Consider these local providers when you require a NEMT Ambulance transport.
Non-Emergency Ambulance Providers bill MediCare, your insurance, and you.
When utilizing non-emergency ambulance services make sure you know what you have to pay:
(SOC) Share of Cost, Co-Pays, Balance Bill, etc.
The APL (All Plan Letter): rules non-emergency ground ambulance providers must follow.
The MTRANS Guarantee
Consider these local providers: call to inquire about insurance accepted, rates, cancelation charges, upfront payments, etc.
Insurance call centers might not know if you have the Transport Benefit, so they often say you don’t
Check your Summary of Benefits and Coverage
Transport Benefit
Medicare Advantage Plans offer the transport benefit. Regular MediCare covers the ambulance Co-Pays?
Choosing an Advantage Plan because of the transport benefits?
Consider this video
Medi-Cal Managed Care Plans provide the transport benefit
MTRANS bills Medi-Cal directly
The rules Medi-Cal plans must follow
Kaiser, Workers Comp, and VA have different transport benefit options
Help with VA transportation
Free rides for Veterans in Contra Costa County
Transportation Brokers
Brokers help Managed Care Plans match patients’ transportation needs with providers like MTRANS
The Broker takes over claim responsibility and pays MTRANS. MTRANS is credentialed with the Broker not the Plan
MTRANS is credentialed with 12 Brokers

