Tag Archives: Medical Necessity

Factors that Determine the Need for Medical Flight Service

As we have time and again discussed, the decision to avail a medical flight service, most often, is in the hands of the treating physician and the patient has little say in it. However, it is always good to have the knowledge of what constitutes a medical necessity for availing an air ambulance service.

Criticality of Time and Treatment Facility

In a situation where the injury or health condition is serious enough that immediate medical attention is warranted and an air ambulance can cut down the travel time greatly, such a service becomes a necessity. It also becomes a necessity when the medical facility in which the patient is receiving treatment is not equipped enough to handle the patient’s condition. The patient may be in need of immediate advanced medical care.

Accessibility to Ground Ambulance and Availability of Medical Flight Service

Certain areas, especially rural, might not have the land infrastructure to transport the patient. In such cases, if a medical flight service becomes available right away, it can be a real life saver. For a medical helicopter, all it takes is a helipad, which most hospitals have today.

Does the Local Ground Transport Leave the Local Area with Inadequate Coverage?

This is an important question that needs to be answered. Rural towns, often have just one or two air ambulances for the entire community. Shifting a patient to a medical facility that is quite a distance from the home base can leave the local community without adequate emergency medical access. A medical flight may be opted in a situation like this.

Medical Facility Available in the Transport Vehicle

Ground ambulance may lack in certain critical care equipment that are available in a medical flight service. In a situation like that, even if time is not a factor, the patient might still be transported via a medical flight service.

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.