What Non-Medical Transportation Actually Includes

Quick answer

Non-medical transportation means a trained caregiver drives your parent to appointments, errands, and social commitments — and stays with them through the visit rather than dropping them at the curb. It covers medical appointments, dialysis and infusion runs, pharmacy stops, grocery shopping, the bank, hair appointments, church, and family visits. It does not cover ambulance service or any medical care during the ride. At Westmark, transportation has no hourly minimum — it's quoted per trip.

The short version: a ride plus a person

Most people picture a car when they hear "transportation." That's about a third of what this service actually is.

The other two-thirds is the person in the driver's seat. A Westmark caregiver comes to the door, helps your mother into her coat, makes sure she has her insurance card and the list of questions she wrote down, walks her to the car, and gets her settled. At the medical building, they park — not idle at the curb — and walk her in. They sit in the waiting room. When the appointment is over, they help her back out, stop at the pharmacy if the doctor sent something new, and bring her inside the house before leaving.

That's the difference between a rideshare and non-medical transportation. A rideshare gets a body from address to address. This gets a person through an appointment.

The industry term is door-through-door, as opposed to curb-to-curb. It matters more than it sounds like it should. Most of the trouble in an outing for an older adult happens in the parts that aren't driving: the walk across a parking lot in February, the elevator, finding the right suite number, standing up from a waiting room chair.

What rides people actually book

When families call, they usually have one appointment in mind. Within a month, it's typically three or four recurring things. Here's the range of what non-medical transportation covers:

Medical appointments — primary care, specialists, cardiology, orthopedics, post-op follow-ups, imaging, lab work
Recurring treatment runs — dialysis, infusion, physical therapy, radiation. These are the ones where reliability matters most, because missing one isn't a rescheduling problem
Pharmacy and prescription pickup, including the trip that happens right after an appointment when something changed
Grocery shopping and errands — the bank, the post office, the hardware store, the dry cleaner
Hair appointments, barber, podiatrist, dentist — the standing appointments people quietly stop keeping when driving gets hard
Church, synagogue, senior center, adult day programs
Family visits — a grandchild's game, a sibling's house, a spouse in a nursing facility
Airport runs and trips to family gatherings
Hospital and rehab discharge — getting home after a stay, with a stop for supplies on the way

What it does not include, stated plainly

This is the part worth being blunt about, because the line matters if something goes wrong.

Non-medical transportation is not an ambulance and not medical transport. A Westmark caregiver does not provide medical care, monitor vital signs, administer medications or injections, or perform any clinical task during a trip. If your father needs oxygen managed, cardiac monitoring, or a stretcher, that's an ambulance or a specialized medical transport service — call his care team or 911, not us.

Massachusetts doesn't license non-medical home care agencies, so any agency claiming to be "licensed" for this is stretching the truth. What you should ask for instead is whether the agency is insured and bonded, whether drivers carry current licenses and insurance, and whether caregivers have passed a CORI criminal background check. Westmark caregivers clear a CORI check, reference verification, an in-person interview, and a skills evaluation before they ever drive anyone.

One more boundary: we don't make medical decisions or speak for your parent in the exam room. A caregiver can take notes if the family asks and your parent agrees, and can relay what was said. That's support, not advocacy on someone's behalf.

How it's priced, and why there's no minimum

Ongoing home care and staffing at Westmark carry a six-hour standard minimum per visit. Transportation doesn't. It's quoted per trip.

That's deliberate. A cardiology appointment in Burlington might take ninety minutes door to door. Nobody should have to buy six hours of care to get there. You tell us the pickup time, the destination, and roughly how long the appointment runs, and we quote the trip.

If the ride is part of a broader care plan — a caregiver who's already at the house for a shift and drives to the appointment as part of that shift — it falls under the hourly rate for that service. Companion care is $34/hr, personal care $38/hr. Weekends and holidays add $3/hr. All of it is on the rates page, written out, no asterisks.

There are no deposits, no enrollment fees, and no long-term contracts. We ask for 48 hours' notice to change or cancel a visit.

The MetroWest and Greater Boston reality

Geography is half the problem here. A parent in Hopkinton or Holliston with an appointment at a Boston teaching hospital is looking at a real drive, in real traffic, into a parking garage that is genuinely confusing for someone who hasn't been there before. Public transit isn't a serious option for most people in that situation, and The RIDE requires eligibility, advance booking, and a tolerance for wide pickup windows.

We serve Billerica, Woburn, Winchester, Reading, Burlington, Framingham, Hopkinton, Holliston, Hudson, Bellingham, Quincy, and Boston. We know which Boston garages have accessible drop-offs and which Route 9 medical buildings put the elevator nowhere near the entrance. That's not glamorous knowledge. It saves your mother a lot of walking.

There's also the thing families don't say out loud until the second call: the transportation question is often really the driving question. Somebody has noticed a new scrape on the bumper, or that Dad won't drive after dark anymore, or that Mom's been skipping appointments rather than admit she's nervous on 128. Booking rides is a way to make the car less essential before anyone has to have the hard conversation about keys.

How to start

Call (508) 233-8062. A real person answers, 24/7 — not a voicemail box that gets checked Monday.

If transportation is all you need, we can quote a trip on that call. If you suspect there's more going on at home — meals getting skipped, laundry piling up, a parent who seems lonelier than they let on — we'll schedule a free in-home assessment. No obligation, no cost, no sales pressure. Someone comes out, looks at the house, talks to your parent, and tells you honestly what they'd need. Sometimes the answer is four hours a week. Sometimes it's just rides.

You can also see the full transportation service details or request a quote online if it's late and you'd rather not talk to anybody tonight. That's a completely reasonable way to start.

Common questions

What is the difference between non-medical transportation and medical transport?

Non-medical transportation means a caregiver drives someone to appointments and errands and assists them in and out of the vehicle and building, but provides no medical care during the trip. Medical transport, such as an ambulance or stretcher van, is staffed to provide clinical care and monitoring en route. If your parent needs oxygen managed, cardiac monitoring, or a stretcher, that requires medical transport, not a non-medical service.

Does the caregiver wait during the appointment or just drop off?

The caregiver stays. Westmark provides door-through-door service, which means walking the client into the building, waiting through the appointment, and bringing them back inside their home afterward. That includes stops on the way home, like picking up a new prescription.

Is there a minimum number of hours for transportation?

No. Ongoing home care and staffing visits at Westmark have a six-hour standard minimum, but transportation has no minimum and is quoted per trip. Call (508) 233-8062 with the pickup time, destination, and expected appointment length for a quote.