Non-emergency medical transportation

Paratransit insurance for the passengers who depend on you

Seniors, people with disabilities, dialysis patients and others who can't get to appointments on their own rely on your fleet. We place paratransit programs for wheelchair, stretcher and ambulatory providers across Washington and Oregon, structured to meet Medicaid, Medicare and broker contract requirements.

Same-day certificates for new contracts and vehicles · Monthly payment plans

Who we work with

Coverage that matches the mission

Transporting medically fragile passengers creates exposures a standard auto policy doesn't address: securement, lifts, loading and unloading, missed treatments and the conduct of drivers and attendants. We understand those risks and the insurance requirements in Medicaid and Medicare contracts.

We handle coverage for wheelchair vans, stretcher vehicles and ambulatory transport services, and as members of the NEMT Accreditation Commission (NEMTAC) we keep current with industry standards so your coverage meets contract requirements.

Why it matters

How a single trip becomes a claim

Three illustrative examples, with a combined exposure of $1,950,000.

What happened

A wheelchair securement fails on the way to dialysis

During a sudden stop, a wheelchair-bound patient's securement fails. The patient is thrown forward, suffering a traumatic brain injury and broken bones.

What respondsCommercial auto liability responds to passenger injury, with medical payments for immediate costs regardless of fault.
$875,000
illustrative passenger-injury loss
  • Medical expenses$485,000
  • Long-term care needs$225,000
  • Legal defense$95,000
  • Pain and suffering$70,000

Illustrative example. Real outcomes depend on the facts and your policy terms.

The landscape

Paratransit by the numbers

3.6MAmericans miss medical care each year because of transportation issues
$3B+Annual Medicaid spending on non-emergency medical transportation
68%Of paratransit passengers are elderly or disabled
$1MMinimum liability required by most Medicaid contracts
Who we insure

Paratransit services we insure

Wheelchair van transport

ADA-compliant vehicles with lifts and ramps for mobility-impaired passengers.

Stretcher transport

Gurney and stretcher service for bed-bound patients with medical appointments.

Ambulatory services

Sedan and van transport for patients who can walk but need assistance.

Dialysis transport

Regularly scheduled transportation for dialysis treatment.

Hospital discharge

Transport from hospitals to homes, rehab facilities or nursing homes.

Senior transport

Services for elderly passengers with medical appointments.

Mental health transport

Transportation to behavioral health appointments and treatment facilities.

Pediatric transport

Medical transportation for children with special needs.

Coverage library

Complete paratransit coverage

Every coverage you may need to protect passengers, drivers and the business.

Vehicles

Commercial Auto Liability

Primary liability for bodily injury and property damage, with limits from $1M to $5M to meet Medicaid, Medicare and broker contract requirements.

Vehicles

Hired & Non-Owned Auto

Applies when employees use personal vehicles or you rent vehicles for patient transport.

Vehicles

Medical Payments

Pays medical expenses for passengers injured in your vehicles regardless of fault, important for vulnerable patient populations.

Vehicles

Physical Damage

Comprehensive and collision for wheelchair vans, stretcher vehicles and ambulatory fleet.

Vehicles

Uninsured / Underinsured Motorist

Protects passengers and drivers when your vehicle is hit by someone without adequate insurance.

Liability

General Liability

Bodily injury and property damage claims arising from operations beyond vehicle use.

Liability

Professional Liability

Negligence claims tied to missed pickups, scheduling errors or failure to provide contracted services.

Liability

Abuse & Molestation

Protection against allegations of misconduct by drivers or attendants toward vulnerable passengers.

People

Workers' Compensation

Required coverage for drivers and attendants, including injuries from lifting patients, loading wheelchairs and vehicle accidents.

Equipment & data

Garage Keepers

Customer property such as wheelchairs, medical equipment and personal belongings while in your care.

Equipment & data

Equipment Breakdown

Wheelchair lift failures, stretcher mechanism breakdowns and other specialized equipment malfunctions.

Equipment & data

Cyber Liability

Patient health information (PHI) breaches, HIPAA violations and electronic data security incidents.

How we work

What paratransit providers get from us

Contract compliance

We check that coverage meets Modivcare, MTM and other broker contract requirements before you sign.

Specialty carriers

Access to markets that write medical transportation, including National Interstate and Philadelphia Insurance, with fleet pricing for multi-vehicle operations.

Same-day certificates

Certificates for new contracts, and same-day binding when you add vehicles.

New ventures

Carriers that insure startups, so you can meet contract requirements from day one, with monthly and low-down-payment options.

HIPAA and driver standards

Guidance on PHI insurance requirements, MVR standards and background checks for Medicaid-contracted providers.

Careful claims handling

Prompt response when an incident involves a medically fragile passenger, with attention to fair resolution and patient dignity.

Get your paratransit insurance quote

Our application covers your operation, fleet, drivers and safety programs. A paratransit specialist reviews every submission and responds within 72 hours.

Coverage descriptions are general summaries for education. They are not legal, tax or coverage advice, a statement of coverage, an offer or a binder. Scenarios and dollar figures are illustrative examples, not representations about any business. Coverage, limits and eligibility are governed by the terms, conditions and exclusions of the policies issued and are subject to underwriting.