Rick--we're talking about EMERGENCY medical evac here, which normally means a private jet. I don't believe Sky Med will pay for a private jet either, if a person can be adequately treated where they are. The difference between SkyMed and most of the others is that they will take you to your home hospital of choice. Most of the others will take you to the nearest medically appropriate facility. ...which could be Miami, which would be convenient for someone from Florida, not nearly so convenient for someone from California. I do note that the "taking you home" option is also available on some of the more expensive plans, so that is not limited to Sky Med.