Medicare covers non-emergency scheduled ambulance service which is medically necessary. Here are the Who, When, and Where:
WHO? A patient with at least ONE of the following conditions:
- Is bed confined or requires restraint
- Is too weak or ill to be moved any other way
- Is an invalid with poor significant medical history (e.g. stroke or paralysis, poor heart condition, later stages of diabetes, terminal cancer, severe renal failure…)
- Is confused about or not aware of surroundings (due to sedation, dementia, Alzheimer’s, stroke…)
- Must remain immobile due to fracture or fear of fracture
WHEN? When he or she is admitted or discharge or when transportation is needed for diagnostic or therapeutic procedures not available at the present facility. These include but are not limited to the following. If in doubt, please call us.
- Chemotherapy, CAT scans, dialysis, MRIs, radiation, ultrasound, X-rays, etc.
- Treatment of decubitus ulcers
- Surgeries and pre/post surgical diagnostic testing
- From hospital to hospital (higher level of care) nursing facility or residence.
- From nursing facility to hospital, or out-patient clinic
- From physician’s office to hospital
- From private residence to hospital
Medicare does NOT cover
- Wheelchair or courtesy transports
- Transports for routine medical exams
- Patients residence to physician’s office
If you need clarification on any transport or assistance with financial arrangements, please contact any of our friendly Customer Service Representatives. Each Representative is well versed on Medicare, Medicaid, and Private Insurance. They can assist you with getting your transport approved or offer viable alternatives. Remember, our team is dedicated to serving you.