Does medicare cover transportation from hospital to home

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Does medicare cover transportation from hospital to home

  • November 18, 2021
  • Reviewed by John Krahnert

Medicare Part B may cover emergency ambulance services, and some Medicare Advantage plans may offer non-emergency transportation benefits to plan members. Learn more about Medicare transportation coverage.

Yes, Medicare Part B may cover medically necessary transportation ordered by a doctor, and Medicare Part A may cover emergency transportation. However, Medicare Part A and B do not cover non-emergency transportation to and from your doctor's office.

Some Medicare Advantage plans may cover non-emergency transportation, such as trips to your doctor's office or clinic. Some Medicare Advantage plans also cover Lyft and Uber rides to and from your doctor's office or fitness center. 

Find Medicare Advantage plans that cover transportation.

Speak with a licensed insurance agent

1-800-557-6059 | TTY 711, 24/7

What Medicare plans cover transportation?

The only types of private Medicare plans that provides coverage for transportation are certain Medicare Advantage plans. 

Medicare Advantage plans provide the same benefits as Medicare Part A and Part B combined into one simple plan.

Many Medicare Advantage plans may also offer additional benefits such as coverage for prescription drugs, and some plans may also cover things like dental and vision care.

In April 2018, the Centers for Medicare & Medicaid Services (CMS) announced it expand the list of benefits private insurance companies are allowed to cover as part of a Medicare Advantage plan.

The expanded Medicare Advantage benefits can include things like:

  • Transportation to doctor’s offices
  • Wheelchair ramps
  • Handrails installed in the home
  • More coverage for home health aides
  • Air conditioners for people with asthma

These extra benefits are offered as part of an aim to focus on more preventive health and aging-in-place benefits. 

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Lyft partners with some Medicare Advantage plans

The popular ridesharing company Lyft recently announced plans to expand its collaboration with certain private insurance companies to provide non-emergency transportation to doctor’s offices, pharmacies, clinics and other health care facilities.

The company began partnering with private insurers to provide transportation to medical appointments for plan members who live in areas that lack public transportation.

Lyft later enhanced its efforts to include rides to pharmacies, and the most recent change will expand those services to hundreds of additional cities.    

In a 2019 report released by Lyft, more than a quarter of Lyft riders (29 percent) said that the service helped them get to a medical appointment that they would have otherwise missed.1

And that’s not the only evidence to support the success of the partnership. One Medicare Advantage provider reported a 39 percent drop in ride costs and a 40 percent decrease in wait time for its patients after partnering with Lyft.2

Lyft is not only helping patients get to their appointments. The company is also helping qualified beneficiaries arrange other transportation.

Rides with Lyft are booked using a smartphone. But because many Americans over the age of 65 do not use smartphones, Lyft has been implementing upgrades to its Concierge feature, which allows businesses (like health insurance companies) to book rides for customers on their behalf.

With this feature, Medicare Advantage beneficiaries can arrange a Lyft ride through their insurer or a health care provider without having to use a smartphone.

Lyft will even begin offering rides to fitness centers as part of its partnership, as many Medicare Advantage plans include memberships to SilverSneakers and other wellness programs.

"We know that scaling investments and partnerships for innovative transportation models will improve health outcomes, decrease costs for patients, payers, and the government, and combat social isolation. We look forward to partnering with MA (Medicare Advantage) plans around the country to leverage the flexibility provided by CMS (Centers for Medicare and Medicaid Services) to test and make these new models a reality for patients." - Lyft3

Original Medicare and non-Emergency ambulance transportation

Medicare Part B only covers non-emergency ambulance services to the nearest medical facility that is able to provide you with appropriate care if you have a written order from your doctor saying that it is medically necessary.

If you go to a facility that is farther away, Medicare’s coverage will be based on the charge to the closest facility, and you must pay the difference.

If the ambulance company thinks that Medicare might not cover your non-emergency ambulance service, they should provide you with an Advance Beneficiary Notice of Noncoverage.

Original Medicare and emergency ambulance transportation

Medicare covers emergency ambulance transportation if you’ve had a sudden medical emergency and your health is in danger.

Medicare may pay for emergency ambulance transportation by helicopter or airplane if your condition requires rapid transportation that cannot be provided on the ground.

Coverage for emergency ambulance transportation depends on the seriousness of your condition.

In some cases, Medicare may cover transportation in an ambulance if you have End-Stage Renal Disease (ESRD) and need ambulance transportation to and from the facility where you receive dialysis treatment.

Medicare transportation costs

If your ambulance service is covered by Medicare, Medicare Part B typically covers 80 percent of the Medicare-approved amount, and you pay 20 percent (once your deductible is met).

In 2022, the Medicare Part B deductible is $233 per year.

How do I get transportation through Medicare?

In order for transportation to be covered by Original Medicare, it must be ordered by a doctor. 

For transportation to be covered by private Medicare insurance, it must be included in the plan’s benefits and fit within the parameters of any terms or conditions of the coverage outlined by the plan.

Contact your plan carrier to learn how your plan may cover transportation.

You can call to speak with a licensed insurance agent to find out if Medicare plans that cover transportation are available near you. You can also compare plan benefits online.

Do Medicare Supplement plans cover transportation?

Medicare Supplement Insurance plans (also called Medigap) are sold by private insurance companies to work alongside your Original Medicare coverage. 

A Medigap plan won't typically cover transportation, but a Medigap plan can help cover the out-of-pocket Medicare costs that you may face if Medicare covers your transportation.

For example, if your ambulance ride to the hospital is covered by Medicare Part B, some types of Medicare Supplement plans will cover your Part B deductible, and all Medigap plans provide at least some coverage for your Part B coinsurance costs.

Medicare Supplement plans and Medicare Advantage plans are very different things, and you cannot have a Medigap plan and a Medicare Advantage plan at the same time.

Get more from your Medicare coverage

To learn more about your Medicare Advantage plan options and to compare plans that cover transportation that may be available where you live, call to speak with a licensed insurance agent today.

Find Medicare Advantage plans that cover transportation.

Speak with a licensed insurance agent

1-800-557-6059 | TTY 711, 24/7

Does medicare cover transportation from hospital to home

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at .

Does medicare cover transportation from hospital to home

Does medicare cover transportation from hospital to home
 

Does medicare cover transportation from hospital to home

Does medicare cover transportation from hospital to home

Does medicare cover transportation from hospital to home

Does medicare cover transportation from hospital to home

What are 5 items or services not covered by Medicare?

Some of the items and services Medicare doesn't cover include:.
Long-Term Care (also called custodial care [glossary] ).
Most dental care..
Eye exams (for prescription glasses).
Dentures..
Cosmetic surgery..
Massage therapy..
Routine physical exams..
Hearing aids and exams for fitting them..

Does Medicare pay for travel expenses?

Does Medicare Cover Travel Expenses? Generally, Medicare doesn't cover any type of travel expenses, even if they're necessary to receive medical care. Gasoline, airfare, bus fare and other expenses are your responsibility, as are the costs of food and accommodations.

Does Florida Medicaid provide transportation?

Transportation is covered by all Managed Medical Assistance, Long-term Care and Comprehensive Long-term Care plans serving Medicaid enrollees. Medicaid will pay for non-emergency transportation services for a Medicaid eligible recipient who has no other means of transportation to a Medicaid covered service.

What is Part B Medicare for?

Learn about what Medicare Part B (Medical Insurance) covers, including doctor and other health care providers' services and outpatient care. Part B also covers durable medical equipment, home health care, and some preventive services.