I visited Good Sam's TravelAsist website and I now see they charge $59/year, so maybe that's what I paid? I can't remember.
Here's a summary of what they cover:
...But I still don't know how much help Good Sam will be in the event of an emergency?
Here's a comment I found on www.irv2:
That plan is designed for medical transportation back HOME, or to a long term facility, not for emergency transportation between a primary care facility and a higher level care facility.
The fine print in contracts are written by lawyers to protect the originator of the contract. They make it in fine print just because most people don't read it.
I have to call my insurance people within 24 hours of getting admitted to a hospital or they won't pay. Unless I'm unconscious or someone else can't call for me - I notify them.
From the Good Sam Travel Assist summary plan description. Page 2, left hand column about half way down.
"MEDICAL EVACUATION AND REPATRIATION SERVICES
TRAVELASSIST must arrange and WE must approve all arrangements for the
services described and defined in this section to be covered at no cost to
*Expenses incurred without our intervention or assistance are not covered."
Seems pretty plain to me. Good Sam Travel Assist did exactly what they were obligated and contracted to do. I know the OP doesn't like that but sometimes it helps to read contracts before the fact.