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 7 a.m. to 4:30 p.m. Availability to provide transportation for early morning or late afternoon appointments varies. Weekend and holiday service is not available.