Medicare

Medicare does not reimburse for Wheelchair Coach Transportation

Medicare does not reimburse for trips to or from Physician's Offices

Medicaid

Unless the person to be transported is a nursing home resident, or being transported from a hospital to a nursing/convalescent center, then PRIOR AUTHORIZATION is required.

If the person to be transported has had a PRIOR AUTHORIZATION with another transportation company, then he/she must write a letter to Medicaid requesting to be transported in the future by SENIOR and include a good explanation why such a request is being made.  Speak with our Intake/Dispatch personnel for more information and assistance.

If PRIOR AUTHORIZATION is needed, it can take two weeks to receive from Medicaid.  Be sure to call Intake/Dispatch early enough to insure that you will have transportation on the date you need it.

You may have ridden with a company for some time, but if you have not ridden in the last three months with them, you may no longer have authorization from Medicaid.  Be sure to check your Authorization when making your appointment with Intake/Dispatch.

Medicaid HMOs (We are providers for Most of these NJ HMOs)

All of these Insurances require a Prior-Authorization.  Be sure that you, your doctor, nurse, or case worker gets the Authorization prior to calling for an appointment.

Horizon Blue Cross Blue Shield of New Jersey

Some of these policies do not pay for medical transportation.  Before trying to make an appointment, be sure that your policy reimburses for medical transportation in non-emergency situation.

Almost every policy that reimburses for medical transportation REQUIRES pre-approval.  The patient, nurse, doctor, case manager, or other person should obtain the pre-approval BEFORE making the appointment.

AtlantiCare

Check your policy.  Prior Authorization may be necessary.

Aetna/U.S. HealthCare

This insurance usually requires Pre-Authorization in non-emergency situations.  Be sure to check with Aetna/U.S. HealthCare before making arrangements for your transportation.

AmeriHealth

This company requires Prior Authorization.  Be sure you, your doctor, nurse, or case manager get the authorization prior to scheduling your transportation.

This insurance may or may not reimburse for wheelchair coach transportation.  Be sure to check with the company for your particular policy before scheduling transportation.

CIGNA

Check your policy.  Prior Authorization may be necessary.

Horizon Mercy (Medicaid HMO)

This insurance company requires a prior authorization prior to transportation.  Be sure that you have your prior authorization and that the authorization is current before scheduling non-emergency transportation.