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Medicare Advantage: Frequently Asked Questions

Can My Medicare Advantage Plan Refuse To Pay For An Ambulance?

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Medicare plans are required to cover the costs of ambulance transport if:

  • The transport by ambulance is medically necessary because your condition is such that any other way of getting to the hospital would endanger your life AND
  • The transport is to the nearest facility that could meet your medical need. The hospital does not have to be in the Plan's network.

It is also worth noting that all ambulance providers must accept the Medicare approved amount as payment in full. 

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