Transportation Request

Nonemergency transportation is a covered benefit for Peoples Health Choices 65 #14 (HMO), Peoples Health Choices Platinum #009 (HMO), Peoples Health Choices Premium (HMO), Peoples Health Choices Gold (HMO), Peoples Health Choices Select (HMO), Peoples Health Secure Health (HMO SNP) and Peoples Health Group Medicare (HMO-POS).

Please complete the form below to request nonemergency transportation. Fields marked with an asterisk (*) are required.

Transportation requests should be submitted at least three business days in advance of your scheduled appointment. You may request transportation between your home and a plan-approved location, such as a network doctor’s office, diagnostic center, lab facility or dialysis center, within 30 miles of your home. Transportation is available from 8 a.m. to 5 p.m. Availability to provide transportation for early morning or late afternoon appointments varies. Weekend and holiday service is not available.

Transportation Request

1 Please enter your information below.
2 Please confirm the information is correct.
  • 1. Member Information

  • This number is printed on your plan ID card and starts with a "G"
  • Please include area-code.
  • 2. Appointment Information

  • :
  • 3. Additional Information

  • Member services will contact you to discuss your request. If your transportation is approved, the driver will contact you the night before your trip to confirm a pickup time. You must be ready when the driver arrives. To stay on schedule, drivers can only wait five minutes. Wait time for pickup from your appointment is up to two hours. Any copays due must be paid in cash when the driver initially picks you up. If you need to cancel transportation, you must call the Peoples Health transportation department at least 24 hours in advance or one, one-way trip will be deducted from your annual transportation benefit. The transportation department can be reached at 1-800-659-5910, Monday through Friday, from 8 a.m. to 5 p.m. TTY users may call 711. No shopping bags are allowed.