Pill over a dollar bill

Guide: Air Medical Transport Cost Determination

With the cost of even a short air medical transport flight running into thousands of dollars, a little homework before zeroing on one is not a bad idea, especially if you have the liberty of doing so. Keep in mind that you would not have the liberty or time to choose an air medical transport operator during emergencies. However, if the situation is not life-threatening, it pays to look into certain aspects.

How Far is the Air Medical Transport Vehicle from You?

You might be paying for the distance covered by the air medical transport vehicle to reach you. So, it’s vital that you contact a local air ambulance company, which stations its vehicle close to you. This can save you several hundreds or even thousands.

Have you Got a Final Quote for the Air Ambulance Transport?

The quote that you receive from the company might not be all inclusive. This means you might have to shell out more money than what is mentioned in the quote. Contact your flight coordinator to know the exact details about the price quote.

Does your Insurance Cover Air Ambulance Transport?

There are several guidelines that one needs to follow to assure smooth coverage of air ambulance transport costs by the insurance provider. Look at aspects such as medical necessity, closest appropriate medical facility, and treating physician’s approval even before you start looking for an air ambulance.

Does the Air Ambulance Company offer Comprehensive Services?

There are several aspects that must be taken care of:

  • The transport of the patient from the hospital to the air ambulance
  • Transport from air ambulance to ground ambulance
  • Coordination with receiving facility
  • Medical repatriation beyond borders

Opt for an air ambulance company that covers these corners. Involving yourself in these matters can be time consuming and might cost you extra.

Finally, check whether you can substitute air ambulance for a commercial airline. Simple things like IV fluids, professional care, and stretchers can be accommodated in a commercial airline too, which cost far less than an air ambulance.

A commercial airline stretcher

Guide: Medical Flight or Commercial Airline Stretcher

A medical flight is not always necessary to fly a patient domestically or even internationally, and commercial airline stretcher can be a great alternative. However, it must be noted that the stretcher cannot always substitute a medical flight that is equipped with advanced patient care systems. But what if a patient doesn’t need an advanced patient care system? For a patient to fly using commercial airline stretcher, the foremost concern is stability and the suitability to fly, which is determined by the treating physician.

More about Commercial Airline Stretcher

Unlike the medical flight where the patient has the entire flight to himself, commercial airline stretcher uses a part of a regular flight. A few seats are usually taken off to accommodate the patient in a sleeping position on the stretcher, and also to have all necessary medical equipment. The relatives or loved ones of the patient can easily travel along with the patient as there is no constraint for space.

Scheduling a commercial airline stretcher is much easier as the flight would anyway be heading to the destination. However, the patient might need a longer ground transport as the aircraft would only land in the designated area. The cost of the commercial airline stretcher is much lower than a medical flight as it is not a dedicated medical flight for the patient.

Similarities between Medical Flight and Commercial Airline Stretcher

For one, the patient is required to obtain clearance before opting for the stretcher, just the way one does with a medical flight. The provider who offers you the stretcher service will most likely arrange for ground transport as well and coordinate with the receiving facility. The medical team and necessary supplies such as medications and medical equipments too would be arranged.

At the end of the day, making the choice between a medical flight and commercial airline stretcher largely depends on the condition of the patient and the decision of the treating doctor.

Patient on a stretcher with paramedics

Preparing the Patient for a Medical Flight

It is important that the medical flight taken by a patient is both safe and comfortable. Following certain guidelines ensures that the medical flight transport is carried out smoothly and quickly. Here, we discuss the vital considerations that must top your mind.

Proper Documentation for Medical Flight

Laws specify that transfer orders by the treating physician and acceptance documents by the receiving facility must be in order before the patient boards a medical flight. Also, the patient’s medical chart, discharge summary, lab results and other medical information must be carried. A photo ID is vital and must be kept handy. Consent for medical flight transport must be sent to the air ambulance operator beforehand.

Medications and Equipments during the Medical Flight

An IV access must be ready. If the patient does not need IV access on a continuing basis, it can be capped. All medications that are necessary and those that are meant for comfort must be administered. These meds must also be provided to the crew in case the need arises midair. This also includes IV medications.

Casts, Traction, and Diapers

If the patient is being treated with a circumferential cast, it must be bivalved beforehand. Hanging weights for traction are not suited for a medical flight. Appropriate traction device must be used instead. An unconscious patient must be diapered prior to transfer to the medical flight and any tube feeding must be discontinued about 7 to 8 hours in advance.

Accompanying the Patient in Medical Flight

The passenger accompanying the patient must have prior approval. If the condition of the patient demands that no one accompanies him or her during the medical flight, the passenger must comply. Most fixed wing aircrafts have limited space and one must understand that it is essential for the medical staff to have enough space to function efficiently. Even when accompanying the patient, the passenger must occupy minimum space possible.

Knowing these guidelines well in advance helps make the medical flight travel a comfortable one.

A neonate being transferred from ground ambulance to air ambulance

Fixed-Wing Air Medical Transport Precautions

When you accompany a patient to a fixed wing air medical transport vehicle, you would be accompanied by qualified professionals belonging to both ground ambulance and air ambulance. However, knowing certain protocols can always come handy, and ensure a safe and swift transfer of the patient to the air medical transport vehicle.

Getting to the Air Medical Transport Vehicle

First and foremost, the ground ambulance needs to wait for the aircraft to shut down its engines completely before approaching it. Even when the ambulance approaches the air medical transport vehicle, it has to stop at least 25 feet away. All flashing lights must be switched off and only the headlights must be used in case of poor visibility.

You must wait for the crew to arrive to the ground ambulance to take the patient away. Switch off the ground ambulance immediately after reaching the destination to avoid the exhaust fumes getting into the aircraft. Keep in mind that the aircraft might be pressurized to a certain degree and the exhaust fumes can be quite a disturbance.

Taking the Patient to the Air Medical Transport Vehicle

Walking in front of the wing of the airplane is a strict no. Also, refrain from opening the doors of the air ambulance. Assist in loading the patient only if help is requested. If the help is sought, do not stay inside the air medical transport vehicle unnecessarily after loading the patient, unless you are travelling along. Never hesitate to ask what you must and must not do once inside and when travelling with the patient.

Before Exiting the Airport

It is wise to leave the airport only after the air medical transport vehicle takes off. Inform the crew of any issues such as debris or animals in the vicinity that might hinder takeoff. Even when the ground ambulance moves away from the aircraft, the flashing lights must be switched off.

Finally, have all your questions relating to the medical travel answered before the transfer. Your questions at the last moment can unnecessarily waste valuable time.