TMA - Monthly Newsletter - 2017-08

Published: Thu, 08/03/17

 Image
August 2017 Newsletter
 
Image




Image

Mr. D was denied coverage for
non-emergency ambulance transportation

Problem:

Mr. D recently returned home after being hospitalized with a number of severe medical conditions, including end-stage renal disease. Mr. D requires dialysis three times a week. His family contacted a local ambulance company to request regular appointments for transportation to the dialysis facility, because he is confined to his bed. The family also forwarded a letter from Mr. D’s doctor stating that this transportation was medically necessary because Mr. D needs medical services during your trip that are only available in an ambulance. However, the ambulance company refused to transport Mr. D because it said that Medicare would not pay.


What To Do:

Mr. D’s family called its local State Health Insurance Assistance Program (SHIP). A counselor informed them that Medicare covers non-emergency transportation to a dialysis facility when a doctor or other health care professional certifies that the ambulance transport is necessary because of the patient’s medical condition. The SHIP counselor mailed a copy of the relevant regulations to the ambulance company. The company agreed to transport Mr. D to his regular appointments.



​​​​​​​Russ Swallow, CSA, LIA
Certified Senior Advisor
​​​​​​​
Licensed Insurance Advisor
​​​​​​​508-831-0805
russ@TheMedicareAdvisors.com
   
   
 Image