explore. It will also give everyone in the family a welcome chance to stretch their legs.

When you travel to a beach destination, bring your own snorkel gear. We bought snorkels, masks, and fins at home for half-off (at an end-of-summer sale) before a trip to Hawaii. They didn't take up much room in our luggage, and we would have spent as much or more renting the equipment.

When my husband and I visit places like India or Thailand, we pack only one extra change of clothes. When we arrive, we hit a local market and buy local attire--woven shirts, saris, sarongs, etc. Not only does this make packing easier, but we get a better cultural experience and end up with lots of wearable souvenirs!

Instead of dropping my laundry off at the front desk, I take a walk around the block and look for the nearest dry cleaner--probably the same one the hotel would've taken it to. By cutting out the middle man, I pay a quarter of what they charge at the hotel!

A simple but effective anti-pickpocketing measure is to fasten a safety pin across the opening of the pants pocket on the inside. Leave enough room to pull your wallet out with some effort, but not enough for a quick hand to lift it in a second or two.

Don't put your magnetic sunglass clip-ons in the same pocket as your mass transit fare cards or hotel key cards. I managed to erase both my subway pass and my hotel key on a recent trip.

Before you buy expensive bottled water from your hotel room minibar, head to the fitness center. You'll be able to fill up an empty bottle at the gym's water cooler or fountain for free, and you don't need to break a sweat.

You won't always save by bringing the rental car back early. Alamo has an early-return policy at all of its locations, designed to discourage customers from returning cars early. If you show up at the lot a day or two ahead of schedule, Alamo will recalculate what you owe them at the daily rate; if it turns out to be less than what you would have paid for the week, they'll charge a $15 fee. Yet another reason to read the fine print on your contract carefully!

Online check-in isn't just for airlines. After reserving an Alamo car over the Internet, I was offered online check-in just by entering my credit card number and driver's license information for approval. At the airport, following Alamo's instructions, I informed the shuttle-bus driver that I had checked in online and reserved an economy car. I was dropped off in the lot and told to pick whichever car I wanted. I drove it to the exit, where my credit card and driver's license were verified on the computer, and I was done.

I carry recipe cards with me to jot down interesting dishes I come across while on vacation. (I also like to use colorful postcards from the area I'm visiting and trim them to fit my recipe box.) Here's a wonderful dessert idea I brought home after spending a rainy afternoon with my husband in a London pub: Top a warm waffle with vanilla ice cream, maple syrup, and chopped pecans. It's heaven with a cup of hot tea.

We decided to take our bikes on our last Caribbean cruise. It was a little crowded in the cabin, so the steward let us store them down the hall with the wheelchairs. We were last off the ship when we docked in Bermuda, but after five minutes we'd left our fellow passengers in the dust. And in less than fifteen minutes, we were far away from the busy port, enjoying a beautiful, deserted snorkeling beach.

In areas where the majority of people don't speak English, head to an Internet café. In our experience, they're full of friendly young people anxious to practice their English.

Put a few plastic trash bags in the outer pockets of your suitcases and carry-ons. If you arrive at your destination and it's raining, you can cover your luggage with the bags while you make your way to your hotel. Just cut a slit for handles or straps.

Create an ID page for each of your children before you leave on a trip. In addition to vacation contact information (hotel name and phone number), include the child's name, a current photo, home address, phone, date of birth, Social Security number, passport number, hair color, eye color, height, any identifying marks, blood type, allergies, medications, doctor and insurance phone numbers and ID numbers, immunization schedule, and fingerprints (these don't change, so investing the time to have a set made is worth it). If the unspeakable happens, the ability to hand over instant, concise information to authorities may prove invaluable. Update it before every trip.

My husband and I befriended some locals in Provence by joining them in a game of petanque. It was such a memorable experience that now we brush up on local games each time we plan to travel abroad. We've played dominoes in Spain and bocce in Italy.

Carry the exact change for public transportation. In Venice, we were annoyed when a vaporetto (water taxi) ticket-taker refused to give us our change. Later, we discovered that if you don't have the exact fare, ticket agents make no promises about giving change.

Water-bottle holsters are good for more than holding water. I own several Water Bottle Totes by Outdoor Research (orgear.com). With their Velcro-like straps, I can fasten them anywher--to my belt, camera strap, fanny pack, purse, or airplane seat. I've used them at various times to carry my camera, binoculars, snacks, umbrella, battery-powered fan, flashlight, sunglasses, a windbreaker, and a rain poncho.

I prefer laminated city maps because I can circle all the things I want to see in a given day with a dark erasable marker. Once I have everything marked, I plan my route and start walking. The next day, I erase the previous day's marks and begin all over again.

I live in coastal Florida, where the electricity sometimes goes out during violent storms. Before a trip, I place a few ice cubes in a plastic bag and put the bag in the freezer. If the ice has melted and refrozen by the time I get home, I'll know we've had a power outage and that any food left in the refrigerator may be unsafe to consume.

Don't be afraid to go to a foreign pharmacy. I forgot to pack my prescription medication on a recent trip to France. When my problem acted up, I went to a local pharmacy. (Look for the green cross.) The pharmacist provided my medication without a prescription and at a fraction of what it would have cost in the United States. In fact, one could benefit by stocking up abroad on medications that would normally be acquired at home at a much higher price.

I carry bilingual takeout menus when traveling to countries like China, Korea, and Vietnam. When I'm at a restaurant with no menu (or one that I can't read), I give mine to the waiter so he can point to dishes they can prepare. I've learned to pack a few extra menus, as the restaurants often like to keep a copy.

Try getting a discount on your hotel room by offering to pay in cash. A hotel reservationist suggested this approach when I phoned to reserve at a hotel in London. I asked if the hotel could grant a discount based on my AARP or AAA membership, as many hotels do in the United States. Her response was that the only discount she was able to offer was 10 percent if I paid in cash.

Before traveling by taxi in foreign (or even domestic) locations, ask a local (perhaps stopping in shops to question the sales staff) what the approximate taxi fare would be to a particular location. They've always been pleased to help me. In this manner, I can avoid paying the inflated tourist rates!

Restrooms abroad rarely have hooks on stall doors. Our solution: Pack a small S hook in your shoulder bag and make use of a hole in the wall, a pipe, etc., to hang purses, jackets, or anything else you want to keep off the floor. S hooks can be found in most hardware stores, near the screws and bolts.

Going to a place where you don't speak the language? Take along a picture booklet filled with examples of common food items (chicken, cow, rice, bottled water, coffee, wine, etc.) and use it to find dishes you like—you only have to point to the picture of what you want. We did this during a recent trip to Asia and always had wonderful meals.

When my husband and I would stay in a hotel with our two-year-old, a full night's sleep was out of the question. The minute our son opened his eyes (at 2,3,or 4 a.m.), he woke us, thinking it was time to play. We now pack a pop-up tent and set it up in a corner of the hotel room with books, a blanket, and a few small stuffed animals. The tent folds down to a 14-inch circle and weighs about a pound. It works great! My son has his own "room" to sleep in when we vacation, and we all get to sleep through the night!

Using your frequent-flier miles, you might be able to visit two cities on one ticket. For example, my wife and I always trade in our Delta miles when we visit our daughters in Dallas and San Francisco. Because we have to fly through Dallas to get to San Francisco on Delta, we can stop over in Dallas for as long as we want before continuing on to San Francisco—and we use only one frequent-flier ticket each.

If you're stranded overnight at an airport and receive a "distress rate" voucher, call the hotel of your choice before blindly following the airline's suggestion. You may find that for that discounted rate (or a few bucks more) you can stay in a hotel with a lot more amenities than the one the airline would put you in. After a long, mishap-filled trip, anyone can appreciate a really good mattress, a top-notch restaurant, and an indoor swimming pool.

Bring a single-hole punch and lanyard on your next cruise. Once aboard, you can make a hole in your plastic key card and attach the lanyard, allowing you to carry the key around your neck. This is especially useful when your dress or slacks have no pockets. Just be sure to put the hole where it won't interfere with the card's magnetic strip.

If you're looking for authentic street food--whether you're in New York or Bangkok--don't buy from the pitifully lonely vendor who has no customers. Head to the cart with the longest line of hungry people in front of it. Locals know which vendors serve the best (and safest) food. Even if you have to wait, your stomach will thank you.