Yes, Medicare Part B generally covers ambulance services to or from a hospital, skilled nursing facility or critical access hospital.
Keep in mind that Medicare typically only covers ambulance services to the nearest appropriate medical facility. If you choose to be transported to a facility that is further away, Medicare may only pay the cost for transportation to the nearest facility, and you may have to pay the difference.
Ambulance services fall into a few different categories:
If you’ve had a sudden medical emergency and you cannot be safely transported by other means, Medicare may cover your emergency ambulance transportation.
Some examples of emergency situations include:
Medicare may pay for ambulance transportation via a helicopter or airplane if your condition requires rapid transportation that ground transportation cannot provide.
Non-emergency ambulance transportation may be covered by Medicare if you have a written order from your physician stating that ambulance transportation is medically necessary. This is typically limited to certain circumstances.
If you only have Medicare Part A (hospital insurance), you should note that Part A does not cover ambulance services.
If you want Medicare coverage for ambulance services, you may want to consider enrolling in Medicare Part B.
By law, Medicare Advantage plans must provide the same hospital and medical benefits as Original Medicare (Medicare Part A and Part B).
This means that your Medicare Advantage plan will generally cover ambulance services, as long as they would be covered under the Medicare Part B guidelines described above.
Did you know that Medicare Advantage plans may also offer additional benefits not covered by Original Medicare?
In addition to hospital insurance and ambulance service coverage, some Medicare Advantage plans may offer prescription drug coverage as well as other additional benefits.
To learn more and to compare Medicare Advantage plans available where you live, call to speak with a licensed sales today.
Explore Medicare Advantage plan benefits in your areaCompare plans now
Or call TTY Users: 711 24/7 to speak with a licensed insurance agent.
Join our Medicare Advantage email series.
By clicking "Join now" you are agreeing to receive emails from MedicareAdvantage.com
Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.
MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.
Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
Medicare has neither reviewed nor endorsed this information.