Whether ambulance costs can be reimbursed by Medicare depends on your local health insurance policy. Medicare rules may vary from region to region. Typically, ambulance services are more likely to be reimbursed by Medicare if they are used in an emergency and are dispatched by a medical facility, in which case the cost is more likely to be reimbursed by Medicare. However, expenses for non-emergencies or the use of private ambulance services may not be covered by Medicare reimbursement. Understanding the terms of Medicare reimbursement is important in determining whether ambulance costs will be reimbursed.
Medicare reimbursement:
1. Basic medical insurance reimbursement: outpatient costs, hospitalization costs, drug costs, etc.
2. Special disease medical insurance reimbursement: reimbursement policy for major diseases or chronic illnesses;
3. Medical aid reimbursement policy: medical expense assistance for the needy;
4. Workers' compensation insurance reimbursement: covering medical expenses resulting from work-related injuries;
5. Maternity insurance reimbursement: covering expenses for pregnancy checkups, childbirth, and family planning surgeries;
6. Pharmaceutical catalogs and list of medical services: stipulating reimbursable medicines and medical services.
In summary, whether ambulance costs can be reimbursed by health insurance depends largely on local health insurance policies. Costs for ambulance services dispatched by a healthcare organization in an emergency are more likely to be reimbursed, whereas costs for non-emergency or private ambulance services may not be covered, so understanding the specific health insurance provisions is critical to determining eligibility for reimbursement.
Legal basis:
Regulations on Compulsory Insurance for Motor Vehicle Traffic Accident Liability
Article 21
If an insured motor vehicle is involved in a road traffic accident that causes bodily injury or death of the vehicle's occupants, or property damage to the victims other than the insured, the insurance company shall compensate for the loss within the limits of liability of compulsory insurance for motor vehicle traffic accident liability according to law. Road traffic accident damage is caused by the victim intentionally, the insurance company will not compensate.