Ambulance Service. The plan will include, without a dollar limit, local transportation to and from hospital by a licensed ambulance.
Ambulance Service. The Plan provides Benefits for Medically Necessary ambulance services. Ambulance Services are a Covered Service when one or more of the following criteria are met: You are transported by a state licensed vehicle that is designed, equipped, and used only to transport the sick and injured and staffed by Emergency Medical Technicians (EMT), paramedics, or other certified medical professionals. This includes ground, fixed wing, rotary wing or water transportation. You are taken:
a. From your home, scene of accident or medical Emergency to a Hospital;
b. Between Hospitals, including when we require you to move from an Out-of-Network Hospital to an In-Network Hospital; or
c. Between a Hospital and a Skilled Nursing Facility (ground transport only) or Approved Facility. The Plan provides Benefits only for ambulance transportation to the nearest Hospital that can provide the required care you need. Benefits also include Medically Necessary treatment of a sickness or illness by medical professionals during an ambulance service, even if you are not taken to a Facility. Non-Network Providers may bill you for any charges that exceed the Plan’s Maximum Allowed Amount (also known as balance billing). When there is an inadequate network, balance billing does not apply. Ambulance services are not covered when another type of transportation can be used without endangering your health. Ambulance services for your convenience or the convenience of your family or Provider are not Covered Services. Trips to a Provider’s office, clinic, morgue or funeral home are examples of non-covered ambulance services. Services are subject to Medical Necessity review by the Plan. Ambulance services are not covered when another type of transportation can be used without endangering your health. Ambulance services for your convenience or the convenience of your family or Provider are not Covered Services. Trips to a Provider’s office, clinic, morgue or funeral home are examples of non-covered ambulance services. Air Ambulance Services are subject to Medical Necessity review by the Plan. For non-emergency services, the Plan retains the right to select the Air Ambulance provider. This includes fixed wing, rotary wing, or water transportation. For emergency services, we encourage your Provider(s) to coordinate with our Medical Management team in selecting an Air Ambulance providers, when possible. Community Health Options has contracts with certain Air Ambulance providers and the Allowed Amount ...
Ambulance Service. 1. Your Plan pays for Ambulance Services for local transportation if You are admitted as an Inpatient for a Covered Disease in the following instances:
a. When transportation is needed to travel to or from a Hospital.
b. If police or medical authorities at the site in an Emergency ask for an air ambulance or if You are in a location that a ground ambulance cannot reach.
2. Your Plan does not pay for Ambulance Services in the following instances:
a. If transportation is only for Your comfort or convenience,
b. When a Hospital transports You between parts of its own campus or between facilities owned or affiliated with the same entity, or
c. If the transportation is not related to treating a Covered Disease.
Ambulance Service an Ancillary Provider licensed by the state which, for compensation from its patients, provides local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured.
Ambulance Service. 1. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured:
a. from a Member’s home or the scene of an accident or medical emergency to a Hospital, or Skilled Nursing Facility; b. between Hospitals; or c. between a Hospital and a Skilled Nursing Facility when such facility is the closest institution that can provide Covered Services appropriate to the Member’s condition. If there is no facility in the local area that can provide Covered Services appropriate to the Member’s condition, then Ambulance Service means transportation to the closest facility outside the local area that can provide the necessary service. Transportation and related emergency services provided by an Ambulance Service shall constitute Emergency Ambulance Services if the injury or the condition satisfies the criteria as described in the EMERGENCY CARE SERVICES Definition of SECTION DE - DEFINITIONS of this Agreement. Use of an ambulance as transportation to an emergency room of a Facility Provider for an injury or condition that does not satisfy the criteria set forth in the EMERGENCY CARE SERVICES Definition will not be covered as Emergency Ambulance Services.
2. Ambulance Service providing local transportation by means of a specially designed and equipped vehicle used only for transporting the sick and injured:
a. from a Hospital to the Member’s home; or b. from a Skilled Nursing Facility to the Member’s home.
Ambulance Service. The Plan provides Benefits for Medically Necessary ambulance services. Ambulance Services are a Covered Service when one or more of the following criteria are met: You are transported by a state licensed vehicle that is designed, equipped, and used only to transport the sick and injured and staffed by Emergency Medical Technicians (EMT), paramedics, or other certified medical professionals. This includes ground, fixed wing, rotary wing, or water transportation. You are taken:
1. From your home, scene of accident or Medical Emergency to a Hospital;
2. Between Hospitals, including when we require you to move from an Out-of-Network Hospital to an In-Network Hospital; or
3. Between a Hospital and a Skilled Nursing Facility (ground transport only) or Approved Facility. The Plan provides Benefits only for ambulance transportation to the nearest Hospital that can provide the required care you need. Benefits also include Medically Necessary treatment of a sickness or illness by medical professionals during an ambulance service, even if you are not taken to a Facility. Non-Network ambulance Providers will be reimbursed at the lesser of the ambulance service providers rate or 180% of the Medicare rate for the transportation. Air and Water Ambulance Services are subject to Medical Necessity review by the Plan. For non-emergency services, the Plan retains the right to select the Air Ambulance provider. This includes fixed wing or rotary wing transportation. For emergency services, we encourage your Provider(s) to coordinate with our Medical Management team in selecting an Air Ambulance provider, when possible. Community Health Options has contracts with certain Air Ambulance providers and the Allowed Amount for Non-Network Air Ambulance Providers may be based on those contracts. This means that you could be balance billed for charges that exceed the Allowed Amount. Air Ambulance transport from one Hospital to another Hospital is a Covered Service if Medically Necessary and if transportation by ground ambulance would endanger your health and the transferring Hospital does not have adequate facilities to provide the medical services needed. Transport from one Hospital to another Hospital is Covered only if the Hospital to which you are being transferred is the nearest one with medically appropriate facilities. Prior Approval requirements are applicable for admission. Fixed wing or rotary wing air ambulance is furnished when your medical condition is such that transport ...
Ambulance Service. Except as limited, Medically Necessary Ambulance Services are covered:
a. To the place of treatment following an Accidental Injury or during Medical Emergency
b. To a Hospital for care as an Inpatient
c. From a Hospital where You have been an Inpatient
d. For transfer of an Inpatient to another Hospital for care as an Inpatient
e. Within a 500-mile radius of the place where You are picked up, by the least expensive means or transport that meets the medical need
Ambulance Service. Non-Network Commercial ambulance charges for transportation to the nearest hospital where emergency care can be performed are not subject to deductible or coinsurance. Medically necessary ambulance services will be subject to a $15 copayment.
Ambulance Service. 38.1 Any employee or dependent will receive ambulance service within the Hanover Fire Department service area provided by the Hanover Fire Department.
38.2 The Town will pay for all uncovered costs, including the deductible.
Ambulance Service. The ACEMS District shall continue to provide ambulance service through its ambulance taxing district within the boundaries of the District.
