Normally, I avoid responses. So I will just write this one post only. I do not wish to debate.
In April 2019, I was disembarked at Guadalope on day 90 of a 111 days cruise. I had Platinum Princess Vacation Plan (PVP) with an evacuation coverage of $50K.
The final evacuation was to be to my city of residence -- SFO. Fortunately, the French Hospital in Guadalope to which I was disembarked and admitted was able to correctly diagnose my problem (not a pre-existing) which the ship doctor was not able to do. After 6 days, the Guadalope hospital doctor cleared me to be transported but I was still on IV because of a secondary infection.
The PVP coordinator was great. I learned through the hospital via the PVP coordinator,
that because of being on IV, I could NOT use commercial airline even accompanied by an RN. So the evacuation to a US hospital (where I would be medically covered) had to be using an Air Ambulance. Evacuation directly to SFO would have exceeded $50K but luckily the coordinator was able to locate an Air Ambulance going to FLL. So I was evacuated to FLL by Air Ambulance with 2 medical attendants. After a short stay in FLL hospital, I was off IV and PVP arranged to fly me commercial First Class accompanied by an RN to SFO and admitted to a PT hospital in SFO . Air Ambulance was around $24K and the flight FLL/SFO may have been around $5K. These are real evacuation numbers.
IMO, the assumption that an evacuation during a transatlantic cruise by helicopter / coast guard to the nearest (US or non-US) hospital would be compliments of US govt. is doubtful.
BTW, the best source is Steve whose experience and knowledge IMO can be completely trusted.
Now I get xtra coverage over and above PVP through him.