You can look at the latest from the government online, which I believe, SO FAR, hasn't changed from around end of September. Covid insurance is supposedly required, but as of NOW, there is no mandatory insurance based in SXM, like there is in Aruba.

With regard to medical evac, my personal feeling is that medical evac limited to $25,000 is absolutely USELESS, as medical evac is going to cost about twice that, even if it's NOT Covid related.