Careflight Membership Agreement:

- For a one year period, I hereby apply for the Careflight Membership for myself and my dependent family/household members listed on the application.
- Careflight membership covers 100% of the cost of Careflight transports deemed "emergency travel" transporting from within the Avera coverage area (henceforth noted as Membership Requirements).
- I understand that Careflight will accept insurance payment in full, for all flights covered by Careflight Membership Requirements
- For individuals without healthcare coverage the entire cost of emergency transport, having met Careflight Membership Requirements, will be covered under the membership plan.
- Patients will be transported to the nearest appropriate medical facility within the Avera service region, based on medical condition.
- Physicians and/or emergency medical personnel responding to the emergency will determine medical need for air ambulance transport.
- The effective date of the plan will be the first of the month following receipt of your membership application and payment.
- I hereby transfer my rights for insurance reimbursement from my insurance carrier, paid directly to me, to Avera McKennan Hospital & University Health Center for coverage of emergency flight charges.
- Reimbursement is not to exceed standard charges for air ambulance services.  I understand that my membership investment is not tax deductible and availability of immediate service may be affected by adverse weather conditions or aircraft availability.