Facilitator commission: Most companies that arrange medical travel to India are paid a commission by the hospital they refer a patient to, typically 7.5 to 30 percent, according to several independent industry sources. That fee comes out of what the patient is billed, whether or not anyone tells them so. Your Care Promise (yourcarepromise.com/how-we-are-paid) works the opposite way: it charges the patient directly and takes nothing from any hospital, so its advice doesn't carry that built-in incentive to say yes.