I just got a $300 bill for an ambulance ride I thought was covered. Am I the only one who didn't know Medicare doesn't pay for all emergency transport?

Question

Maureen McKenna · Accepted Answer

Medicare does pay for covered ambulance service but certain criteria must be met. There is a $257 Annual deductible for all medical costs that must be satisfied and a 20% coinsurance on all ambulance services. Consult with a licensed agent to find out what the criteria is that you have to meet in order for it to be a covered service. Supplement/MediGap pland and Advantage plans include coverage for Ambulance services as well.

Answered by Maureen McKenna on April 3, 2025

Agent Licensed in CA, AZ, CO & 17 other states

Answered by Maureen McKenna Medicare Insurance Agent

Nikki Rowland · Answer

If you have a Medicare Advantage plan, there is a CO-Pay for each service provided to you including an ambulance ride. This is another reason I feel it is so important to have a local agent that explains all of the details to you so you don't have surprise bills.

Answered by Nikki Rowland on April 21, 2025

Broker Licensed in SC & NC

Answered by Nikki Rowland Medicare Insurance Agent

Charise Karjala · Answer

Sounds like you’re in a Medicare advantage policy. Each Medicare advantage policy has different co-pays and some of them have $300 co-pays for Ambulance.

The summary of all of the co-pays is included in the evidence of coverage you received when you signed up. You may want to refer to that just to confirm.

If it is not outlined specifically in your evidence of coverage as being $300, then contact the carrier and dispute the charge.

That’s your right.

Jay Larshus · Answer

An ambulance bill will depend on the type of Medicare plan you have. Most Medicare Supplements today will have a Part B deductible that needs to be met first. Medicare Plan C or Medicare Advantage plans will typically have a copay for an Ambulance.

Answered by Jay Larshus on April 8, 2025

Agent Licensed in TN & VA

Answered by Jay Larshus Medicare Insurance Agent

Dana Dane · Answer

I am assuming you have a Medicare Advantage plan. I have not see a Medicare Advantage plan that offers a $0 copay for ambulance service. Please call your agent to review your plan benefits again. If you do not have an agent, please review your summary of benefits and/or call your insurance company. If you are educated about your benefits there will be no surprises.

Answered by Dana Dane on April 14, 2025

Agent Licensed in OR, AZ, CA & 6 other states

Answered by Dana Dane Medicare Insurance Agent

Aaron Solomon · Answer

Your traditional Medicafre part A & B does not cover transportantion. If you have a MAPD plan
you will have coverage . You will pay a co=pay.

Christopher Garcia · Answer

while Medicare does cover emergency transport, it does not cover it at 100%. If you have original Medicare, they typically cover 80% after you meet your deductible. If you have a Medigap plan and there should be no cost but that can vary based on which medigap plan you own and whether you have met your annual deductible. If you have a Medicare advantage plan then the co-pay will vary based on the plan you are on. You can refer to your summary of benefits to see what your co-pay is for ambulatory transport.

Answered by Christopher Garcia on April 7, 2025

Agent Licensed in NM, AZ, CO & TX

Answered by Christopher Garcia Medicare Insurance Agent

Doris Youngman · Answer

Depending on your insurance plan, you pay what is owed according to the plan.
If you didn't have insurance, you would be paying a lot more.

Steve Brauer · Answer

Ambulance rides and other types of services are covered under the Part B of Medicare. If you got a bill for an ambulance ride, that is most likely the copay for the plan that you've enrolled into. If you had a MediGap plan, you may not pay anything, but remember, there is a monthly premium (pretty high sometimes) with MediGap plans, based on your age and zip code.

Answered by Steve Brauer on April 14, 2025

Broker Licensed in AZ & CA

Answered by Steve Brauer Medicare Insurance Agent

Betty McCarty · Answer

Medicare covers transportation to the "nearest appropriate" medical facility. 

If you are taken to a location farther away, Medicare may only cover a portion of the cost, not the full amount.

Details regarding this policy can be found in your explanation of benefits package. 

For clarification or assistance with discrepancies, it is often helpful to consult with an agent near you. You can also reach out via email to us at bkconnections@comcast.net for further support.

Penny Wegner · Answer

I would have a couple questions for you before answering the question fully. Is this truly a bill or an EOB. I do advise my clients to make sure that their bill has gone through Medicare and their insurance before panicking as well. Advantage Plans do have a co-pay ranging from $250 and up.

Answered by Penny Wegner on April 15, 2025

Agent Licensed in WI, CA, CO & 8 other states

Answered by Penny Wegner Medicare Insurance Agent

I just got a $300 bill for an ambulance ride I thought was covered. Am I the only one who didn't know Medicare doesn't pay for all emergency transport?

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I just got a $300 bill for an ambulance ride I thought was covered. Am I the only one who didn't know Medicare doesn't pay for all emergency transport?

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