Air ambulances in the United States are operated by a variety of hospitals, local government agencies, and for-profit companies. Medical evacuations by air are also performed by the United States Armed Forces (for example in combat areas, training accidents, and United States Coast Guard rescues) and United States National Guard (typically while responding to natural disasters).
In 2002, the federal government increased the reimbursement for medical flights for Medicare and Medicaid patients. This caused an increase in the number of for-profit ambulance services, which charge much higher rates than non-profit hospitals and expanded services available to people with private health insurance. With lower reimbursements, hospitals could still operate the service as a loss leader because severely injured patients would be incurring significant charges for medical treatment. NPR cited one 2008 case where two patients were transported from the same accident scene to the same hospital, where the hospital charged $1,700 and the private service charged $13,000. [1]
Air Ambulance Membership Programs
Private air ambulance providers in the United States offer membership programs designed to reduce or eliminate the out-of-pocket costs associated with emergency air medical transport. These memberships are typically available to individuals or entire jurisdictions and provide coverage for medically necessary flights within the provider’s service area.
Major provider networks include:
Membership plans generally offer low-cost annual fees and may cover transport charges either fully or on a percentage basis, depending on the provider’s terms.