Level 4 · Reinforced Care

For the patients other companies refuse.

Reinforced equipment rated to 750 lbs. Hydraulic-lift vehicles with wider interiors. Crews specifically trained in bariatric handling — and a dispatch desk that asks your weight to send the right equipment, never to turn you away.

750 lb CapacityReinforced stretcher & lifts
Two-Person CrewTrained in bariatric handling
Dignity-FirstNever an upcharge for size
HIPAA-AwareConfidential booking
What's Included

The equipment, the crew, and the attitude.

Stretchers & lifts rated to 750 lbs

Reinforced steel-frame stretchers, hydraulic patient lifts, and wider securement systems engineered for capacities most NEMT companies don't carry.

Hydraulic lift-equipped vehicles

Extra-wide platforms and reinforced floor anchors. The patient is lifted level into the vehicle — never carried, never tilted.

Bariatric-trained crews

Every Level 4 crew is specifically trained in bariatric transfer technique, dignified communication, and equipment positioning. No improvisation, ever.

Dignity-first communication

Crews never ask weight in public, never narrate transfers in front of bystanders, and never make assumptions. Respect is the baseline.

Hospital & facility coordination

We coordinate with case managers to confirm bariatric-specific equipment is ready and time arrival to the discharge bay.

Transparent, flat-rate pricing

No "bariatric surcharge" hidden in the invoice. The price you're quoted is the price you pay.

Who It's For

Bariatric transport is the right answer when…

Clients above 350 lbs

The standard cap on most NEMT equipment is 350 lbs. Above that threshold, Level 4 is the right call — not a polite extension of Level 3.

Post-bariatric surgery recovery

Gastric bypass, sleeve gastrectomy, and other bariatric surgery patients have specific positioning and handling requirements.

Hospital discharge home

The single hardest discharge scenario for case managers — and the one where the wrong transport choice causes the most readmissions.

Patients turned away by others

If you've been refused by another company because of weight or equipment, call us. The answer is almost always yes.

Inter-facility bariatric transfers

SNF to hospital for imaging, hospital to LTAC, rehab transitions — the full range of inter-facility moves.

Specialty appointments

Cardiology, endocrinology, wound care, dialysis — anywhere the patient needs to be, with the right equipment and dignity.

“At 480 lbs, I'd been told 'we can't' by four different companies in one week. The dispatcher asked my weight to send the right vehicle — not to apologize for not being able to take me. The crew showed up on time, handled me with complete professionalism, and didn't make me feel like a burden once.”

RG
Robert G.Bariatric client · Spring, TX
Common Questions

Honest answers to the questions families actually ask.

“What’s the actual weight limit?”

Our reinforced stretchers and patient lifts are rated to 750 lbs. Above that, we’d recommend specialized critical-care transport and can point you to the right provider rather than pretend we can do it.

“Why do you ask my weight when I call?”

To send the right vehicle and crew — not to disqualify you. Below 350 lbs we can use standard equipment; above that we route a Level 4 unit with reinforced gear and a two-person team. Sharing your approximate weight upfront prevents the wrong vehicle showing up.

“Is bariatric transport more expensive?”

Modestly, yes — the equipment and crew requirements are higher. But we don’t apply punitive surcharges, and we always quote the full price upfront. Medicaid and many Medicare Advantage plans cover it when medically necessary.

“Can I be transported in a wheelchair instead of a stretcher?”

Often, yes — if you can sit upright safely and your weight is within our heavy-duty wheelchair’s rated capacity. Call dispatch with the details and we’ll match the right setup.

“Can family members ride along?”

Yes — one family member or caregiver is welcome to ride along at no additional charge.

If others said no, we say yes.

Call dispatch directly. We'll confirm equipment, quote the ride, and book it — usually in under five minutes.