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Does the Empire Plan cover an ambulance?

Published in Health Insurance Coverage 1 min read

Yes, the Empire Plan generally covers ambulance services.


Empire Plan Ambulance Coverage Explained

The Empire Plan does provide coverage for ambulance transportation under specific conditions, ensuring members can receive necessary emergency care. This coverage began for services rendered on or after September 1, 2019.

What Does the Coverage Include?

The policy allows for reimbursement of essential services related to ambulance transport. This includes:

  • Ambulance Transport: The actual conveyance of the member by ambulance.
  • Associated Services: Any medical services provided during the transport.
  • Supplies: Medical supplies used in conjunction with the transport.

Where Are You Covered To?

Coverage is specifically for transport to the nearest facility equipped to treat the member. This ensures that in an emergency, individuals are taken to the most appropriate medical center for their condition without unnecessary detours or costs for facilities further away.

For instance, if a member experiences a medical emergency requiring ambulance transport, the Empire Plan would cover the ride, the care provided during transit, and any necessary supplies, provided the destination is the closest appropriate medical facility. This policy aims to support members in receiving timely and suitable emergency medical attention.