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Questions

How do I get rides to the doctor with Medicare in Ohio?

Original Medicare doesn't pay for rides to appointments; it covers ambulance trips only when other travel could endanger your health. If you also have Ohio Medicaid, your county Department of Job and Family Services or your Medicaid plan arranges non-emergency rides to covered care. Ohioans 60 and older can ask their area agency on aging about transportation at 1-866-243-5678.

What Medicare covers

Original Medicare covers ambulance transportation, not rides. Part B covers a ground ambulance to a hospital, critical access hospital, rural emergency hospital or skilled nursing facility when traveling any other way could endanger your health. You pay 20% of the Medicare-approved amount after the Part B deductible. For a scheduled, non-emergency ambulance ride, Medicare may pay if your doctor orders it as medically necessary. See does Medicare pay for an air ambulance.

Ohio Medicaid rides through your county

Federal law requires Ohio Medicaid to make sure members can get to covered care. Under OAC 5160-15-10, Ohio does this largely through each county Department of Job and Family Services (JFS). Each county picks the type of help that is suitable and cost-effective for you: a ride, or in some counties, such as Morrow County, gas vouchers if you have a car.

  1. Call your county JFS. Ask for non-emergency transportation (NET). Find your office in the county directory on the Ohio Department of Job and Family Services website.
  2. Call early. Counties set their own notice rules, so ask how far ahead to book. Have the appointment date, address and provider name ready.
  3. If you're in a Medicaid plan, call it first. When a Medicaid managed care plan, including a MyCare Ohio plan, is required to provide your ride, the county can send you to the plan.
  4. Nursing home residents: the facility arranges transportation.

Rides are for Medicaid-covered care only, not emergencies. In an emergency, call 911. Questions about your Medicaid coverage: Ohio Medicaid Consumer Hotline, 1-800-324-8680.

Area agencies on aging

Ohio's 12 area agencies on aging arrange services for older adults, including transportation in many communities. Call 1-866-243-5678 to reach the agency serving your county. PASSPORT waiver members can also get non-medical transportation as a waiver service. See the PASSPORT waiver.

Medicare Advantage

Medicare Advantage plans may offer extra benefits such as dental, vision, hearing or fitness. Extra benefits vary by plan and county, may have limits and costs, and not every plan offers them. Check a plan's Summary of Benefits or Evidence of Coverage. Some plans also offer transportation; if rides matter to you, ask how many trips are allowed and how far ahead you must book.

Get help

Telehealth can save some trips; see does Medicare cover telehealth in rural Ohio. A licensed insurance agent who works with Benefits Life can explain how transportation fits with your coverage, at no cost to you. You can request a call from a licensed insurance agent.

Can I keep my doctor with Medicare?

Networks and Ohio's billing law.

Does Medicare cover mental health care?

Counseling, telehealth and 988.

Sources

More questions in this guide

Part of the guide: Medicare basics for Ohioans · All questions

Frequently asked questions

Does Medicare pay for a ride to my doctor's office?

Not with Original Medicare, unless you need an ambulance. Medicare may cover a non-emergency ambulance ride if your doctor writes an order saying it's medically necessary. If the ambulance company thinks Medicare may not pay, it must give you an Advance Beneficiary Notice first.

I'm in MyCare Ohio. Who do I call for a ride?

Ohio Medicaid's MyCare guide says to contact your MyCare plan or your county Department of Job and Family Services for help with transportation. Call your plan if you use a wheelchair that doesn't fold, need to ride in your wheelchair, or must travel 30 miles or more for care.

Can the county turn down a ride request?

Yes, in some cases, for example if your Medicaid plan is responsible for the ride, the service isn't covered by Medicaid, or there wasn't enough notice. If the county reduces or ends your transportation help, it must tell you about your right to a state hearing.

Licensed insurance agents for Ohio

These independent insurance agents are licensed in Ohio and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Rachael Winter

Rachael Winter

Accepting new clients

Independent licensed insurance agent in Ohio

Columbus

Tori Morris

Tori Morris

Accepting new clients

Independent licensed insurance agent in Ohio

Colorado Springs, CO · English

Shoeb Ismail

Shoeb Ismail

5.0 out of 5 stars (1 review on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Ohio

Seattle, WA · English, Spanish

Bernadette Cox

Bernadette Cox

Accepting new clients

Independent licensed insurance agent in Ohio

Larkspur, CO · English

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