NO. It’s not our rules, it is theirs. Medicaid, Medicare and most insurance companies will not touch reimbursement for non-emergency long distance transport. They consider it a “move of convenience” and no physicians letter or “medical necessity” letter will change that. This is one of the main reasons why we began our service 27 years ago. People were paying out of pocket for an ambulance, if they could find one licensed to cross state lines, to transport patients that didn’t need any of the extensive equipment or care that ambulances charge for.