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My 83 yo sister fell and hit her forehead requiring 50 stitches to close resulting injury. Her husband is unable to drive at night. Would Medicare have paid for the ambulance?
Yes, they always paid for my late mother's ambulance trips, but it's best to check your primary Medicare and your supplemental Medicare Plan Letter - if you in fact have Medicare Supp. Hitting one's head is deemed a medical emergency = ergo, the EMS.
I think you're safest bet is to call Medicare and ask. I have found in most cases with my clients the determining factor is if the service was "medically necessary". If it is medically necessary Medicare usually pays if not, they don't. From what others have posted it sounds like it can vary from state to state.
Make sure the ambulance carrier is coding the ride as emergency, otherwise you'll be paying the bill. My mother was transported from the rehab center to the ER when the rehab doctor told us blood work done at the rehab center was showing she had a blood clot. For whatever reason, the rehab center did not indicate to the ambulance carrier that this was an emergency, so it was coded "non-emergency" (unbeknownst to us) and we had to pay the cost even after several appeals.
Be sure to find out before you need an ambulance. Homeless here take an ambulance to ER to get cleaned up and a night's sleep....who pays for that? Where do they bill the homeless people. ?? Medicare and my insurance if it's medically necessary....meaning you can't ride in a car.. ...if you are admitted to hospital...you don't pay....if you are sent home you pay $300.
you know the answer..the taxpayer does. And if those who are willing to remove all 'laws of entry' to this country then the taxpayers will continue to pay for illegal aliens too (until the rule of law is removed then they are entering illegally, and are an alien to this nation, it's not 'slander' it is a fact. ) Oddly the people I see complain the most to permit globalism & open borders and medicare for all -cradle to grave- scream when they don't get medical care as fast or as often or as cheaply as they 'deserve'. I think they do not understand either the way ANY nation functions, or are ignorant of the Constitution. or both.
My mom had many falls over a period of three years. She also had seizures, mini strokes, and UTIs. Each and every time we went to the hospital, Medicare approved the ambulance ride. Only one time were we denied and the bill was about $1,000. I tried to appeal it but I lost. Apparently, I had waited too long.
About 18 months later my mom had lab work, ordered by her doctor. WE got charged over $1,000. This time I had a long conversation with Medicare. This individual was very helpful and told me that usually when patients are denied coverage by Medicare it's because someone coded the bill/invoice incorrectly. He told me that it was my mom's doctor's office who coded the lab invoice incorrectly. He told me to take it back to them and to ask them to redo it, that I had talked to Medicare who had advised that it was miscoded, and to resubmit it Medicare.
So, I then told the Medicare representative what had happened 18 months earlier with the ambulance bill. Again, he said that someone at the ambulance/paramedics office got lazy (his word) and coded it wrong. He said next time call them tell them we were denied and ask them to correct and resubmit the bill to Medicare. I hope this helps.
BlueEcho is correct - it's all about the billing. Check each medicare statement of what was paid and what was not. Call to find out why and start correction process, when needed, as quickly as possible.
Medicare pays a portion of the bill. Also, every time my mother has fell, I call 911 and tell them it’s not an emergency, but that my mother has fallen and I can’t get her up. The EMT’s always come and checks her out and we are never charged.
Medicare claims are paid by the Government; unless you have a Medicare Advantage Plan. The Government (CMS) follows the same guideline for everyone; that is medical necessity. Maybe your Ambulance service did not report your situation correctly.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Medicare covers ambulance trips when the trips are medically necessary.
People reading these posts be careful because there are some misleading information here.
Where do they bill the homeless people. ??
Medicare and my insurance if it's medically necessary....meaning you can't ride in a car.. ...if you are admitted to hospital...you don't pay....if you are sent home you pay $300.
About 18 months later my mom had lab work, ordered by her doctor. WE got charged over $1,000. This time I had a long conversation with Medicare. This individual was very helpful and told me that usually when patients are denied coverage by Medicare it's because someone coded the bill/invoice incorrectly. He told me that it was my mom's doctor's office who coded the lab invoice incorrectly. He told me to take it back to them and to ask them to redo it, that I had talked to Medicare who had advised that it was miscoded, and to resubmit it Medicare.
So, I then told the Medicare representative what had happened 18 months earlier with the ambulance bill. Again, he said that someone at the ambulance/paramedics office got lazy (his word) and coded it wrong. He said next time call them tell them we were denied and ask them to correct and resubmit the bill to Medicare. I hope this helps.