Medical Escort Services Alt to Air Ambulance

Worldwide Air Medical Transport

Medical Escort  FAQ

How much notice do we need?

Once a physician has cleared the client for travel and a receiving facility has been secured, we can organize travel plans within 24-72 hours of your initial phone call.

Are medical transports covered under insurance?  

Medicare/Medicaid:                                                                                                                                                                                                Medicare will not reimburse for non-emergency transportation. They will only pay for a medically necessary transport in an ambulance usually in an emergency situation. The need for a stretcher does not constitute medical necessity. It is fraudulent for an ambulance service to file for Medicare in a non-emergency setting and claim that they performed a procedure on a patient that did not  need emergency service and also we are not a Medicaid provider.

"Bedside to bedside"?

We can always arrange a bedside to bedside quote but it is not always the cheapest route.  

We always arrange the most qualified means of transportation needed according to clients conditions so we don’t have to companion them if is not necessary…

 Bedside to bedside Extra Expense:

  • Transport from airport to departing location to pick up client
  • Transport to airport from arriving location for escort
  • Sometimes overnight fee since we need to get to departure facility 4-5 hrs prior to departing time


We have another ground transportation service that may be cheaper, but we worry about their equipment ?

Send us their Info by mail and we will make sure they are the right choice.


Can the flight attendant do this?

Why can't the flight attendant do this? read New York Times Article
Many flight attendants are trained in basic emergency care. But:

 1-The flight attendant also has to please all the other people on the plane.    

 2-The flight attendant may recognize a medical emergency, but does not have the  skills to determine what is causing the emergency, based on the passenger's medical history                         

 3-The reason for having a medical escort in the first place is to recognize the client's deterioration early, and prevent an emergency from occurring. By the time a flight attendant recognizes a case of severe oxygen desaturation, damage may already have occurred.

 4-A trained escort who knows the client's history and initial assessment can better maintain the client's condition, as well as providing comfort on an ongoing basis.

Can someone travel on a commercial flight if they are unresponsive? 

For 1st class travel, our staff can safely support the patient when seated upright for take-off and landing. Thereafter, the patient is fully reclined in a sleeping position for the remainder of the flight.

Can someone travel on a commercial flight if they are non-ambulatory?

  Most of our clients are unable to ambulate onto the aircraft or within the aircraft cabin. Special arrangements   are made to safely transfer the client on and off the aircraft, to their seat, or to their stretcher.

Can someone travel on a commercial  flight if they have complex oxygen needs? 

 A commercial airline can generally provide for supplemental in-flight oxygen within 56 hours of making the request. However, each carrier has specific guidelines as well as limitations with the amount that they can provide. Our flight staff will be able to monitor and regulate your oxygen requirements with the use of a portable oxygen monitoring device

Will he/she help with Dad transferring him from the ambulance, wheelchair, to plane seat? 

Escort personnel will assist with all transferring from the ambulance to wheelchair to aisle chair to plane seat. 


My dad is incontinent and wears an adult brief.

That is not a problem, our escort personnel is trained to assist with all personal needs during flight.  If the flight is  too long, we will ask the departing facility to place a Foley for transportation purposes only.  


Can the escort have a helper?

We can always arrange for extra personnel in flight if you need it. Only mandatory if the travel Companion transfer is longer tham 18hrs from departure time.

Would we know what Airlines and flight number he would be on in advance so we could book our flights on the same plane ? 

Once we have  day of departure  our dispatcher will contact you and determined the best flight and sent you Airlines and flight numbers

What personal items would he take and what carryon luggage or checked baggage permitted or needed?

 One small carry-on luggage if escort member has to be in charge of (remember we have to carry our escort bag and take care of the client at the same time).

Approved Personal Carry-on Items

  • 1 purse, briefcase, camera bag, or diaper bag

Carry-on Baggage Size Restrictions

  •  When oversized bags do not fit in the overhead bins, delays occur. Fees will be applied to the oversized bag if it has to be checked at the gate. To avoid delays as well as fees, follow these size requirements:
  •  Baggage may not exceed 45 linear inches (or 115 cm) in combined length, width, and height.
  • Baggage must fit easily in the Carry-on Baggage Check, which is located near the check-in counters and at the gate and is approximately 22" x 14" x 9" or 56 x 36 x 23 centimeters

Checked baggage permitted

  • Checked baggage must weigh 50 lbs. or less and its combined length, width and height must measure 62 inches or less.     
  • First checked bag: $25 USD
  • Second checked bag: $35 USD


 What would happen to the plans and our payment if he ended up in the hospital or other emergency may happen before the day of the flight or the day of the flight?
  •  If  flight is rescheduled for a later day, there will be additional expenses and those are about $100 per ticket for cancellation fees charged by the airline. (cancellation fee varies from airline to airline)
  • An any other expenses incurred if it is on the day of transfer
  • If cancelling, a cancellation fee of $500.00 in addition to any expenses incurred is the responsibility of the purchaser

Note: Any unforeseen medical or transportation expenses incurred are the responsibility of the purchaser and will be charged accordingly.


How much does it cost to travel on a commercial flight with a medical escort vs. an air ambulance?

 The cost will vary depending on the distance and days traveled. Generally, someone can travel on a commercial airline within the 50 states for approximately $3,500.00 to $8,000.00 and to International destinations for approximately $6,000.00 to $18,000.00 all inclusive of first class air and ground travel costs for both staff and patient.
Respectively, traveling with a private air ambulance could range from $10,000.00 to $90,000.00


Can a couple traveling to a family reunion with my mother on a wheelchair and we need help. Can you provide one of your staff?

Our staff will assist you with your travel needs and help with the burden of an elderly or ill loved one

We are an elderly couple and have always wanted to travel. We would feel more comfortable with an escort. Do you provide this service?  

 Our staff will assist you in all aspects of the journey and provide you with an extra set of eyes and ears for your security. Our agents can handle the coordination of the travel. We can also offer you added peace of mind when traveling to places where you might need a little extra help.

Do I need to scan any special paperwork to send my child overseas or domestically? 

A form that we send you to be signed by both parents and notarized is usually all that is needed by the airlines.

 I am sending my child to stay with his mother in another country. Can you handle the logistics for the trip? 

We can handle all of the logistics for this trip if need be. Our staff can meet the client at a predetermined point. We will escort your child on the flight through customs and immigration and if need be to the final destination in while maintaining contact with the parents during the journey.

Can I trust the person I hire to travel with me, my young adult, or transport my child? 

All of our travelers must submit to a thorough background check and submit to alcohol and drug screening. We only employ those who have the best personal and professional records.

How do the agents maintain contact with the clients internationally? 

 All of our staff will maintain contact by various methods of communication to include Cell phones and Electronic mail.

How do the Price maintain ? 
It is always our goal to provide the highest quality service at the lowest possible cost. Price is determined based primarily upon the medical condition of the  client's, because this will determine the type of aircraft or ground transportation that will be utilized, the medical supplies to be included, the medical team to be transported, the destination and the urgency of travel.

Our Flight Coordinators will talk to you about some of these issues and provide a quote over the phone. In non-emergency situations, we will also gladly send you a written quote explaining all services provided. The price quoted to you is the final price – there are no hidden cost.



Payment Information:

Please keep in mind that the more time we have to finalize the arrangements, the more efficient and affordable the experience will be for you and your loved one; we require at least 36-48 hours notice

We use PayPal, one of the most secure methods of payments for our clients

 They accept all major credit cards

  • 36-48hrs from departure day we only accept direct deposit or wire transfer to our bank account
  • 56-72hrs from departure day we accept any methods of payments
  •  No Personal Checks unless you give us a week for the check to clear before departure day

 For payment arrangement please  E-mail us today  at  to receive a quote based on your specific needs. Our Flight Coordinators and Case Managers are available to help you 24 hours a day 365 days a year.

How can I get more information about any of our travel services?

 E mail us at 

 Or Call us Toll Free 1-833-ASK-1REP(257-1737)