I argued with them for some time before the flight; Even contacted Jeff berger, who tried to help us, to no avail. They claimed that THEIR medical expert (who hadn't even seen Tony) had already determined he was able to fly commercial! SkyMed did contact me after the fact, and I let them know what happened and that i was not pleased. Never heard another word from them. I think Carol might be correct, and that others may be benefitting from our experience. Incidentally, BCBS reimbursed us for about 90% of our SXM hospital expenses. The facilitator there had all the paperwork translated for us, and the form for us to submit. I can't say enough good things about this service - which is free!