I disagree with Medicare not paying for the ambulance. What should I do?

September 20, 2009 by admin

Medicare covers ambulance transportation when the condition of the patient at the time of transport is such that all other means of transportation would be inadvisable. Ambulance transport is allowed to the nearest facility unless necessary services are not available locally. In cases where services are not available locally, transportation to the nearest facility furnishing those services is covered. In some cases, Medicare may pay for limited non-emergency transportation if you have orders from your doctor. Medicare will only cover services to the nearest appropriate medical facility that is able to give you the care you need. You pay 20% of the Medicare-approved amount, and the Part B deductible applies. You have the right to appeal any decision about your Medicare services. Your appeal rights are on the back of the Medicare Summary Notice. If you need help filing an appeal, call the State Health Insurance Assistance Program (SHIP) in your state. Their number can be found in the Helpful Contacts section of this website. Additional information about the appeal process and downloadable appeal forms can be found in the Medicare Appeals section of www.medicare.gov.