My wife & I plan to be based in Portugal, but will spend about 4 to 5 months each year in the US. I know some plans like Cigna Global offer Portugal Coverage with an USA coverage add-on' for an extra fee, but it seems fairly restricted in how it can be used while outside of Portugal. For those of you who spend a lot of time in the US, how do you make sure your adequately covered, while outside of Portugal?