Advertisement
question

Who pays for a nursing home patient to be taken to a doctor's appointment?

Betty Long, RN, MHA
Betty Long, RN, MHA
Nursing
answer

As with many situations in healthcare, the answer depends on what type of insurance the patient has, but let's assume that Medicare is the primary insurance.  Medicare does pay for transportation to a healthcare facility (hospital, wound center, surge-center) but it does not pay for a 'routine visit' to a physician.

We worked with a family of an elderly woman who was wheelchair bound and on oxygen whose appointment with her cardiologist was moved up two weeks.  She was still recovering in the nursing home so the nursing home informed the family that they would be responsible for the costs of the round-trip transport.  (Transporting her themselves was not an option because of her clinical needs).

Most nursing homes have relationships with transport ambulance companies and they will typically set up the transportation for you.  But don't be surprised if you are asked to pay prior to the transport. 

Continue Learning about Managing Your Healthcare

What ER docs want you to know
What ER docs want you to know
No one wants to end up in the emergency room. But, sometimes, it's unavoidable. Try these tips to navigate the ER with as little stress as possible. ...
Read More
Patient stories: know yourself
Patient stories: know yourself
Nathan R. was 55 when he began to notice that his hearing wasn't quite right and that his equilibrium was off. He noticed dizziness and vertigo when h...
Read More
6 ways to pay less for medications
6 ways to pay less for medications
For many Americans, controlling healthcare costs is important. But health experts have a warning. You should never skip doses of prescription medicati...
Read More
7 little white lies that can harm your health
7 little white lies that can harm your health7 little white lies that can harm your health7 little white lies that can harm your health7 little white lies that can harm your health
Lying to your doctor about unhealthy habits or embarrassing symptoms is common, but can have serious consequences. Here’s why you should tell the trut...
Start Slideshow

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.