Dominican Insurance here for anyone is not expensive...we have coverage through Universal and pay 1200 US a year with 80/20 copay but usually they charge us only 10% if at all....we have 600US each toward prescriptions, dental and glasses....and we each have that coverage for the total of 1200US for both! contact Amber Guardian in Sosua they have less expensive plans but just went to ER with torn tendons in my ankle the end of last week and it was casted, x-rayed, saw Dr Reyes and we paid 325 pesos in total including the one pain injection they gave me (which was I found out-toradol-which has been banned in the US) and the script they gave me for toradal (the name here begins with a d and has kerato,,,,something in it) and that cost us 40pesos with the insurance. My advice would definitely to have insurance of some king here! and if you are coming from the states or Canada on a mission trip I am sure they have some sort of coverage for short term stays..... Hopefully he is doing well and will not "rack" up a huge bill God's speed btw is there any pain med in this country? I am hoping they are giving him something more than what I received, I have had 7 foot surgeries due to joint replacement in my toe on the same foot I just tore the tendons on and wow this is by far the worst but then again in the States I at least had strong pain meds for the first week and broke the pain cycle and then could deal with just motrin.....so hoping he makes a full and hopefully less painful recovery..he stounds like one tough cookie! God's speed