The health insurance companies are definitely NOT all the same.. I can not get insurance now because of a pre application condition ,,but I investigated them all and definitely Universal is the best ,if you can get it . But also there are some hospitals that are pushing health schemes that limit a patient to one or two hospitals,, that are cheaper .
The fine print is so important to make sure what is excluded . If you are close to la Romana ,the la Romana Central Hospital now offers a good scheme.....and if you have insurance in the USA there is also a scheme to take you by helicopter to a Miami hospital when you need treatment.