In the event a patient chooses a service that is not covered by Medicare, then the patient will be responsible for payment of fees.; An example would include an inter facility transport which is deemed “Not Medically Necessary” by the patient’s physician. If services are available at a hospital where the patient is getting care, then Medicare may not pay. We will not require payment in advance from Medicare patients, but we will require them, the next of kin, or power of attorney to sign an Advance Beneficiary Notice. We work diligently to accommodate those who call upon our service.