Does blue cross blue shield cover medical transportation

Getting to Your Appointment

Blue Cross and Blue Shield of New Mexico (BCBSNM) contracts with ModivCareTM for transportation services.* This includes rides to and from your doctor's office or a health care facility. You must be receiving covered services. ModivCare will make sure your medical needs are approved before arranging the ride.

Table of Contents Show

Getting to Your Appointment
What is covered?
What is not covered?
ModivCare App
What Services Are Covered?
How Far in Advance Can I Call?
ModivCare App
Does Blue Cross Blue Shield of Texas cover medical transportation?
Does Michigan Medicaid provide transportation?
Does Medi cal cover medical transportation?
Does Florida Medicaid pay for transportation to doctor appointments?

Trips must be medically necessary. Examples include rides to:

Doctor appointments
Counseling
Dialysis

Transportation is for Blue Cross Community Centennial members who have no other way to get to a doctor. This means you cannot walk, use mass transit, or drive yourself. If you can take yourself to the doctor, you must do so.

What is covered?

The following services are covered under Blue Cross Community Centennial:

Transportation Services – List of services covered by this plan.

Covered Service	Prior Authorization	Prior Notice to ModivCare	Can I be reimbursed for this service?
Ride to routine appointment (arranged by ModivCare)	No	3 working days up to two weeks	No. ModivCare pays for the ride.
Ride to behavioral health appointment (arranged by ModivCare)	No	3 working days up to two weeks	No. ModivCare pays for the ride.
Mass transit	No	4 working days	No. ModivCare pays for the ride.
Mileage reimbursement (when not using ModivCare)	Yes	Between 14 business days and up to the day of the appointment	Yes. You can be paid 50 cents per mile. You must meet the guidelines in order to be reimbursed.
Meals	Yes	3 working days	Yes. You can be paid up to $18 per day when you are away from home. You must meet the guidelines in order to be reimbursed.
Lodging	Yes	3 working days	Yes. You can be paid up to $58 per night on a weekday (in New Mexico). You can be paid up to $81 per night on a weekend or for out-of-state travel on any day. You must meet the guidelines in order to be reimbursed.

If you need to travel to an approved appointment to another city or state, this plan may cover meals and lodging. All expenses must be coordinated and approved through ModivCare. You will need to fill out expense reports.

What is not covered?

You can only use this service for medical needs. Blue Cross Community Centennial does not cover rides:

For non-medical needs (examples: to go shopping or to visit a friend)
To go to a pharmacy or a medical supply store
To see a provider who is more than 65 miles from where you live (without special authorization from BCBSNM)
To see a provider who is outside our provider network (without special authorization from BCBSNM)

ModivCare App

If you do not want to call ModivCare to set up your medical ride, you can choose to use the ModivCare App to schedule your ride. All you need to do is search “ModivCare” on either Google Play® or the Apple App Store® to download. Make sure to have an email address handy to create your account. Then requesting a ride is only a few clicks away!

By downloading the ModivCare App you have access to:

Booking, changing, or cancelling rides
Live ride tracking
Driver’s real-time location and ETA
Text or calling the driver to ensure trips aren’t missed
Contacting support within the app to talk to a live agent

If you need a ride to and from non-emergency medical visits, call the Nonemergency Medical Transportation (NEMT) program at 1-866-824-1565 (TTY: 711) 24 hours a day, 7 days a week. NEMT can help you to get a ride to your health care appointments when there are no other transportation options. Rides are available between 8 a.m. and 5 p.m. Central Time, Monday through Friday.

What Services Are Covered?

The plan offers rides free of charge when you have no other way to get to:

A doctor's appointment
An appointment with another health care provider
A dental appointment
A pharmacy

How Far in Advance Can I Call?

Call NEMT when you know you will need a ride.
You must call NEMT at least 2 days before your appointment.
If your visit is on Monday, call NEMT by Thursday the week before.

When you call, you will need to give NEMT the following facts:

Your full name, current address, phone number and Blue Cross and Blue Shield of Texas (BCBSTX) member ID number.
The type of appointment you’re going to.
The date and time of your doctor’s visit.
The address where they will pick you up. If there is a phone number at the place they are picking you up, they need that too.
The name, address and phone number of the doctor or drug store where you need to go.

If you or your children have any special needs, they need to know that so they can send the right type of vehicle. For example, for people who use a wheelchair, they can send a van with a wheelchair ramp.

ModivCare App

The ModivCare app gives you the flexibility to schedule your medical ride whenever and wherever you like. All you need to do is search “ModivCare” on either Google Play® or the Apple App Store® to download. Make sure to have an email address handy to create your account. Then requesting a ride is only a few clicks away!

By downloading the ModivCare app you have access to:

Booking, changing, or cancelling rides
Live ride tracking
Driver’s real-time location and ETA
Text or calling the driver to ensure trips aren’t missed
Contacting support within the app to talk to a live agent

Does Blue Cross Blue Shield of Texas cover medical transportation?

Blue Cross and Blue Shield of Texas (BCBSTX) can help you get a ride to your health care appointments as part of our Value-Added Services. You can also get rides to your health classes or therapy. We will send a wheelchair van if you need it. Non-emergency medical transportation is provided by ModivCare.

Does Michigan Medicaid provide transportation?

NOTE: Medicaid reimburses providers and Medicaid beneficiaries providing their own transportation at the maximum rates(s) listed on this database or the provider's usual and customary charge to the general public, whichever is less.

Does Medi cal cover medical transportation?

Medi-Cal offers transportation to and from appointments for services covered by Medi-Cal. This includes transportation to medical, dental, mental health, or substance use disorder appointments, and to pick up prescriptions and medical supplies.

Does Florida Medicaid pay for transportation to doctor appointments?

Medicaid reimburses for medically necessary non-emergency transportation services for a Medicaid eligible recipient and a personal care attendant or escort, if required, who have no other means of transportation available to any Medicaid compensable service.