Is It Covered?
Search the A-Z list for a list of covered services. Your coverage and out-of-pocket costs may vary based on who you are and your health plan option.
TRICARE covers the following ambulance services:
- 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 room 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 does not 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.
This A-Z list of topics is not all inclusive. TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all.