I'd be happy to help and can give a rural perspective. Travelling 1000 k round trips to see a breast surgeon and 600k round trip for gated blood pool scan. Iptaas wouldn't cover a flight when my husband couldn't come on one trip and I was incapable of handling that trip on my own. I had to withdraw against my life insurance as we couldn't even get a carers allowance for my husband or sickness benefits and my son couldn't get unemployment when he lost his job (and living 300k away) even though I wasn't working...but they base the assessment on previous 2 years.
That's right PrimeK ......the further away we live, the more challenging it can be. If we continue to make these things public and increase awareness, create conversation and represent our communities, also lobbying our politicians hopefully, something might be done to improve the current situation.