More than 80,000 Americans traveled abroad in the past year for heart surgeries, hip replacements, and other medical treatments, a growing trend prompted by the rising cost of healthcare in the U.S. Many medical tourists are uninsured or have policies that have big co-payments or won't cover certain treatments, while some travelers have high-deductible insurance policies paired with a health savings account, which can be used tax-free to pay for many overseas medical procedures.