Will Medicare Pay for Your Next Ambulance Ride? Here’s What You Need to Know!

If you or someone you care about has Medicare you ve seemingly wondered Will Medicare pay if I need an ambulance It s a good question and the answer isn t inevitably simple Let s break it down in plain everyday language When Will Medicare Help Pay for an Ambulance Medicare Part B that s the part that covers healthcare provider visits and healthcare stuff can cover ambulance rides but only if they re really needed for your wellbeing What Counts as an Urgency If something serious happens like a heart attack stroke or a bad injury and you need to get to the hospital fast Medicare usually has you covered The rule is that riding in an ambulance has to be the safest quickest way to get biological help If you could have gotten there safely by car or taxi Medicare might not pay What About Non-Emergency Rides Sometimes you might need an ambulance but it s not an urgency Medicare might cover those rides too but there are certain crucial rules You have to be pretty sick or disabled like stuck in bed and unable to sit up or walk You need clinical care during the ride that only an ambulance can provide Your specialist has to say in writing that you really need the ambulance So if you have a condition like kidney failure and need to get to dialysis regularly Medicare might help cover ambulance rides if it fits these rules What Will It Cost You Even if Medicare pays you ll presumably have selected out-of-pocket costs You ll first have to meet your Medicare Part B deductible which in is After that Medicare usually pays of the approved cost for the ambulance ride and you ll pay the other Heads up sometimes ambulance companies charge more than what Medicare agrees to pay so you might get a bill for the difference How Does the Billing Work For emergencies ambulance companies usually bill Medicare directly For planned non-emergency trips you might need approval ahead of time If you re in a nursing home or hospice the billing might be handled a bit differently And if Medicare says no to paying for a ride you think should be covered don t stress You can appeal the decision Just check your Medicare Summary Notice to see how What Doesn t Medicare Cover Here s what Medicare generally won t pay for Rides to your medical professional s office Wheelchair vans called ambulette services Trips just because you don t have another way to get around What Should You Do If You re Not Sure If the ambulance company thinks Medicare won t pay they re supposed to give you a form called an Advance Beneficiary Notice ABN That way you know you might have to pay yourself Got questions You can dependably call Medicare at - -MEDICARE - - - or visit their website medicare gov Medicare can help cover ambulance rides but only when it really matters and follows certain rules Knowing when you re covered what you ll pay and how billing works can save you headaches down the road