Ambulance ServicesTRICARE covers:
- Emergency transfers to or from a beneficiary's home, accident scene or other location to a hospital, and transfers between hospitals
- Ambulance transfers from a hospital-based emergency roomThe hospital department that provides emergency services to patients who need immediate medical attention. to a hospital more capable of providing the required care
- Transfers between a hospital or skilled nursing facility and another hospital-based or freestanding outpatient therapeutic or diagnostic department/facility.
- Air ambulance or boat ambulance transport when the pickup point is not accessible by a land vehicle, or when great distance or other obstacles are involved in transporting the patient to the nearest hospital with appropriate facilities. The patient’s medical condition must require a speedy admission or indicate they are not able to be transferred by other means.
Payment of services and supplies provided by ambulance personnel at an accident scene may be allowed when the patient's condition warrants transfer to an inpatient acute setting and medical services and/or supplies are provided solely to stabilize the patient's condition while awaiting the arrival of a more urgent means of transfer; e.g., air ambulance services.
TRICARE doesn't cover:
- Ambulance service used instead of taxi service when the patient's condition would have permitted use of regular private transportation
- Transport or transfer of a patient to be closer to home, family, friends or personal physician
- Medicabs or ambicabs that transport patients to and from medical appointments
- Ambulance services if you aren't taken to a hospital or other medical facility
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
Last Updated 10/3/2018