Medicare Part B (Medical Insurance) covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health. Medicare may pay for emergency ambulance transportation in an airplane or helicopter to a hospital if you need immediate and rapid ambulance transportation that ground transportation can’t provide.
In some cases, Medicare may pay for limited, medically necessary, nonemergency ambulance transportation if you have a written order from your doctor stating that ambulance transportation is medically necessary. For example, you may need a medically necessary ambulance transport to a dialysis facility if you have End-Stage Renal Disease.
What are my costs?
You pay 20% coinsurance of the Medicare-approved amount including the Part B deductible.
Medicare will only cover ambulance services to the nearest appropriate medical facility that is available to give you the care you need. The ambulance company must give you an “Advance Beneficiary Notice of Noncoverage (ABN)” when both of these apply:
- You received ambulance services in a non-emergency situation.
- The ambulance company believes that Medicare may not pay for your specific ambulance service.