Eligibility Guide

Who Qualifies for Non-Emergency Medical Transportation?

Medical-necessity criteria for non-emergency medical transportation in New Jersey. Whether you're applying for yourself or a loved one, we'll work with you closely to determine eligibility.

What It Is

What Is Non-Emergency Medical Transportation?

Non-emergency medical transportation (NEMT) provides safe, comfortable transport for patients whose medical condition makes traveling by standard transport — taxi, rideshare, family vehicle — unsafe or impractical.

It's not for emergencies (call 911 for those). It's for the regular, ongoing trips that medical care requires.

Qualifying Conditions

Qualifying Medical Conditions

Patients typically qualify if they are or have:

  • Dementia, Alzheimer's, or altered level of consciousness (LOC)
  • Confined to a bed or in a wheelchair
  • In constant moderate to severe pain
  • A danger to self or others
  • Require IV medications or fluids
  • Require special handling during transport
  • Dependent on third-party oxygen assistance
  • Unable to sit in a chair for the duration of transport
Common Cases

Common Qualifying Scenarios

Dialysis (ESRD)

Recurring, medically necessary transport to and from dialysis treatment — three times a week, every week.

Hospital Discharge

Post-surgery, recovery, or weakened patients who cannot safely travel by standard transport.

Dementia or Alzheimer's

Patients who can't safely use taxis, rideshares, or family vehicles due to cognitive impairment.

Mobility Impairment

Wheelchair or stretcher-dependent patients who require accessible vehicles and trained staff.

Oxygen Dependency

Patients who need supplemental oxygen during transport — our vehicles and crew are equipped.

Bariatric Needs

Patients requiring specialized equipment — our fleet includes bariatric-capable stretchers and vehicles.

Payment Options

How Insurance & Medicaid Coverage Work

Medicaid (NJ FamilyCare)

Medicaid covers NEMT for eligible recipients to covered appointments. No out-of-pocket cost when you qualify. We bill directly.

Medicare

Original Medicare doesn't usually cover NEMT, but some Medicare Advantage plans do. Call us with your plan info and we'll verify.

Private Insurance

Many plans cover NEMT under specific conditions. We bill directly and handle the paperwork.

Private Pay

Always an option if insurance doesn't cover your trip. Our rates are transparent and we'll quote before you commit.

What to Prepare

What Documentation You May Need

Medicaid ID

If you're using NJ FamilyCare (Medicaid).

Insurance Card

If you're using private insurance or Medicare Advantage.

Physician's Certification (PCS)

For some Medicaid-covered trips. Your doctor signs this — we can guide you through it.

Appointment Details

Date, time, and destination for your medical appointment.

What if you don't qualify?

Private pay is always an option. Our rates are transparent and we'll quote before you commit. Call (551) 326-9573 for a quote.

Common Questions

Frequently Asked Questions

Does Medicaid cover all my medical trips?
Medicaid covers non-emergency medical transport to covered medical appointments. It doesn't cover personal trips. Call us with your appointment details and we'll confirm coverage.
What if I'm not sure if I qualify?
Call us at (551) 326-9573. We'll walk through your situation and verify coverage with your insurance or Medicaid plan in minutes. No obligation.
Do I need a doctor's note every time?
No, not usually. For some Medicaid-covered trips, a Physician's Certification of Medical Necessity (PCS) is needed once and applies to ongoing trips. We'll guide you through it.
Can my family member ride with me?
Yes, at no extra cost. We make space for a family member on every transport.
What if my insurance plan changes?
Let us know — we'll re-verify and continue your trips without interruption.

Have Questions About Whether You or a Loved One Qualify?

Call (551) 326-9573 or contact us — we'll walk you through the process.

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