In some situations, it is imperative, even essential, to call for an ambulance. First responders come to your aid and help you as best they can. However, once the situation is back to normal, paying for the transportation and other expenses necessary during the treatment is imperative. Many people are not sure what to do or how to do this. Are there any conditions that must be met? Here are the most important things to remember about this subject!
Coverage of an Ambulance: Intervention of the Health Insurance
When it comes to this type of transport, it is generally the health insurance responsible for reimbursing the transport costs. However, this reimbursement is not so simple. In addition to being based on a medical prescription, it should be noted that it only intervenes in a few exceptional cases. For example, the ambulance is reimbursed for transportation-related to hospitalization. In this case, there are two possibilities. It can be an admission to care or a discharge.
On the other hand, the health insurance will reimburse you for transportation-related to the treatment and care of your condition. In other words, it is when the patient is almost totally unable to move on his own. Ambulance coverage is also provided for transportation that involves the patient lying down or under constant supervision. Transportation costs are also covered for distances of up to 150 kilometers one way.
This is also the case when it is a question of a repetitive trip. In other words, at least 4 trips or transportation of more than 50 kilometers are involved. The trip must be for the same treatment and must last for at least two months.
The insurance covers the ambulance insofar as it has been summoned for transporting patients who have suffered an accident at work or an occupational disease. This may be for treatment or examination.
It should be noted that the ambulance is not only covered in these cases. Indeed, you can benefit from it if it is about a medical convocation for statutory control. It is also possible to take advantage of the coverage when it is a transport to a center of early medical and social action or medical-psychological-pedagogical.
Prerequisites for the Reimbursement of Transportation Costs
Although classification of situations can allow the ambulance to be paid for, it should be noted that some conditions are indispensable. Indeed, these are the ones that determine whether the reimbursement can take place.
One of the first conditions is the presentation of the medical prescription. This is a document that only your doctor can issue. It is the doctor who can prescribe the type of transport that is appropriate for the patient’s condition. This medical document must therefore be issued before the subject is transported. Nevertheless, there are emergencies where the prescription can be tolerated after the transport. In these cases, it must be issued by a physician of the health care facility to which you were brought.
The second condition is that you must present a summons from the medical service of the health insurance or a professional doctor. It should be noted, however, that the ambulance may be insured at either 65% or 100% in certain specific cases.
All in all, when an ambulance must be covered, there are always several parameters to consider. For more information, you can turn to competent medical services.