Insurance and billing
Insurance Accepted

Medicaid, Medicare,
& Private Pay

We make insurance and billing simple. Whether you have Medicaid, Medicare, private insurance, or no insurance at all — we will verify your coverage, handle the paperwork, and get you transported with zero stress.

Medicaid Accepted
Medicare Part B
Private Insurance
Payment Plans Available
WHAT WE ACCEPT

Coverage Breakdown
By Payer

Every insurance plan is different. Here is what each major payer typically covers — and how we make the process effortless for you.

Medicaid (New York State)

Most Patients Pay $0

Medicaid FFS (Fee-for-Service), Fidelis Care, Healthfirst — and 3 more

What is Covered

  • BLS non-emergency transport
  • ALS when medically necessary
  • Dialysis transport (3x/week)
  • Hospital discharge transport
  • Nursing home transfers

What is NOT Covered

  • Non-medical transport
  • Sprint Unit sick calls
  • Home care companion visits

How It Works

1
Verify Eligibility
We confirm your Medicaid coverage and managed care plan before scheduling.
2
Prior Authorization
Our billing team handles all prior auth paperwork — no burden on you or your facility.
3
Transport & Billing
We transport and bill Medicaid directly. Most patients pay nothing out of pocket.

Call us at (929) 815-4275 — we will verify your Medicaid eligibility and start the authorization process the same day.

Medicare Part B

80% Covered by Medicare

Original Medicare (Part B), Medicare Advantage Plans —

What is Covered

  • BLS ambulance when medically necessary
  • ALS1 transport
  • ALS2 when 3+ meds administered
  • Emergency ambulance transport

What is NOT Covered

  • Non-emergency transport without medical necessity
  • Sprint Unit sick calls
  • Home care companion visits

How It Works

1
Medical Necessity Review
We document why ambulance transport is required — Medicare does not cover non-emergency transport unless medically justified.
2
Transport
Certified crew transports with full documentation of patient condition and interventions.
3
Billing
Medicare covers 80% of approved charges. Medicaid as secondary (for dual-eligible patients) often covers the remaining 20%.

If you have both Medicare and Medicaid (dual-eligible), your out-of-pocket cost is typically $0. We handle the secondary billing automatically.

Private Insurance

We Bill Directly

Aetna, Cigna, Empire BlueCross BlueShield — and 4 more

What is Covered

  • BLS, ALS, and CCT transport
  • Event standby EMS (case-by-case)
  • Some Sprint Unit services
  • Critical care transport

What is NOT Covered

  • Varies by plan — always verify first

How It Works

1
Benefits Verification
We call your insurer to confirm what your specific plan covers before transport.
2
Pre-Authorization
If required by your plan, we obtain pre-auth and keep you informed every step.
3
Direct Billing
We bill your insurance directly. You are only responsible for deductible, copay, or non-covered amounts.

Unsure what your plan covers? Send us your insurance card — we will verify your benefits and give you an exact cost estimate before transport.

Self-Pay / Uninsured

Payment Plans Available

Cash, Check, Credit / Debit Card — and 2 more

What is Covered

  • All services available
  • No insurance required

What is NOT Covered

  • None — all services accessible

How It Works

1
Transparent Quote
We give you an exact upfront quote before transport. No hidden fees, no surprise charges.
2
Flexible Payment
Pay by cash, check, credit/debit card, or set up an interest-free payment plan.
3
Hardship Assistance
If you are experiencing financial hardship, ask about our discount program. We never turn away a patient for inability to pay.

Ask about our Hardship Discount Program — we offer reduced rates for patients facing financial difficulty. No one is denied transport due to cost.

OUR BILLING PRACTICES

Billing You Can Trust

No surprise charges. No hidden fees. No insurance games. Just honest, transparent billing for every transport.

HIPAA-Compliant Billing

All billing documentation is encrypted, transmitted securely, and stored in compliance with federal privacy regulations.

Dedicated Billing Team

Our billing department is available Monday–Friday, 9 AM – 5 PM, to answer questions, resolve disputes, and set up payment plans.

Fast Claim Submission

We submit claims within 24–48 hours of transport. Electronic filing means faster processing and quicker reimbursement.

No Surprise Billing

We provide upfront cost estimates for self-pay patients and never bill for services not rendered. Transparent pricing is our policy.

FREQUENTLY ASKED QUESTIONS

Billing & Coverage
Questions Answered

Everything you need to know about insurance coverage, prior authorization, out-of-pocket costs, and payment options.

Yes — New York State Medicaid covers medically necessary non-emergency ambulance transport, including BLS and ALS. Dialysis transport, hospital discharges, and nursing home transfers are typically covered with prior authorization. Most eligible patients pay $0 out of pocket.

Still Have Questions?

Our Billing Team Is Here to Help

Unsure what your insurance covers? Need a cost estimate before transport? Want to set up a payment plan? Our billing specialists are available Monday–Friday, 9 AM – 5 PM, and our dispatch team can answer urgent coverage questions 24/7.

24/7 Dispatch Line
(929) 815-4275
Billing & Insurance Email
metrocareresponse@outlook.com
Billing Office Hours
Monday – Friday, 9:00 AM – 5:00 PM EST

Insurance / Billing Inquiry

Send us your question and we will respond within 1 business day.

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