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MediDrive
Aetna Better Health of Virginia

موارد الأعضاء والأسئلة الشائعة

كل ما تحتاج معرفته عن مزايا النقل الطبي غير الطارئ

دعم أعضاء MediDrive

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Frequently Asked Questions

Find answers to the most common questions about your NEMT benefits and services.

Booking a Ride

What Does Aetna Virginia Medicaid Transportation Cover?

Mileage Reimbursement

Children & Minors

Companions & Escorts

Public Transit & Bus Passes

Cancellations & Changes

Hospital Discharges

Downloadable Resources

Forms and guides to help you make the most of your transportation benefits.

Child Consent Form — English

Consent and Acknowledgement of Responsibility for minors traveling.

Child Consent Form — Spanish

Formulario de consentimiento para menores que viajan.

Mileage Reimbursement Instructions — English

Step-by-step guide to submitting a gas reimbursement request.

Mileage Reimbursement Trip Log — English

Trip log form required for gas reimbursement submissions.

Instrucciones de Reembolso de Millaje — Español

Guía paso a paso para enviar una solicitud de reembolso por millas recorridas.

Registro de Viaje de Reembolso de Millaje — Español

Formulario de registro de viaje requerido para envíos de reembolso por millas recorridas.

MediDrive Member App Usage Instructions

Step-by-step guide to downloading the app and using the app to book a ride.

HIPAA Authorization for Release of Transportation Records

Use this form to request release of your transportation records for personal use, insurance purposes, or legal matters.

Gas Reimbursement Program

A friend, neighbor, or relative can be reimbursed for transporting you to Medicaid-covered medical appointments. You must call MediDrive before the trip to obtain an authorized trip number.

4-6weeks to payment

How It Works

  1. 1Call MediDrive BEFORE the trip to get an authorized trip number.
  2. 2Have your friend, neighbor, or relative transport you to the appointment.
  3. 3Get the Gas Reimbursement Trip Log signed by the physician’s office.
  4. 4Mail the completed trip log to the MediDrive Claims Department.
  5. 5Receive payment within 4 to 6 weeks after receipt of the completed log.

Required Documentation

  • Pre-authorized trip number (obtained by calling before the trip)
  • Completed Gas Reimbursement Trip Log
  • Physician’s office signature on the trip log
  • Valid Medicaid ID number
  • Payee’s name and mailing address for reimbursement

الرحلة نحو صحة أفضل

موارد الأعضاء والأسئلة الشائعة | النقل الطبي غير الطارئ لـ Aetna Better Health فيرجينيا | MediDrive | MediDrive Virginia