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Non-emergency medical transportation (NEMT) is a crucial service that many senior citizens rely on. Since a great deal of these men and women can’t drive themselves, they depend on NEMT services to safely get to and from hospitals, doctor’s appointments, nursing facilities, rehabs, pharmacies, etc. While there were fewer than 50 million elderly Americans in 2015, it’s expected there will be 70 million of them by 2030, according to census data. This means demand for transportation options among senior citizens will increase—so the best time to enter the NEMT field is right now. 

Best States To Start a NEMT Company

Non-emergency medical transport company owners usually earn more the longer they're in business, as they become better known in their communities and acquire more clients. You can proactively increase your earnings by promoting your business more to retirement communities, hospitals and doctors' offices. You'll earn more if you live in Florida or Washington, D.C., because living expenses are higher in these states and districts.

This means you can likely charge more for your services -- what the market will bear -- in Florida or Washington, D.C., where costs for services are typically higher. The higher prices may help boost your income. 

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Best NEMT Vehicles 

Depending on where you’re located and what unique needs your business requires, your total cost could be more or less. That’s why it’s important to plan ahead and budget for everything you know you’ll need right off the bat. Then, when you see how your finances are playing out, you can adjust as needed. It’s always better to over budget and have extra money to work with than to be caught short.   

As prospective NEMT business owners think about some of the first purchases they’ll make, one of the most common questions is, “how much does a medical transport van cost?” Of course, it all depends on what model you go with, but vehicles can range from $50,000 – $70,000. Having the right vehicles in your fleet is crucial in offering reliable and safe transportation.  

Below are some of the most affordable, ADA-compliant vehicles on the market: 


  • Dodge Legend side-entry handicap van conversion 

  • Ford Transit wheelchair transport van 

  • Toyota Sienna wheelchair van 


All of these vehicles have their benefits. In addition to being safe and reliable, your vehicles must be adjustable to each passenger’s needs and equipped with things like a wheelchair, stretcher, oxygen tank, dialysis machine, and more. Knowing what type of vehicle (full-size van, minivan, bus) will be ideal for your passenger’s needs is the best way to set your business up for success. 

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