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WHO PAYS FOR YOUR TRIP

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WHO PAYS FOR YOUR TRIP?

Knowing what services are covered under the different insurance programs can be a challenging, yet a vital part when searching for a provider. We want our customers to be well informed throughout the process.

Currently, On Time Ambulance, Inc. and On Time Transport, Inc. participate in the following networks: Aetna, Americhoice, AmeriHealth, Bravo Health, CHN, Cigna, First MCO, First Trenton Indemnity, HealthNet, Horizon Blue Cross Blue Shield of NJ, Horizon NJ Health, Liberty Mutual, MagnaCare, Multiplan, NJ Manufacturer’s, Oxford Healthcare, Three Rivers Provider Network, United Healthcare, and Logisticare.

Learn more about insurance coverage and other financial considerations provided by the different programs below:

THE MEDICARE PROGRAM

What does the Medicare Program Cover?

The Medicare Program DOES cover:

  • Transports to and from hospitals if the receiving hospital is the closest facility
  • The patient will be responsible for additional mileage to any other facility unless it is to receive a medically necessary service not provided at the original facility
  • Transports to approved dialysis facilities
  • Documented emergency transports
  • Transports between SNF (Skilled Nursing Facility) and a hospital

Read our tips on obtaining prior authorization through Medicare for transportation.

What is not covered under the Medicare Program?

The Medicare Program does NOT cover:

  • Transportation in wheelchair vans or cars
  • Transportation by stretcher to doctor's office

Who is the Medicare Program designed for?

The Medicare Program was designed for:

  • Those over 65 and not covered by group insurance, by spouse or current employer
  • Those who are permanently disabled for 2 or more years, even if under 65
  • End-Stage Renal Disease
  • Adult disabled child of a Medicare beneficiary

THE MEDICAID PROGRAM

What is the Medicaid Program?

Medicaid is a state program that is financed by the county, state and federal government.

What does the Medicaid Program cover?

The Medicaid Program DOES cover:

  • Stretcher Transports
    • From hospital to doctor’s office, nursing home, residence, and to another hospital
    • From SNF (Skilled Nursing Facility) to another SNF
  • Wheelchair Transports
    • Discharges from hospital to home or SNF
    • From residence to doctor’s office, hospital, wound care and to dialysis

LOGISTICARE

Logisticare is a contracted medical transportation broker for the state of New Jersey to coordinate transportation for Medicaid recipients.

  • Trips must be set up 48 business hours in advance unless the appointment being set up is considered an urgent matter.
  • Logisticare accepts Medicaid pending patients.

Dual eligible patients should be called into On Time for consultation.

NEW JERSEY NO FAULT (PIP)

What is New Jersey No Fault?

If you have been involved in a motor vehicle accident in the state of NJ, your auto insurance carrier may provide for transportation in the event it is medically necessary. In these instances, the No Fault or the Pip Fee schedule is utilized.

  • May carry a co-pay or deductible
  • Reimbursed for medical appointments
  • Stretcher
  • Car
  • MAV

In summary, medical transportation billing, like most of health care, is complicated and difficult to navigate. After 24 years in the medical transportation industry, we consider ourselves experts when it comes to billing for our services. Our collection rate from third party payers averages 96%, which is excellent when compared to industry standards. Our billing expertise will certainly benefit our clients.

Looking to pay privately? Find out what factors determine the cost of a medical transport.

Employee Spotlight: EMT Tanner Coles

Read more

Contact us

1-800-858-TIME (8463)

(908) 298-9500
Fax: (908) 298-9509
Email:



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