Does Your Health Insurance Cover the Cost of Medical Transportation?

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How Important is Medical Transportation Services

Approximately 3.5 million Americans do not have access to transportation mainly because they cannot afford to purchase their own car. Poor access to transportation restricts mobility especially when seeking preventive health care services. Because of inaccessibility to medical transportation, serious complications could arise if a person cannot get treatment when needed.

What is Medical Transportation?   

Medical transportation is the type of transport service for people with disabilities and unable to drive to meet doctor’s appointments or seek preventive health care and needing special transit assistance. City transportation offers very limited access and non-medical transports are difficult to deal with.

People who are wheelchair-bound, elderly persons who suffer from dementia and semi-ambulant patients depend on reliable medical transportation services to go about their errands and non-emergency trips. Without this access, people are denied of preventive care that could result in worsened health and higher numbers of medical emergency situations.

Who is Eligible for Medical Transportation Services?  

Not every sick and disabled person can qualify for services. People who have health insurance with coverage for medical transportation are covered. In certain states where Medicare and Medicaid have broad implementation, an elderly can avail of the medical transportation under the Programs for All-Inclusive Care for the Elderly (PACE). In order to qualify:

  1. You must be 55 years old or older
  2. You reside in a community serviced by PACE organization
  3. You obtained a state-issued certification stating that you need special care

Medical Transportation Cost that is not Reimbursable by the Health Insurance

  • Transport of a felon to a hospital for detention purposes.
  • Transport of a member to a facility for treatment of substance abuse or alcoholism.
  • Extra charges for excess luggage.
  • Transfer of recipient from the transportation to his accommodation using the stairwell.
  • Bus or Metro Train Terminal Fees
  • Federal or state excise taxes.

Medicare pays for emergency medical transport services only. Transfer from one hospital to another for emergency surgical procedure or needing more advanced treatment facility is covered but can differ depending on needs. If you need more information about these types of transportation, call a reputable medical transport company and we shall take you to your destination promptly and safely.

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