You were fortunate with SkyMed. My husband contracted pneumonia last winter in SXM and after a week in the French side hospital, the liaison woman (who was wonderful btw) suggested we use our SkyMed and return to the US. Sky Med would not provide a medivac flight despite the release form signed by the doctor stating my husband was not able to fly commercially. We were put on an AA flight, with a plane change in Miami for Boston with a nurse and medic; a 9 1/2 hour ordeal, had we made it. My husband nearly died before we reached Miami, and he was taken by ambulance to a hospital there where he spent 4 weeks. Turns out he had 2 highly contagious bacteria and could have infected numerous people. Needless to say, we are not very pleased with SkyMed, although we still have their insurance.