Roamless calls to an Italian number from anywhere are billed against your account at $0.04 a minute. You can call from the US, or Rome, it is the same rate. The App shows the calling rates for the 200+ countries where they have service. This is one of the primary reasons I have a Roamless account. I posted here on Flyer Talk, a road test of their service a few months back, and their data speeds were impressive also.

I'm going to Alaska in a few weeks, where AT&T is the only US carrier with native service. I intend to supplement my T-Mobile plan with Roamless set to AT&T for that trip if TM enforces their 200Mb roaming rule I have read about.