All posts by airambulance

How is Air Ambulance Cost Calculated?

The last thing that comes to mind during emergencies is money. Staying alive takes priority over everything else and naturally so. It is after the emergency and when you are inadequately covered by insurance that air ambulance cost finally comes into picture. There are several factors on which medical flight costs depend on. In this guide, we briefly discuss the important cost factors.

The Distance that Air Ambulance Needs to Cover

Unlike a cab that usually considers the distance from the point that you occupy it, air ambulance charges go beyond this point. You might be expected to cover the cost from the air ambulance base to your location and also for the journey undertaken by the air ambulance to get back to its base. Opting for the nearest air ambulance might make more sense in situations like these.

The Type of Air Ambulance Vehicle

For longer distances, an air ambulance with a jet engine might be more suited. Of course, this might translate into higher costs. At the same time, helicopters are ideal for emergencies that occur on busy streets. While one cannot exactly choose which vehicle to hire, it must be understood that aircraft type and costs are directly related to each other.

The Extent of Care the Health Condition Demands

There are two components to medical care: personnel and equipment. If the condition demands that the air ambulance be loaded with advanced life support and monitoring systems, the costs will shoot up. Also, there might be a requirement for specialized human care that only highly skilled professionals can provide. And such care usually comes at a premium.

Air Ambulance Landing Fees and Logistical Charges

When an air ambulance lands on an airport or helipad, it is usually charged a fee for it. Also there might be other charges such as visa, hospital booking, ground ambulance charges, etc. Your air ambulance service provider is obviously going to factor all that in while drawing the bill.

Guide to Tackling Hypoxia on Medical Flights at High Altitudes

Hypoxia is almost a certainty at high altitudes unless it is cared for. However, it does not usually occur as medical flights usually have pressurised cabins. This does not mean that we do not pay any heed to this potentially life-threatening condition, which is a real possibility on medical flights, when the altitudes are in excess of 10 thousand feet above the sea level.

The word hypoxia, when literally translated means lack of oxygen. A decrease in supply of oxygen to human body can bring about myriad symptoms and recognizing these, especially when in medical flights, is extremely important, as patients are usually already in a weak health position in air ambulances.

The Signs of Hypoxia on Medical Flights

Paramedics and nurses onboard medical flights must look for signs such as impaired judgement, lethargy, poor physical coordination, bluing of the skin (also known as cyanosis) and rapid breathing. The intensity of each of these signs may vary but these are the most visible signs that the patient is experiencing hypoxia.

The Symptoms of Hypoxia on Medical Flights

Surprisingly, euphoria or extreme happiness can be a symptom of hypoxia. Other symptoms can be a sensation of tingling, impaired visual capacity, cold or hot flashes, dizziness, headache, nausea, fatigue and air hunger. Not all symptoms might be present in one single individual but at least some of these might be present when the patients are hypoxic in medical flights.

The Effects of Hypoxia on Human Beings

It must be noted that about 20% of all oxygen that we take in is used by our brain. So, one of the first organs that is affected by hypoxia is the brain. If the brain is deprived of oxygen, it can lead to severe and permanent brain damage leaving the person with impaired functions for life. In extreme cases, it may even cause death. However, treating hypoxia, fortunately, is easy. All that patients aboard medical flights need is 100% oxygen and the symptoms vanish within a matter of seconds.

Holidaying with Peace of Mind Means Having Access to Air Ambulance Services

Travel insurance is the safety net that you need when travelling abroad, especially in countries where the quality of health care is not the same as the one you enjoy in your home country. In such situations, air ambulance can become an absolute necessity. Most people assume that travel insurances automatically ensure an air ambulance to their home countries if they felt there is a necessity and that it is the patients’ choice to get the treatment wherever they desire; however, these beliefs are far from true. The insurance company can actually deny a claim and for the patient to get treatment in the visiting country. The company would weigh the cost advantage in situations like these.

Checks Air Ambulance Cover Before Purchasing the Travel Insurance

Explore as many travel insurance options as you can before zeroing down on a specific one. Reveal upfront the kind of activities you plan to indulge in and check out the premiums. If you have any pre-existing illness, make that known clearly and check out the premiums. The fear of higher premiums must not deter you from making this revelation as you can get into a huge financial mess owing to this mistake later.

Know Your Coverage Well

Also, some activities are considered very high risk and certain travel insurance policies might not cover them. If you’re going to be a part of some extreme adventure event, check out the facilities that the organizers offer and also whether the insurance company is willing to cover the mishaps that occur during such activities.

There have been several instances in the recent past where the travelers have not bothered to look closely enough whether the insurance company covers air ambulance services and later have had to resort to crowd funding to afford international air ambulance services. A little homework can avoid such issues and make your travel more secure and safe.

Understanding the Term ‘Medical Necessity’ in the Context of Medical Flights

One of the most basic criteria for insurances approving and covering costs of medical flights is establishing that there was actually a medical necessity for availing the service. However, understanding what constitutes a ‘medical necessity’ is important. Of course, we have discussed, in our earlier guides, that the decision to summon air ambulances can only be taken by the treating medical professionals in the hospital or at the site of accidents. Let’s dive into this topic a little deep here.

Medical Flights and their Advantage Over Ground Ambulances

It must be established or deemed important to leverage the advantage that medical flights have over ground ambulances. The instability that comes with transporting a patient via ground ambulance and the need for rapid medical transportation could be the two reasons to avail medical flight services. Further, the condition of the patient should be such that he or she could suffer serious medical consequences or even face death if an air ambulance is not used.

Accessibility of the Destination

An air ambulance can become a ‘medical necessity’ if the destination is located in a region that is remote or completely inaccessible to other forms of transportation. The ground approach to the destination could be such that it poses a serious threat to the patient owing to the terrain.

Time Taken to Reach the Nearest Treating Facility

There are times when a delay as small as 30 minutes to an hour can mean the difference between life and death. The ground ambulances may be available in such scenarios but the time that they take to reach the treating facility could be a deterrent and the advantage of quick transportation that comes with medical flights could be the advantage. Of course, the severity of the illness or the disease condition would be the primary factor behind this decision.

Qualifying for Medical Flight Insurance Reimbursements

‘Stringent’ is the word that comes to mind when you think of medical flight insurance coverage norms. Cost reimbursements of medical flights can mean between a retaining your life savings and letting it go to cover the huge bills. It is important to know the basis on which insurance companies accept or deny the claims. Of course, the foremost thing is to own a health insurance policy that covers medical flight services or medical transportation of any form for that matter. If this condition is taken care of, following are the other conditions that you must be mindful of.

Insurance Coverage for Medical Flight Services

Medical flight services to and from hospitals are covered by Medicare Part B. It is worthy to note here that air medical transportation to skilled nursing facilities is also covered under Part B. However, it should be noted that medical flight coverage is provided when it is deemed that ground ambulances are not suitable for the medical condition or when it is determined that the patient is in dire need of care and timely care is possible when the patient is carried to the treating facility in the shortest possible time via an air ambulance.

Approval by the Treating Professional is Necessary

The ultimate decision of whether a medical flight service is necessary lies with the treating professional who could be a physician or a paramedic attending an emergency. This decision cannot be taken by the patient and in most cases cannot be overruled either.

If the medical flight company feels that the patient might not be able to pay for its services, it can ask the patient to sign Advance Beneficiary Notice that states that the patient would be responsible for the payment in case the insurance company refuses reimbursement. The patient can refuse to sign this notice; however, if the air ambulance company goes ahead and carries the patient, he or she might still be held responsible for the payment.

Airambulance Guide: Altitude Decompression Sickness

Altitude decompression sickness is not unique to airambulance flights or to patients alone. It is a condition that is generally associated with high altitudes. It was only in the 1930s that this phenomenon was recognized by the medical community. The problem was observed in aircrafts as well as high-altitude hot-air balloons. Today, we have a better understanding of altitude decompression sickness, but still, we are not insulated from the dangers of this medical condition. It is a must that medical crews aboard airambulance flights are well aware of this. Here, we explain this condition in simpler terms.

This is What Airambulance Crew Members Need to be Aware of

The basis for understanding altitude decompression sickness is Henry’s Law, which says, “When the pressure of a gas over a liquid is decreased, the amount of gas dissolved in that liquid will also decrease.”

The concept is best explained with the example of soda. What do you observe when the bottle is opened? The formerly ‘calm’ liquid suddenly sees a flurry of activities. The air bubbles that previously were nonexistent suddenly show an insane urgency to escape the bottle, pushing their way through the liquid. Why does this happen? The answer is Henry’s Law.

When the bottle is sealed, the pressure inside is at a constant high, but when it is opened, the liquid is exposed to pressure in the atmosphere outside the bottle, which is comparatively much lower, so much of the gas escapes the liquid.

How Does Henry’s Law Relate to Human Body?

Human beings have high amounts of nitrogen gas throughout the body. When the airambulance is flying at high altitudes, if the cabin is not pressurized, the possibility is that nitrogen will escape the body, owing to the decreased atmospheric pressure that prevails at high altitudes. Of course, modern airambulance vehicles are well insulated from such dangers and can safely travel at high altitudes.

Hypoxia – A Condition that Medical Air Transport Personnel Should be Aware of

Literally translated, hypoxia means diminished availability of oxygen to the body, something that is quite common in medical air transport scenarios. However, a pre-existing condition that already has made the patient struggle for oxygen can further exacerbate while on the flight. Here, we discuss the reasons and also the different types of hypoxia. The intent is to create a quick reference for medical air transport personnel.

Why Worry About Hypoxia Onboard a Medical Air Transport Vehicle

The biggest risk of hypoxia is when the medical air transport flies over 12,000 square feet above the sea level in an unpressurized air craft. It must be noted that medical flights are pressurized at high altitudes. However, if not, and if no supplemental oxygen is available immediately, it can lead to hypoxia. This kind of hypoxia usually affects the lungs as is caused by partial pressure reduction of O2.

Histotoxic Hypoxia Could be a Danger

Histotoxic hypoxia is diminished ability to filter oxygen owing to narcotic or any other toxic substance. The patient loses the ability to get adequate oxygen. In situations like these, the medical air transport crew must take special care to avoid exacerbating the situation. The combination of histotoxic hypoxia and lack of oxygen pressure due to altitude can prove to be a deadly situation.

Understanding Stagnant Hypoxia

This is another form of hypoxia and is caused by exertion of positive G force in the Z axis. Other causes are heart failures and shock. All these interfere with the blood circulation for the worse and deprive the human body of adequate oxygen. However, medical air transport services always carry oxygen onboard and these conditions are easily taken care of.

Hypemic Hypoxia is Another Cause

This type of hypoxia is caused by health conditions that affect the oxygen levels in the blood. Prime examples for this are anemia and carbon monoxide positioning, both of which affect blood oxygen levels.

Guide: Medical Flight Stretchers

Not all medical travels warrant a medical flight. When time is in your hand but the treatment for the ailment demands that you travel long distances, medical flight stretchers can be quite useful and economical. The cost of this service would be a fraction of what an air ambulance would cost you. However, there are certain points that one must keep in mind before booking a medical stretcher and we discuss those in some detail here.

How Isolated is the Patient in the Medical Flight Stretcher?

Medical stretchers naturally occupy more space than a normal seat would. Plus there might be the need of space for some basic medical equipment. All this space translates into higher cost. The agency you have hired might cut corners by trying to make do with minimum space. It is wise to clarify this beforehand. Isolation from the rest of the fight is extremely necessary.

Does the Air Ambulance Company take Care of the Logistics?

You do not want to risk taking the patient in your car to the airport. It is always wise to have an ambulance for this purpose. Does the agency take care of this? Also, the on-boarding and off-boarding of the patient must be a quick process. The agency needs to anticipate all possible hurdles to this and take care of it well in advance.

Booking the Hospital Bed on Arrival in Advance

You do not want to run around to book a bed in the hospital of your desire. While you standby the loved one with health issues, the agency must take care of booking the hospital bed in advance. It is vital that you ask about this beforehand and take confirmation of the booking. Of course, the ambulance too must be ready in the airport upon arrival to save time and get through the process quickly.

Lastly, one must not hesitate to clarify any doubts that they may have, with the coordinator.

First Aid before the Air Ambulance Arrives

We have mentioned in our guides earlier that the best thing to do is leave patient care to the paramedics or emergency medical professionals before the air ambulance arrives. However, there can be times when such help is not available on time. It is in instances like these that the knowledge of some basic facts and maneuvers come handy. We discuss such minimum interventions below.

Pre Air Ambulance Arrival First Aid starts with Calling 911

It is only prudent to first seek professional help and then proceed to offer help. Most times, our foremost instinct is to jump into helping the victim physically, but in the process that precious and live-saving call to 911 emergency services might be delayed significantly. If you strongly feel the need to intervene directly, ensure that you have someone nearby call 911 immediately. Your presence of mind in this matter is vital.

After You Call the Emergency Number

What you do after the emergency call, is entirely situational. Let’s explore some scenarios here:

  • Commence cardiopulmonary resuscitation or CPR if you see that the patient is not breathing.
  • If the patient is bleeding profusely, apply pressure to stop it. You can prepare a tourniquet by tying a rope to restrict the flow of blood towards the wound.
  • If the patient has any amount of food, vomit or blood in the mouth, place the patient on his side with his arm or a pillow-like material under the head.
  • If you see that the victim is unconscious while lying face down, turn him over so that he rests on his back.

If the victim is conscious, calm him down by reassuring that help is on the way. Remember, your reassurance to the patient is vital to eliminate anxiety. Bring in some positivity into the situation. Even simply holding the patient’s hand would suffice.

Workers’ Compensation and Medical Flight Services

Over the past few years, the medical flight services have steadily risen in cost, so much so that the cost has gone up at a whopping 5% per annum since almost the past 7 years. There have been concerted efforts on the part of state governments and the federal government to bring the cost of medical flight services down, at least to a ‘reasonable’ level. However, the definition of what is reasonable has been rather loose. In the midst of all this, it is natural that people in general are concerned about workers’ compensation and how it deals with medical flight services.

Handling of Medical Flight Services by Workers’ Comp

The big concern of most people is naturally whether they have to pay out of pocket in the eventuality that medical flight services are utilized for a work-related injury. Many would simply ask whether there is a possibility of a balance payment being demanded.

Such worries, however, have no basis to them. The amount would be settled by the insurance carrier and if the amount being approved by the carrier is less than what the air ambulance company is claiming, the victim of the accident need not be concerned. It is up to the medical flight services company and the carrier to come to a settlement. In most cases, the air ambulance company gives the insurance carrier a discount.

The Clash of Two Laws and the Way Out

Most states have fee schedules that define the extent of medical flight services cost coverage. However, ADA or Airlines Deregulation Act of 1978 allows air ambulance service providers to charge what they feel is reasonable without any questions being raised. The two laws can be, sometimes, contradictory to each other. However, in spite of all this, it still boils down to the air ambulance company and the insurance provider coming to a common monitory agreement, in case there is a dispute.