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Why didn’t Medicare cover my ambulance bill?

Unfortunately, Medicare does not always cover ambulance charges to the hospital. It is important to remember that Medicare is a benefit, not an insurance plan. Medicare determines whether an ambulance trip is medically necessary by an established set of guidelines. Many factors contribute to this decision by Medicare. Some of these factors include:
1.) Did the patient’s condition at the time 911 was called warrant immediate medical attention?
2.) Could the patient have been taken to a hospital by any other means of transportation?
3.) If the patient was transferred to one hospital to another hospital by ambulance, could the patient have received the same level of required care from the transferring hospital? Also, in many cases, Medicare will not pay for transport from a greater facility to a lesser facility, which includes being transported from a hospital back to a residence.