Medicare Part B pays for "Medically Necessary" ambulance
transportation as long as certain conditions are met. Essentially, Medicare will
pay for ambulance transportation during a medical emergency or for non-emergency
transportation provided the patient is bed-ridden, the transport is to or from a
hospital or free-standing dialysis center and it is cheaper to take the patient
to the required service than it would be to bring the service to the patient.
For Medicare to pay for ambulance transportation it must be medically
necessary. This means that in an emergency it must be as a result of a sudden
onset of a condition of sufficient severity that any other form of
transportation would place the patient's health at risk. In the case of
non-emergency transportation the transport must be to obtain a necessary medical
evaluation or treatment and the patient must be unable to get out of bed
without assistance and unable to walk or sit in a chair and any other form of
transportation would present a risk to the patient's health or safety.
Medicare only covers ambulance transportation to the closest hospital that
has the services you require available. If you wish to be transported to a
further hospital you will be responsible for any additional mileage charges.
Yes, we do accept assignment from Medicare.
Medicare will pay 80% of the allowed amount for covered ambulance services.
You or your supplemental insurance will be responsible for the remaining 20%.
Yes, our business office will automatically file your Medicare claim for
covered services.
No. Other types of medical transportation such as wheelchair vans are not
covered by Medicare.
