WHO PAYS FOR YOUR MEDICAL TRANSPORT TRIP?
Many people want to know what services are covered under their different insurance programs. This can be a challenging, yet vital part when searching for a transportation provider. We want our customers to be well informed throughout the process, so this information should help.
Currently, Mile High Ambulance participates with the following networks: Veyo and Rose Medical Center HealthOne.
Below you can learn more about the insurance coverage and other financial considerations provided by the different programs
THE MEDICARE PROGRAM
What does the Medicare Program Cover?
The Medicare Part B Program DOES cover:
- Transports to and from hospitals if the receiving hospital is the closest facility for the patient
- The patient will be responsible for additional mileage to any other facility unless it is to receive a medically necessary service not provided at the original facility
- Transports to approved dialysis facilities
- Documented emergency transports
- Transports between SNF (Skilled Nursing Facility) and a hospital
What is not covered under the Medicare Program?
The Medicare Program does NOT cover:
- Transportation in wheelchair vans or cars
- Transportation by stretcher to doctor’s office
Who is the Medicare Program designed for?
The Medicare Program was designed for:
- Those over 65 and not covered by group insurance, by spouse or current employer
- Those who are permanently disabled for 2 or more years, even if under 65
- End-Stage Renal Disease
- Adult disabled child of a Medicare beneficiary
THE MEDICAID PROGRAM
What is the Medicaid Program?
Medicaid is a state program that is financed by the county, state, and federal government.
What does the Medicaid Program cover?
The Medicaid Program DOES cover:
- Stretcher Transports
- From hospital to doctor’s office, nursing home, residence, and to another hospital
- From SNF (Skilled Nursing Facility) to another SNF
Wheelchair Transports
- Discharges from hospital to home or SNF
- From residence to doctor’s office, hospital, wound care, and/or to dialysis
Veyo
Dual eligible patients should be called in prior to transport for consultation.
COLORADO NO FAULT (PIP)
What is the Colorado No Fault?
If you have been involved in a motor vehicle accident in the state of CO, your auto insurance carrier may provide for transportation in the event it is medically necessary. In these instances, the No Fault or the Pip Fee schedule is utilized.
- May carry a co-pay or deductible
- Reimbursed for medical appointments
- Stretcher
- Car
In summary, medical transportation billing, like most of health care, is complicated and difficult to navigate. After years in the medical transportation industry, we consider ourselves experts when it comes to billing for our services. Our collection rate from third party payers averages 96%, which is excellent when compared to industry standards. Our billing expertise will certainly benefit our clients.
