Description: Show Policy:
In exceptional circumstances, including, but not limited to, when point of pickup is inaccessible by land vehicle, air or sea ambulance services may be MEDICALLY NECESSARY. In these circumstances, all of the criteria pertaining to ground transportation must be met, as well as the following:
Specialty care medical transport services are medically necessary when the following criteria are met:
Effective Jan. 1, 2020, nonemergency transport will be considered MEDICALLY NECESSARY to transfer from a precertified inpatient hospital or skilled nursing facility to a precertified lower level of care admission when the member's condition makes other forms of transportation unfeasible (e.g., mechanical ventilation, traction). This transportation will require prior authorization according to the individual contract. Policy Guidelines: The ambulance services are considered NOT MEDICALLY NECESSARY if the patient is legally pronounced dead before the ambulance was called. The services are considered eligible for coverage if the patient is legally pronounced dead after the ambulance was called but before pickup or en route to the hospital .Coding Section
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive. This medical policy was developed through consideration of peer-reviewed medical literature generally recognized by the relevant medical community, U.S. FDA approval status, nationally accepted standards of medical practice and accepted standards of medical practice in this community, Blue Cross Blue Shield Association technology assessment program (TEC) and other nonaffiliated technology evaluation centers, reference to federal regulations, other plan medical policies and accredited national guidelines. "Current Procedural Terminology © American Medical Association. All Rights Reserved" History From 2014 Forward
Does BCBS il cover ambulance?Ambulance service is covered under emergency conditions and under non-emergency conditions that are specified below.
How much is an ambulance ride in MA?Boston EMS Chief Jim Hooley also told the Boston Globe that the price of ambulances in Boston average between $1,200 and $1,900.
Does Blue Cross Blue Shield of Texas cover medical transportation?Blue Cross and Blue Shield of Texas (BCBSTX) can help you get a ride to your health care appointments as part of our Value-Added Services. You can also get rides to your health classes or therapy. We will send a wheelchair van if you need it. Non-emergency medical transportation is provided by ModivCare.
Are ambulances covered by insurance in NJ?The ambulance transport benefit covers the medically necessary transport of a member by ground or air ambulance to the nearest appropriate facility that can treat a member's condition when any other methods of transportation are contraindicated.
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