Yes, Medicare will pay for ambulance services under certain conditions. The rules regarding Medicare coverage for ambulance services are explained below.
Medicare Coverage for Local Ambulance Services
Medicare does not cover the cost of ambulance transportation to a doctor’s office.
Medicare will cover ambulance services to a hospital or skilled nursing facility (SNF) if other modes of transportation could be a danger to your life or health. Medicare will also cover ambulance services to the nearest facility outside your local area if the care you need is not available locally.
If you decide to go to a different facility that is further away, Medicare will only cover the amount it would have cost to go to the nearest facility. Note that all ambulance suppliers will be paid the full Medicare-allotted amount for the transport provided.
Other Eligible Conditions for Ambulance Services
If you have certain conditions such as end-stage renal disease (ESRD), you may qualify for coverage of ambulance services to and from a dialysis facility under Medicare. Please contact Medicare at any time at 1-800-MEDICARE (1-800-633-4227; TTY users 1-877-486-2048) if you have any questions
Medicare Coverage for Air Ambulance Services
Medicare will cover the cost of an air ambulance if you need transportation in an emergency situation but it is difficult to reach you by land or heavy traffic could prevent you from immediately getting necessary care. You will have to pay the difference between the cost of an air ambulance and a land ambulance if it is determined that transportation from a land ambulance was available and did not present a serious danger to your life or health.
If you have any questions about Medicare coverage of ambulance transport, please contact Medicare at any time at 1-800-MEDICARE (1-800-633-4227; TTY users 1-877-486-2048).