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Garmin inReach devices and its subscription plans seems to offer (optional?) rescue/evacuation insurance already:

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Does mountaineering organization membership such as Sierra Club from California, and Mazamas from Portland, Oregon include such coverage?

closed as off-topic by Reinstate Monica, Jan Doggen, imsodin, Toby Speight, Pont Sep 20 at 8:56

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    I'm voting to close this question as off-topic because it is a question about insurance coverage of specific organisation. That question should be directed at that organisation. Even in the remote chance someone else will have the exact same question and find this answer, it can become obsolete at any time, so you really shouldn't rely on that for insurance. – imsodin Sep 20 at 8:18
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    There are far too many mountaineering organisations to answer this in any way, and even if it were possible to provide an up-to-date and complete list, there wouldn't be room to mention all the conditions and exclusions (e.g. Austrian Alpine Club provides pretty good worldwide rescue cover, but extended trips above 6000m are likely to warrant paying for a "premium" policy). – Toby Speight Sep 20 at 8:38
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Not all search and rescue organizations charge for their services, even for air evacuation. It varies from state to state and even county by county.

In the US clubs like the Sierra Club, the Mazamas, do not offer insurance, and in fact require that you sign waivers holding them not responsible if you are injured on an outing they sponsor. The American Alpine Club does offer some rescue insurance as a membership benefit.

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The American Alpine Club does provide some rescue insurance as part of its membership. It's the only group that I know of that does. As I recall it's fairly limited.

In the United States, rescue is still mostly free. Any costs are generally covered by the local government and if you are rescued your county will likely be billed for your rescue costs. So far, most counties aren't passing those costs onto people, but there's a lot of discussion around the issue.

Evacuation via helicopter is generally paid for by your health insurance. The situation in other countries can be quite different. My understanding is that in most of Europe you will be billed for any rescue efforts done by the local rescue organization.

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