MEDI-CAL TRANSPORTATION SERVICES

As a Blue Shield Promise member, you can get a ride to and from your doctor’s appointments at no cost. We will work with you and your doctor to find the right ride for you.

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Transportation services are offered at no cost

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Non-emergency medical transportation (NEMT)

You can use non-emergency medical transportation (NEMT) when you can’t get to your doctor’s appointments. 

Before getting NEMT, you need to request the service through your doctor. Your doctor must complete a form and send it to Blue Shield Promise.

NEMT includes the following types of transportation:

  • Ambulance
  • Litter (gurney) van
  • Wheelchair van
  • Air transport

NEMT is not a car, bus, or taxi.

 

Limits of NEMT

Blue Shield Promise covers NEMT rides to medically necessary services. All rides to get prescribed drugs are also covered. A provider must prescribe NEMT rides for you. If the appointment type is covered by Medi-Cal but not through Blue Shield Promise, we will do our best to get you a ride.

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Non-medical transportation (NMT)

You can use non-medical transportation (NMT) when you are traveling to and from a doctor’s appointment. You can also use NMT when picking up prescriptions and medical supplies.

Blue Shield Promise lets you use different ways of getting to your medical appointment for covered services. To schedule your ride, contact Blue Shield Promise Transportation Services. You can use public rides like a taxi or bus by calling Blue Shield Promise Customer Care and asking for prepayment assistance.

You can also get a private car ride from a family member or friend. For private rides, we’ll reimburse the driver based on the Internal Revenue Service (IRS) standard medical mileage rate. To get reimbursed, you must tell Blue Shield Promise by phone, email, or in person that you tried and weren’t able to get a ride from Blue Shield Promise Transportation Services. The driver must also provide a valid:

  • Driver’s license
  • Car registration
  • Car insurance

Limits of NMT
Blue Shield Promise covers NMT rides to medically necessary services. All rides to get prescribed drugs are also covered. If the appointment type is covered by Medi-Cal but not through Blue Shield Promise, we will help you get a ride. You do not need a provider to prescribe NMT rides for you.   

 

Scheduling your ride


To learn more about asking for NEMT or NMT, or to learn how to schedule a ride,
call us at: (877) 433-2178 (TTY: 711), 24 hours a day, 7 days a week.

Call at least one business day prior to your appointment.
For urgent appointments, please call as soon as possible.
Please have your Member ID card ready when you call.

 

Related Travel Expenses for transportation services

Blue Shield Promise will pay for meals, lodging, and other necessary expenses for transportation services. These are called Related Travel Expenses. For these expenses to be covered, the services you receive must be:

  • Medically necessary
  • Approved by Blue Shield Promise
  • Located more than 30 miles from your home or doctor’s office

The plan also pays for the travel costs of an aide and a Major Organ Transplant (MOT) donor. The aide or MOT donor do not have to be a Blue Shield Promise member.

Before you travel, get your expenses reviewed by Blue Shield Promise. They must be reasonable and necessary.

If you’re unable to prepay for travel expenses, you must inform Blue Shield Promise. If Related Travel Expenses are organized by Blue Shield Promise, there are no costs for you. Call Customer Service to get started.

 

Covered Related Travel Expenses

Travel expenses can include:

  • Rides, parking, and tolls
  • Hotel stays and meals (covered at the IRS daily rates)
  • Sales taxes (on eligible expenses)

Aides:

If an aide is not a family member or friend, they can be paid for their time. To be paid, they must:

  • Be medically necessary
  • Be 18 years or older
  • Have a social security number or an individual tax ID number
  • Complete a W-9 form

Aides will be paid by check. They will be paid at the In-Home Supportive Services (IHSS) hourly rates at a maximum of 8 hours per day.  They will receive a 1099 form for the year they were paid as required by law.

 

Exclusions

There are some items that don’t qualify for Related Travel Expenses. These include:

  • Tobacco, alcohol, and non-prescribed drugs
  • Hotel extras such as phone charges and entertainment
  • Car services, rentals, insurance, damages, and fines
  • Travel to non-medical locations such as restaurants
  • Third party (employer or non-profit) covered travel expenses
  • Expenses that exceed the IRS daily rates
  • Personal expenses
  • Expenses for services before August 16, 2022

 

Reimbursements

You also have the option to pay for expenses. Reimbursements will be made when:

  • Medical services are completed
  • Claims forms, attestations, and supporting records are submitted within 180 days of service

Records can include itemized receipts. Reimbursements are available where allowed by law.

Expenses are covered up to the IRS’ day rates.

All Related Travel Expense rules, eligibility, and exclusions apply. 

Download and use the Reimbursement Form and submit with your receipts to request reimbursement.
Get form (PDF, 93 KB)

 

Tax liability and reporting

The Related Travel Expenses program is made to support you when you're required to travel for care. This is a part of your health plan.

If Related Travel Expenses are above the IRS limits, it may be a tax reportable income.

Blue Shield Promise is not responsible for any income taxes that occur through the program.

Blue Shield Promise cannot provide tax or legal advice. You should consult a tax or legal advisor.

  

Customer Service:

Call Customer Service for more information on travel guidelines.

Los Angeles: 1-800-605-2556 (TTY: 711), 8 a.m. to 6 p.m., Monday through Friday

San Diego: 1-855-699-5557 (TTY: 711), 8 a.m. to 6 p.m., Monday through Friday

 

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Page last updated: 8/7/2023

Health Care Options: 1-844-580-7272, de lunes a viernes, de 8:00 a. m. - a 6:00 p. m. Los usuarios del sistema TTY deben llamar al 1-800-430-7077.

Para obtener información sobre Blue Shield Promise Cal MediConnect Plan y otras opciones de Cal MediConnect para la atención de su salud, comuníquese con el Department of Health Care Services (Departamento de Servicios de Atención de la Salud) al 1-800-430-4263 (TTY: 1-800-735-2922) o visite la página https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan es una organización de atención administrada que pertenece completamente a Blue Shield of California, y que ofrece Medi-Cal, Cal MediConnect, Medicare Advantage HMO y Dual Eligible Special Needs Plans (D-SNP, Planes de necesidades especiales con doble elegibilidad).

© 2002-2023. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. Todos los derechos reservados.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan es un licenciatario independiente de Blue Shield Association..

Blue Shield of California Promise Health Plan es un plan HMO y un plan HMO D-SNP que tiene un contrato con Medicare y un contrato con el Programa Medicaid del Estado de California. La inscripción en Blue Shield of California Promise Health Plan depende de la renovación del contrato.

Las redes de proveedores pueden cambiar en cualquier momento.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

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