johnhill--It is definitely possible they would evacuate you to San Juan or to say, Martinique, which is where many French side patients are evacuated to. Those hospitals are still nowhere near as good as the US. And the air evac amount is totally insufficient to get you back to the US, yes. The insurance is basically worthless, in my opinion, except for the cost of quarantine. And since it only pays $125 a day, god knows whether THEY will decide where you can stay, or whether you have to try to find somewhere to stay for that amount of money, but $125 a day, especially in high season, doesn't seem like it would do the job...