Logo
Home
 

Q&A Search
Ask a Question
My Info
  Email This Item E-mail   Print This Item Print   View Related Info Related   Set Alerts Alerts   Bookmark This Item Bookmark Search
View all items in: Medical Benefits
Access to Services
Rating:  8.00 out of 10 (1 Rating) |
Question/Topic
Does UMP cover ambulance services?
Answer/Article

When other transportation is not appropriate, this benefit covers ambulance services for transportation in a medical emergency:

  • From the site of the medical emergency to the nearest facility equipped to treat the medical emergency.
  • From one facility to the nearest other facility equipped to give further treatment.
  • Home (if determined medically necessary).

If you travel outside the U.S., consider getting special insurance for air ambulance services. UMP covers air ambulance only to the nearest facility (such as a hospital) that can provide the care you need. Even though you or your doctor would rather you be sent to a facility closer to home, UMP will not cover it.


UMP pays for ambulance services at 80% of the UMP allowed amount.

Emergency air ambulance services are covered only when all of the following criteria are met:

  • Ground ambulance is not appropriate.
  • The situation is a medical emergency.
  • Air ambulance is the only appropriate transportation, based on UMP's decision about medical necessity.
  • Transport is to the nearest facility able to provide the care you need.


Related Items
UMP definition: "medical emergency"
How does UMP cover services at an emergency room?
UMP definition: "Medically Necessary Services, Supplies, or Interventions (medically necessary)"
KBID 422
Date Modified 4/15/2009
Date Created 6/2/2006

The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.

Laws and Rules | Privacy Policy | Accessibility Health Care Authority

Copyright © 2009 Washington State Health Care Authority

Use Alerts to be notified when new information is added or changed in an individual answer or category of information you care about. All Alert notifications sent in a single email once each day.
Notify me if this answer is updated
Notify me if this category is updated