According to a recent report by Government Accountability Office, 69 percent of air ambulance flights are not covered by private insurance providers. That is more than two thirds of the air ambulances out there in the country. There are a total of about 20,700 medical flights in the United States of America to put a number to this fact. The median price that was charged by air ambulance companies when a helicopter was involved was about USD 36,400 in 2017. The price shot up to USD 40,600 when the need for medical transportation involved fixed-wing aircrafts in the same year. When the complaints pertaining to balance billing to Government Accountability Office were examined, it was seen that the balance billing amounts were at least USD 10,000.
Consider the Necessity of Air Ambulance Service Seriously
Unfortunately, air ambulance services are hardly a consideration when one opts for a private health insurance. The wise thing would be to ask the agent whether they cover air ambulance services. One needs to do this proactively. Moreover, one must specifically ask which of the air ambulance companies are in-network of the private health insurance provider. Once you come to know of the names, check whether these air ambulance companies offer service in your region specifically. There are a lot of regional medical flight companies in the United States of America. Avoid the off chance that the air ambulance companies covered by insurance do not serve your region.
Be Wise and Purchase Air Ambulance Memberships
Air ambulance memberships can be very cheap. The memberships are usually renewed annually. Find out the air ambulance companies in your region and check what kind of memberships they offer. Opt for a membership that covers your entire family. It would not be a bad idea to hold memberships with more than one air ambulance company. These memberships protect the end customers from balance billing. Another great idea is to suggest your employer to get group memberships for the staff of the company as this can get the price of memberships down significantly.
The common assumption, most often, is that a patient is always flow to the nearest treating facility when an air ambulance is employed. However, this is not always true, although the nearest facility is taken into consideration owing to the cost as the nearest one would obviously cost the minimum. What people need to understand is that air ambulance is a live-saving service and not a cost-saving service. The primary criterion is therefore not just the nearest but also the most appropriate treating facility. For instance, a burn victim may be carried by the air ambulance to the nearest burn care center, although a highly specialized trauma care is just a few blocks away. Again, the primary intent here is to save lives.
Other Considerations taken Into Account by Air Ambulance
The paramedics have a huge say in deciding the treating facility. Of course, they cannot suggest any specific hospital as this would give a leeway for bias but they can specify the kind of facility that the patient should be flown to. Typically, the choice is between the following during medical emergencies:
- Trauma Centers
- Burn Centers
- Cardiac Care Centers
- Stroke Centers
- Pediatric Hospitals
What Happens When a Patient is Involved in a Multi-Casualty Incident?
Natural disasters, for instance, can result in multiple people in need of urgent care. In cases like these, it is impossible for one hospital to take care of all the incoming casualties, no matter how close it is to the incident. An air ambulance in such a situation will look for appropriate facilities, regardless of the distance.
Does Patient Choice Come into Picture?
There might be instances where your health insurance covers you in one particular hospital but not the other; it is fair to request the air ambulance service provider in such instances to fly you to the one that will not affect your coverage. However, one has to mindful whether the cost of air ambulance service, in such cases, is covered or not. It is wise to consult your case worker in a situation like this.
Imagine this – you pay for a smartphone in full and then realize that you are only allowed to use certain features in it but not all. How would you feel about that? Would you have bought it had you know about this fact during the time of purchase? Now, take the case of air ambulance coverage provided by insurance companies. Don’t you deserve to know the kind of coverage that you get? Whether you would be monetarily covered in your neediest hour when your health demands urgent medical care? You need to be sure you will be taken to a well-equipped treating facility and that the expense of carrying you to that destination is covered by the insurance provider. Unfortunately, that is not the case today.
Not All Insurance Providers are the Same
There are several health insurance providers out there who cover the air ambulance charges at a fair rate but there are others who do not. On the other hand, it is not under the control of the air ambulance service providers to choose patients. They ask no questions; they simply respond to emergencies. When this act turns into a haggle for money, it becomes a problem. The result, often, is balance billing – the part of the bill that remains uncovered by the insurance provider. The balance bill, ultimately, becomes the responsibility of the patient to pay, despite having insurance coverage. The amount can be so huge sometimes that it can push a common man towards bankruptcy.
Patient Advocacy by Air Ambulance Service Providers
Most air ambulance service providers have a robust policy when it comes to patient advocacy. Such programs are mainly targeted towards helping patients course through the complexities of insurance. However, the question is, why should such programs be necessary. All that is needed is a fair rate at which insurance companies reimburse the air ambulance service providers. As the insurance companies and air ambulance companies sort this matter out, what ultimately comes out is something that we all need to keep an eye on.
If you are a patient who is in a medical serious condition and fighting for life, would you be okay with an air ambulance professional who is fatigued and has been working a shift of almost 24 hours? Would you perceive this condition to be grave for your life? Although air ambulance personnel these days are not expected to work abnormally long hours, this fact is something you should know about. In this context, one must note that 24-hour shifts were a practice, if not common practice, prior to 1997. We bring you a research conducted in this regard by the US National Library of Medicine National Institutes of Health, which is a part of National Center for Biotechnology Information, a US Government undertaking.
The Findings of the Report were Astounding and Contrary to Popular Belief
The primary objective of the research was to assess the psychomotor agility and skill performance of the air ambulance personnel when they worked 12-hour shifts versus 24-hour shifts. The data gathered pertaining to 24-hour shifts belongs to the pre-1997 era. The data collected was compared with times when the air ambulance industry was mandated to work for limited number of hours as against the time when shifts spanning 24 hours were not alien. Intubation – a critical task that is undertaken routinely – was used as a scale to measure the efficiency of the air ambulance professionals. Surprisingly enough, there was hardly a difference between ‘overworked’ professionals and the ones who worked reasonable hours.
How Do Air Ambulance Professional Manage to Work at Optimal Efficiencies?
The answer may lie in the fact that failure is not an option when lives are at stake. No matter what the level of fatigue, when people who are driven by passion and compassion are put in a situation where the outcome depends on how they perform, the chances are they will try their best and come out winners. The fact is also an ode to the dedication of the professionals belonging to the air ambulance industry.
Psychosis can be a real problem for air ambulance professionals as they try to offer the best possible care during transport. Most often, specialists are relied upon to care for such patients during air ambulance travel. However, there are often cases where psychosis is simply a result of the situation that the patient is in and not necessarily a pre-existing condition. Therefore, the air ambulance professionals do not necessarily have any means to expect a situation like this. The reasons for the condition may be several and the response can vary from case to case. We look at some of such scenarios and discuss the best way to handle them.
Drug-Induced Psychosis on Air Ambulance
Crystal meth, cocaine, and a few designer drugs can induce severe psychosis in patients where they exhibit paranoid and panicky behaviour. The first course of action in such cases is administration of an antipsychotic drug. Restraints are not usually necessary unless the patient needs immediate IV medication. In such cases, a mild manual restraint is, most often, enough. However, unexpected display of physical strength during psychosis can warrant more effective and long- lasting restraints until hospital care is made available. The air ambulance professionals, in such instances, must ensure that the pulmonary function of the patient is not compromised in any way owing to the restraints.
Handing Patients with Pre-existing Mental Ailments
An example would be a schizophrenic who might need both medications and restraints to ensure smooth air ambulance travel. Usually, a qualified medical professional accompanies the patient in such situations. Then, there are also those patients who suffer from mild psychosis. The first approach to handle them is simply soothing words. Keeping such patients calm is often a matter of saying the right thing. Accompanying family members who know how to handle the patient are a huge help in cases like these.
Far too many people stuck overseas are reaching out to the world for money through crowd funding. Some even might say that crowd funding for rescue is being viewed as ‘insurance’ coverage in case anything goes wrong, especially when the emergency involves air ambulance transport across borders. While the world community must be appreciated for showing concern and extending a helping hand, international travellers too must take precautions to avoid giving rise to such situations in the first place. Here, we touch upon certain details pertaining to travel insurance and air ambulance coverage that people travelling abroad must keep in mind.
Adventure, Insurance and Air Ambulance – the Three Main Factors
Most travel-related injuries occur when adventure activities go wrong. However, adventure, most often, is the motivating factor for international travellers. Even though most of the travellers understand the importance of insurance and go for one, certain nuances are sometimes ignored. For instance, if you are headed for a skiing adventure in the Swiss Alps, you must make certain that the travel insurance covers that sport in particular. Also, one needs to know whether the coverage is for local care or air ambulance evacuation too, and if the evacuation is covered, then to what extent.
Travellers Must Discuss Health Concerns with their Travel Agents
While online research is an excellent place to start, it should not be considered a substitute to the insight that a travel agent can provide. Discuss different insurances, the activity you plan to indulge in, the coverage and air ambulance evacuation. Go for the right balance of travel cost and health care assurance. While measures like crowd funding may rescue you, the hassles of raising money and the worries that come along, can be quite harrowing. The effort taken to research and purchase travel insurance goes a long way to bring you a tension-free adventure.
Air ambulance service, as a business, is not short of challenges, budget being the first concern but not the least of it. A good business plan that lays out the path to profitability can easily attract investors. However, there are other challenges that are seldom looked into by most entrepreneurs. Here, we discuss some of those road blocks in some detail.
Understanding the Legislations Across the World
The air ambulance industry in the US, as most experts opine, is pretty saturated. It is, therefore, recommended that entrepreneurs target the global market. This necessitates looking into legislations that govern the land. While the norms in most developed, capitalistic countries are similar, they can vary a lot when it comes to developing countries and socialistic policies too can pose some government roadblocks. It is wise to employ an array of consultants to overcome this hurdle.
Provision of Round the Clock Air Ambulance Services
Failure to respond to emergencies can leave your organization with negative public perception problem. To ensure that air ambulance services are always available throughout the year, it is necessary to make arrangements to be available throughout all weather conditions. Also, medical staff needs to be on standby at all times, even though this means additional overheads. Most air ambulance companies overcome this problem by transferring this overhead costs to the end consumer. However, the wisest thing to do is introduce memberships for nominal fees. Efforts must be made to remain ‘in coverage’ of insurance networks so that reimbursements are seamless.
Acquiring Air Ambulance Fleet and Keeping the Staff Well Trained
Air ambulance industry demands seasoned, qualified professionals and it’s hard to find people who fit this criterion. Plus, there is the issue of ongoing training to the staff. Accredited training organizations must be looped in to meet this challenge. Lack of ongoing training can impact the quality of services immensely.
Now, that’s a scary situation isn’t it? Imagine that you’re in an air ambulance and it crashes in the wilderness. What would be your first reaction if you know that you’re going to be stranded for at least a couple of days? Search for food, correct? In reality, that’s the worst mistake that you can make. A typical human being can survive up to 3 weeks with no food at all but can only last up to 3 days without any water. We bring you several survival tips in this guide.
Staying Close to the Crashed Air Ambulance Vehicle is Vital
Wandering off in the wilderness in search of help is not wise. The rescue personnel are, obviously, going to look for the crash site and not wandering survivors. If you’ve moved too far away from the crash site, you might not even be found. So, it’s wise to stay close to the air ambulance and wait for help.
Protect Yourself from Harsh Weather Conditions
If the air ambulance is still in a condition where it can provide you shelter, use it. If not, try to erect a simple tent with sticks that can protect you from the sunlight. It must be noted that aircrafts are not the ideal shelters in extreme weather conditions. Seeking other forms of shelter is advised. The survivor, in this case, needs to be innovative.
Lighting a Fire and Hunting for Water is Important for Survival
Fire not only keeps the survivor warm, but also acts as a signal for rescuers. Keep the fire lit at all times as much as possible; however, beware of the dangers that a fire poses. Don’t get it too big. Also, your air ambulance might still have some water reserves left; use it judiciously. If you find a water source nearby, use purifying tablets before consuming it. If you do not have these, simply boil it for about 5 minutes.
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.
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.