Medicare Benefit Policy Manual (Pub. 100-02), Ch. 10 § 10
Ambulance Service
10 - Ambulance Service
(Rev. 1, 10-01-03)
B3-2120, A3-3114, HO-236
Ambulance services are separately payable only under Part B. There are certain
circumstances in which the service is covered and payable as a beneficiary transportation
service under Part A; however in this case the service cannot be classified and paid for as
an ambulance service under Part B. (See §10.3.3 for a description of this exception. Also
see §10.2.4 for the required documentation for ambulance services.)
Payment may be made for expenses incurred for ambulance service provided the
conditions specified in the following subsections are met. (See the Medicare Claims
Processing Manual, Chapter 15, “Ambulance,” for instructions for processing ambulance
service claims.)
The Medicare ambulance benefit is a transportation benefit and without a transport there
is no payable service. When multiple ground and/or air ambulance providers/suppliers
respond, payment may be made only to the ambulance provider/supplier that actually
furnishes the transport.