Incidents and accidents can occur anywhere. People end up in the hospital and if able to leave to go home either the same day or a few days later one may not have transportation available or someone to give them a ride. If transported by ambulance, helicopter ect. a person may be charged for transportation to the hospital and if not covered by insurance that could become a very steep out of pocket cost. Getting home of course may be a lot cheaper than a helicopter ride but, if you lack the funds to do so who will cover the cost unless you charge it on credit?  There are many things health insurance does not pay for and people are not given the option to choose from different riders that should be available to people based on different needs.  For example, a person with a large and dependable family may not need a rider for transportation coverage. This would be so that the ambulette service ect. can bill the insurance company or you can obtain reimbursement through your insurance company for such services once you have paid out of pocket. When a person who has no dependable and reliable means of assistance they may need a type of rider so that when there arises a transportation issue that person is able to leave a hospital and will also then be able to be transported home without a cost to worry about because it is covered by health insurance. It would be the same as prescription durg coverage, although lots of people resulting from expense obtain medications outside of their health plans. This is why supplemental plans and riders should be offered in addition to traditional commercial insurance plans. Reason being, is the ongoing likelihood of those plans being used on a frequent basis is small enough to keep premiums low but necessary in the event of an emergency. Thus, loweing the actual cost of health insurance because the acutal premiums do not include the riders, which is what also contributes in raising the monthly premiums unnecessarily. When a supplemental insurance is added and allows you to pick from different riders available ie. prescription discount, ambulette, dme ect. this premium is lowered because of the low use for commercial insurance users. So when offered together a person now has a complete insurance package with substantially lowered premiums.