i was personal to a med flight from minot, nd to minneapolis minn at night. tailwind. 45 minutes, it was needed. afterwards i seen the bill, wasnt cheap, this case insurance covered it. ive also heard of peoples insurance not covering any of it, breaking them, and most likely couldnt pay.they work there tails off to have insurance but they wont cover a medvac, something for everyone to look into, i know the state was looking into costs for medvacs and relation to insurance companys, medvacs, we need them, but to have someone get hurt doing it, man. so if a med flight has a non insured flight, with a life threatning need, how do they get paid? and if you have a state or government or insured backed flight do they prefer these more than the others. that was a couple of years ago the state brought that up at the legislature session, but never did hear what happened. at our local airport thats my top 3 priorities is medvac access 24/7, everything else we will get by, it will go along with the access. how do medvacs handle noninsured vs covered in your areas? they cant do a lot of non paid for flight and do insureds push them harder?? just asking.