How awful! We did have a lot of back-and-forth between the facilitator at the hospital in Marigot and SkyMed. Similar to your case, at one point SkyMed wanted to put us on a commercial flight with a physician on board. The facilitator really went to bat for us, the doctor in Marigot insisted that a commercial flight would not be allowable. To their credit (in our case, anyway) SkyMed came through with the medevac flight.

So sorry to hear your experience was so bad, I hope your husband has fully recovered!