I suggest you call Sabine Mertes at 809-885-2260. She is a very reliable insurance broker in Sosua. I bought a Dominican insurance policy for my "adopted" family in the DR that covers up to one million dollars per person, including treatment in the US. Unless you are talking about going to the US every time you need a doctor including checkups I think this policy makes sense. I'm not sure if it's available for non-citizens, as I live in the states and have my own insurance. - D