| HMO | Ambulance |
| Aetna US Healthcare | Covers: Ambulance service in an emergency or when certified as medically necessary by PCP and approved in advance by Aetna. Also covers transportation from a non-participating provider to a participating provider when medically necessary. Aetna will reimburse member for the reasonable cost. |
| Blue Cross Blue Shield | Covers: Ambulance when medically necessary and when other forms of travelling may not be safe for your condition.
Cost Sharing: Coinsurance applies. |
| CIGNA / Healthsource | Covers: Ambulance in an emergency when medically necessary. Members should dial 911 to access this service. If 911 services are unavailable, members should contact the nearest emergency care facility. |
| Doctors Health Plan | Covers: Ambulance services when medically necessary. |
| Generations | Covers: Ambulance services when medically necessary. Services covered from the site of injury or onset of symptoms to the nearest hospital, in or outside the service area.
Limits: Transport between facilities must have Prior authorization. Excludes: Transportation by a non-participating provider or for care that is determined not to be a true emergency. |
| Optimum Choice | Covers: Medically necessary ambulance and special transportation services such as helicopter or airplane when medically necessary. |
| PARTNERS | Covers: Ambulance services in an emergency to nearest medical facility.
Limits: Non-emergency, inter-facility ambulance transfers are covered with prior approval by the plan. |
| Coventry/Principal Health Care of the Carolinas | Covers: Ambulance services for medical emergencies only. Benefits for transportation by air ambulance are reimbursed at the cost of ground ambulance transportation. |
| QualChoice | Covers: Medically necessary ambulance services from a licensed carrier. |
| The Wellness Plan of North Carolina, Inc. | Covers: Ambulance in any emergency or when authorized by a TWP-NC physician. |
| United HealthCare | Covers: Emergency ground or air transportation provided by a licensed ambulance service to the nearest participating hospital for treatment of a true medical emergency.
Cost Sharing: Copayment applies. |
| WellPath | Covers: Emergency ambulance service to the nearest medical facility. Also covers non-emergency ambulance transportation when pre-approved by WellPath. |