NEMT · Wheelchair Vans · Medical Transport

NEMT Insurance
for Medical Transportation

You get patients to their appointments safely. Island Fleet helps non-emergency medical transportation providers find commercial auto coverage that fits their vehicles, drivers and contracts, with bilingual support.

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◆ Coverage for NEMT Providers

Coverage built for patient transport

NEMT carries vulnerable passengers, often with mobility equipment, and works under contracts that set strict insurance terms. The right program protects your patients, your drivers and your contracts.

Auto LiabilityBodily injury and property damage
Physical DamageVans, lifts and ramps
General LiabilityBusiness and premises exposure
Professional LiabilityCare and service errors
Workers' CompensationDrivers and attendants
Umbrella / ExcessHigher limits for contracts
◆ Contract Requirements

What brokers and facilities usually ask for

Most NEMT work comes through contracts, so the contract often sets the insurance, not the state minimum.

Common requirements to expect:
  • Minimum limits: Medicaid transportation brokers and health plans often specify liability limits.
  • Additional insured and certificates: facilities and brokers may require certificates naming them.
  • Driver and vehicle standards: background checks, training and vehicle inspections are common.
  • State rules: state agencies may set their own insurance and licensing requirements for NEMT providers.

Requirements vary by state and contract and can change. We confirm what applies to you before you bind. This page is general information, not a compliance determination.

◆ Who We Cover

Providers we work with

Wheelchair & Ambulatory Transport

Accessible vans and sedans moving patients to dialysis, therapy, clinics and appointments.

New NEMT Companies

Starting out with a few vehicles and a first broker contract? We help you get the insurance side ready.

Growing NEMT Fleets

More vehicles and contracts means more exposure. We review limits and gaps as you grow.

Senior & Care Facility Transport

Vans serving assisted living, adult day care and senior programs.

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Tell us about your vehicles, drivers and contracts. A real person who speaks your language follows up fast.

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◆ NEMT FAQ

NEMT insurance, answered

What insurance does an NEMT business need?

Most NEMT providers need commercial auto liability for the vehicles, physical damage, general liability and workers' compensation for drivers. Many also add professional liability, hired and non-owned auto, and umbrella limits to meet contract requirements.

Do Medicaid brokers and facilities require specific limits?

Often yes. Contracts with Medicaid transportation brokers, health plans, hospitals and care facilities commonly set minimum limits and require additional insured status. We review your contract requirements before you bind.

Can wheelchair-accessible vans be insured?

Yes. We place coverage for ambulatory and wheelchair-accessible vehicles, including lifts and ramps where applicable. Underwriters will ask about vehicle type, driver training and safety procedures.

Do you offer service in Spanish?

Yes. Quotes, service and claims support are available in both English and Spanish.