I am going to Guatemala for a month of Spanish immersion this November, and then I am flying to PR for six months (I rent an apartment in Rincon year round and split my time between NJ and PR). While researching travel insurance for Guatemala it occured to me that I should get it for my six month stay in PR. My main concern is getting good medical care in case of a medical emergency, and in medical evacuation in particular. What I'm concerned with is how likely and under what circumstances would a travel insurance policy go along with an emergency evac from PR to the USA. The policies generally state that it must be ordered by a physician (oh right, I am so incompetent that I can't treat Vic so I think he should be air lifted to Morristown, NJ where they have real medical care [I am a little over the top here, but I hope you see my point]) and if the treatment needed cannot be obtained locally (do read my entry in the referenced thread below, bottom line is I medvac'd myself out of PR to NJ after going to the emergency room 3 days in a row at what I was told was a good hospital, Bella Vista in Mayaguez).
There are several threads on this forum addressing medical care in PR. This one contains a summary of a serious problem I had, please read it if you can before going on, or at least read my entry:
https://www.expat.com/forum/viewtopic.php?id=359991
I'm looking for your experiences, thoughts and opinions about the efficacy of emergency medical evac using travel insurance (I'd love to hear from anyone who has been medvac'd out of PR or knows someone who has). And while we are on the topic please share your list of hospitals/doctors to use or stay clear of. I know this is a well worn topic, but it remains absolutely important.