Terms & Conditions
1. Helimedic is an air ambulance providers* (each a “Company”). An Helimedic Network Contribution automatically enrolls you as a member Contribution program. Contribution ensures the patient will have no out-of-pocket flight expenses or third party responsibility, subject to the following terms and conditions:
2. Patient transport will be to the closest appropriate medical facility for medical conditions that are deemed by Helimedic Staff attending medical professionals to be life-or limb-threatening, or that could lead to permanent disability, and which require emergency air ambulance transport. A patient’s medical condition, not Contribution status, will dictate whether or not air transportation is appropriate and required. Under all circumstances, Helimedic Staff retains the sole right and responsibility to determine whether or not a patient is flown.
3. Helimedic's air ambulance services may not be available upon request due to factors beyond its control, such as use of the appropriate aircraft by another patient or other circumstances governed by requirements. operating conditions or restrictions, including, but not limited to, equipment manufacturer's limitations, government regulations, maintenance requirements, patient condition, age or height, or weather conditions. FAA restrictions prohibit most Helimedic aircraft from flying in inclement weather conditions. The main determinant of whether or not to accept a flight is always the safety of the patient and medical crew.
4. Contribution starts 15 days after the Company receives a complete application with full payment; however, the waiting period will be waived for unforeseen events occurring during such time. Members must be natural persons. Contribution s are non-refundable and non-transferable.
5. These terms and conditions supersede all previous terms and conditions between a member and Helimedic, including any other writings, or verbal representations, relating to the terms and conditions of Contribution .
“A Word from the Texas Department of Managed Health Care:”
(A) BEFORE YOU PURCHASE: If you are currently enrolled in a health maintenance organization (HMO) or other health insurance, the benefits provided by an Ambulance Plan may duplicate the benefits provided by your HMO or other health insurance. If you have a question regarding whether your HMO or other health insurance offers benefits for ambulance services, you should contact that other company directly.
(B) WARNING: This Ambulance Plan is not an insurance program. It will not compensate or reimburse another ambulance company that provides emergency transportation to you or your family. This may occur when the 911 Emergency System has independently determined that another company could provide more expeditious service or is next in the rotation to receive a call. This might also occur when this Ambulance Plan is unable to perform within a medically appropriate timeframe due to a mechanical or maintenance problem or being on another call.
(C) COMPLAINTS: For complaints regarding this Ambulance Plan, or if you have questions regarding the Plan, first attempt to call Helimedic Inc at 1 310 984 6770. If Helimedic fails to resolve the complaint to your satisfaction, contact the Department of Managed Health Care at 1-888-466-2219. The Department’s website is http://www.healthhelp.ca.gov. You may obtain complaint forms and instructions online.
(D) OPERATING UNDER CONDITIONAL EXEMPTION: This Ambulance Plan is operating pursuant to an exemption from the Knox-Keene Health Care Service Plan Act of 1975 (Health and Safety Code section 1340 ct seq.).
1. Eligibility of Members. A member must be an individual residing in the 48 contiguous states, i.e. the United States of America, excluding the States of Alaska and Hawaii, and excluding all territories and possessions. A member's residence must appear on the member's application for registration. Requests to change a member's residence must be submitted in writing to Helimedic. Contribution benefits extend to the designated primary member and all persons who live in a shared living space with the primary member and who are named in the FAMILYenrollment application. Contribution begins after a completed registration request and full payment has been received.
Qualifications, limitations and exclusions. Contribution is subject to the following conditions, limitations and exclusions:
(a) Ineligible and excluded transport. During the first 30 days of Contribution , a member will not be eligible for transportation due to illness or injury if they have been hospitalized for that same illness or a related condition within 30 days prior to date of entry into force of Contribution . A member assessed for an organ transplant list prior to registration will not be entitled to transportation for conditions related to that transplant.
(b) Maximum number of transports. Contribution covers up to two (2) separate transports per year per Single Contribution or five (5) transports for a Family Contribution (in total for all members covered by a Family Contribution ); however, if several members who are covered by a single FAMILY subscription require simultaneous transport, each of these members will be limited to that single transport.
(c) Places inaccessible to rotary wing aircraft. The home hospital and the receiving hospital must be reasonably accessible by helicopter to transport the member. Contribution benefits only include helicopter transportation.
(d) High risk / safety medical restrictions. In conjunction with the FAA, United States Department of State, and other regulatory standards and Helimedic safety standards, a member will not be entitled to air medical transportation if the member's illness or injury is the result or is contributed by the following:
(i) suicide or attempted suicide or intentional self-harm; (ii) a member's own criminal or indictable offense; (iii) actions taken while the member is demented; (iv) war, invasion, civil war or terrorism; or (v) contagious airborne pathogens. A member suffering from a psychiatric or mental disorder which is not manageable and which will not allow the safe transport of the aircraft cannot be transported. A limb beyond the second trimester of pregnancy cannot be transported if the request for transport relates to pregnancy.
(e) Non-refundable, non-transferable. Contribution s are non-refundable and non-transferable.
* Helimedic® is a registered service mark of HELIMEDIC, Inc. All Contribution benefits and services are offered and provided by Helimedic Inc, under the guise of an FAA Part 135 operator.