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 40 miles of your home. Transportation is available Monday through Friday, 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. Click here for a list of transportation holidays.