Summary of the Benefit

10.2 - Summary of the Benefit (Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09) Ambulance services are covered under Medicare Part B. However, a Part B payment for an ambulance service furnished to a Medicare beneficiary is available only if the following, fundamental conditions are met: • Actual transportation of the beneficiary occurs. • The beneficiary is transported to an appropriate destination. • The transportation by ambulance must be medically necessary, i.e., the beneficiary’s medical condition is such that other forms of transportation are medically contraindicated. • The ambulance provider/supplier meets all applicable vehicle, staffing, billing, and reporting requirements. • The transportation is not part of a Part A service. Other requirements specified in this chapter or in the above-cited CMS Manuals may also apply to the provider/supplier or to a particular transport or billing.