Non-Emergency Medical Transportation (NEMT) Business Guide


Non-Emergency Medical Transportation (NEMT) Business Guide



Welcome to the Non-Emergency Medical Transportation Industry, an industry that’s literally growing by the day. The elderly population is literally in the process of doubling and the medical industry is experiencing huge change.

What is It?

Also known as an ambulette service, it is the transportation of people in wheelchairs, stretchers or those ambulatory who need assistance.

Do NOT be confused: This is NOT an ambulance service! This is strictly non-emergency service. You do NOT need any kind of special life-saving skills, training or equipment!

With your service, you will transport people to and from appointments, in and out of hospitals, nursing facilities, or from residences to various appointments.

The elderly population is the fastest growing niche market in the world – and it’s only getting bigger! By the year 2030, the US elderly population will have doubled, reaching in excess of 70 million!

The US health care industry is one of the world’s largest and fastest growing industries! By the year 2016, its growth will have consumed almost 20% of our GDP!

Now seriously, if you have any kind of keen business sense then these two statistics, the growth of the elderly population and that of the medical industry, have got to excite you and gain your interest!

But let’s discuss in further detail why starting this enterprise is such a great investment for ambitious, motivated entrepreneurs.

For starters, rarely do entrepreneurs think of it when looking for a business opportunity. Seriously, everyone is focused on the get-rich-quick schemes and no money down pie-in-the-sky dreams of riches.

Seriously, when was the last time you heard someone say “I think I’m going start a NEMT business?” The fact of the matter is you probably haven’t. But you probably know someone, if not even yourself, that has started some kind of “no money down” real estate gig or some other online pie-in-the-sky dream.

So realistically, we are talking about a business opportunity for which (1) your target market is booming, growing faster than any real estate market or any other market, and (2) not everyone knows about, let alone considers, when looking to invest in a new enterprise.

This is further a great opportunity is because it is a service-based. There are no products to buy, store, ship or sell.

And when you follow the strategies for success, people will be looking for you. They will be looking for your service to meet the needs of their loved one.

If you prepare and operate your business properly, clients will be seeking your service instead of you having to continuously find, chase and solicit customers!

You can literally start it from your living room table, your home office or garage. You are going to travel into your community to meet the needs of your clients. You don’t need a high-priced fancy office or an elaborate store front.

Think about it. What’s cheaper or more cost effective? Invest in a vehicle that goes out into and meets the needs of your community?

And when you start it from home, it definitely limits your overhead expenses which lead to a BIGGER bottom line and profitability!

Now that we’re talking about profitability, let’s really start to talk about making money!

Private-Pay Clients:

These are clients who typically pay “out of pocket” for transportation to and from medical appointments. This will be a highly profitable source of revenue for you.

There are many providers who ONLY transport Private-Pay Clients because of the higher rates of reimbursement. For them, pursing other sources of revenue is simply not worth their time. They are simply too busy cultivating their Private-Pay clients.


Talk about FREE healthcare?! Medicaid recipients not only receive FREE medical benefits but, according to Article 1915 of the Social Security Act, recipients also get FREE transportation to and from their medical appointments!

But the good news for you, the provider, with Medicaid, depending on your State, you can generate some serious reimbursement checks that you will love receiving in the mail – like clockwork!

Similar to Private-Pay, there are some providers who ONLY service Medicaid clients. Why? Because if they have negotiated a good contract with the Broker the reimbursement rates are profitable.

Workers Compensation Insurance:

This reimbursement is for transporting people hurt “on the job” who need to get to and from physical therapy and related appointments. Workers Comp is one of the few forms of insurance that make reimbursements and can be an awesome source of revenue that also pays extremely well.

Again, some providers ONLY cater to Workers Comp because the reimbursements are just that profitable! Workers Comp is a great opportunity.

Imagine how profitable it can be when you have a Private-Pay, Medicaid, and Workers Comp clients. The possibilities are limitless!


Hospitals are an awesome opportunity. They offer a wide variety of opportunities. They provide Emergency Room discharges and “General” hospital discharges. Their inpatients require transportation to and from different treatment facilities, doctor offices, dialysis centers, and other offices outside the hospital.

Hospitals also require a great deal of delivery and courier services. Bottom line, hospitals are an awesome source for which to secure contracts and repeat business. They are ALWAYS in need of transportation!

Nursing Facilities:

Nursing homes and independent living facilities are a “staple” for the industry. Why? Because they literally care for one of your most important niche markets – the elderly population!

Like hospitals, nursing facilities can provide you with some outstanding opportunities. You will transport residents to general medical appointments, dialysis treatments, physical therapy and more. You can even partner with the Activities Departments to transport large numbers of residents for special events.

Dialysis Center:

There is probably no other source of revenue that is more predictable and stable than dialysis clients. This is the “Golden Grail” because they are consistent money-makers.

Typically, most dialysis patients have to go to dialysis three times a week – and these appointments are mandatory! Hence, one of many reasons why the industry IS recession-proof. It doesn’t matter what the weather is, dialysis patients have to get their treatment.

Whether Private-Pay or Medicaid, dialysis patients are always profitable. They offer volume and regularity. Appointments are arranged every other day and typically last between 3-4 hours. You will be able to plan and count on these transports and reimbursements like clockwork.


Rest assured it is not just for the elderly. There are students of all ages that need your assistance. Did you ever stop to consider how disabled students get to and from school if they can’t ride a typical school bus? School districts need you!

You can literally contract with school districts and various not-for-profit organizations to transport students of all ages.

Introducing… Non-Emergency Medical Transportation (NEMT) Business Guide


NOTE: Non-Emergency Medical Transportation (NEMT) Business Guide is a 320 page Manual that you will download immediately following your investment! There is NO waiting on “snail mail!” You can start right now! This Guide is NOT offered in stores, ONLY on this website.

If you have competitors…. they’re NOT working for FREE! Your competitors are busy making money. So the question begs, why aren’t you? Why aren’t you busy cutting a slice of the profitable pie?

And think about this…

The further the transport in terms of distance and time, the more money you’ll make! Transports include the following :

Standard Pickup Fees (Wheelchair, Stretcher or Ambulatory)
Mileage Fees
Wait Time Fees
Assistant Fees
After-Hour Fees (Evenings, Weekends, and Holidays)

Also, transports after hours, on weekends and holidays always generate more money!

Are you starting to see the BIG picture?

There are so many other ways to make money in this industry as you’ll continue to learn in Non-Emergency Medical Transportation (NEMT) Business Guide, the newsletter and associated materials. The opportunities are wide and diverse.

Bottom line, the Non-Emergency Medical Transportation (NEMT) Business IS recession-proof – it’s NOT going anywhere! Demand and opportunity are only going to continue to increase.

Think of other enterprises that are market dependent. Consider real estate for example.

The real estate market has been in the tank and every undertaking associated with this industry has been adversely affected in some capacity at some point in time!

But with this industry, it doesn’t matter what the economy is doing – patients on dialysis or radiation could care less if it’s a “bull” or “bear” market. Whether the market is up or down, patients have to get to their medical appointments!

Likewise with hospitals, Emergency Rooms, discharges, and the like – when it’s time to go, YOU GOTTA GO!

And don’t forget the Tax Breaks:

Depending on your legal structure, there are always tax benefits to owning your own business. With this, you have HUGE depreciation costs because of your vehicles and assets. You further have write-offs and benefits to include possible handicap tax credits.

The easiest way to make money is to save money.

Take what the government gives you with tax breaks and incentives!

Although the Non-Emergency Medical Transportation (NEMT) Business is growing and is in high demand, it’s NOT high-tech. You don’t need a fancy degree or even prior experience to start and be successful.

Remember, unlike an ambulance service you do NOT need any special life-saving skills, equipment or training.

Remember, you are a service-based. Because you are literally going to be helping people you WILL become an asset within your community. You will be helping clients, hospitals, nursing facilities, doctor offices, treatment centers and the like. You are literally helping these facilities to accomplish their daily missions.

Think about it…. Without your service, how would doctors see their elderly and disabled clients? How would these patients even get to the doctors? How would hospitals empty their beds to make room for new patients? Without your services, their operation would come to a screeching halt!

The list goes on, and on, and on….

You can become a fixture within your community for which you literally leverage to further grow, network and build awesome relationships and partnerships.

But remember, as a provider, you are charged with meeting the needs of your clients. That’s it!

We are NOT doctors, nurses, nurses-aides or other. But although we are just the transportation provider, we do bring a great deal of help and assistance to our clients. And honestly, bringing help to other does feel good!

There are many elderly people sitting in nursing homes with limited family and even fewer visitors. When you arrive to take them to their medical appointments it is, in many instances, literally their outing for day, week, or month. By providing these elderly people with helpful and courteous service, service-with-a-smile, it makes them feel special and makes you feel good!

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Non-Emergency Medical Transportation (NEMT) Business Guide