When a patient needs to travel a long distance between facilities, air ambulance is often the first option families and care teams consider. For critical, time-sensitive transfers, it's the right one. But for stable patients moving between hospitals, care homes or back to their home community, a private long-distance ground ambulance can offer what air often can't: a confirmed travel date, care from door to door, and a much lower cost than chartering a private aircraft.
Western Pacific Emergency Response (WPEMS) helps families, hospitals and health authorities arrange both. Here's how to tell which one fits your patient's situation.
Air Ambulance | Long-Distance Ground Ambulance | |
|---|---|---|
Best suited for | Critical or time-sensitive patients, very long or international distances, remote areas without road access | Stable patients medically cleared for ground travel |
Travel time | Fastest over long distances, plus ground transfers to and from each airport | Longer on the road, but a single door-to-door transport |
Scheduling | Depends on aircraft, crew and weather availability | Booked in advance for a set pickup date and time |
Cost | Private charter flights typically run in the tens of thousands of dollars | Typically a fraction of private air charter cost; quoted per trip |
Medical crew | Flight medical team matched to the patient’s acuity | Licensed paramedic crew for the full journey |
Weather | Can be delayed by weather or airport conditions | Can be affected by road conditions, especially mountain passes in winter |
Air ambulance is the right choice when time is critical or distance makes ground travel impractical. That includes patients who are unstable or need critical care in transit, transfers where every hour matters, very long or international trips, and communities without road access.
If that sounds like your situation, learn more about our air ambulance services or contact our team to talk through options. For patients returning home from abroad, we also coordinate air ambulance transport from Mexico and other international locations.
For stable, non-urgent patients, ground transport is often the more practical choice. These are the situations where it makes the biggest difference.
In British Columbia, BC Emergency Health Services (BCEHS) coordinates transfers between facilities and triages every request by clinical priority. Life-threatening and urgent transfers always come first. That’s the right approach for the system, but it means scheduled transfers and repatriations to a patient’s home community can be delayed or rescheduled when aircraft and crews are needed for higher-priority calls.
For families, that uncertainty is hard. A loved one is ready to move, a bed is waiting at the receiving facility, and the transfer date keeps shifting. A privately booked long-distance ground ambulance gives you a confirmed pickup date and time, arranged around the receiving facility’s schedule.
BCEHS transfers are publicly funded, while transport with WPEMS is paid privately. For many families and facilities, the value is knowing exactly when the move will happen.
Chartering a private air ambulance means paying for the aircraft, the flight crew and a medical team dedicated to one patient. Even on regional routes within Western Canada, private charter flights are typically priced in the tens of thousands of dollars. For stable patients, such as seniors moving between care facilities or patients returning home after treatment, a long-distance ground ambulance provides paramedic care for the entire journey, typically at a fraction of the cost.
Some patients are stable enough to travel but have a condition, recent surgery or equipment need that makes air travel inadvisable, as determined by their physician. Ground transport keeps them at ground level for the whole trip. It’s a common choice for snowbirds and travellers who become unwell abroad; see our guide to ground ambulance transport from Palm Springs for an example.
An air ambulance transfer usually involves a ground ambulance to the airport, the flight itself, and a second ground ambulance at the destination. A long-distance ground ambulance picks the patient up at the bedside and delivers them directly to the receiving facility in one continuous transport, with fewer handovers and fewer moves on and off stretchers.
Every long-distance transfer is planned in advance with the sending and receiving facilities. Our team will:
WPEMS provides non-emergency transport only. We don’t transport patients who need a higher level of care than our paramedic crews provide, or who need emergency care.
We provide transport within British Columbia, across Western Canada, and cross-border transport between Canada and the United States. Common routes include:
Don’t see your route? Ask us. We plan transfers to and from communities across Western Canada.
The right choice depends on the patient's condition, the distance and how soon they need to travel, and it should always be made with the patient's care team. Tell us about the situation and we'll help you understand your options, whether that's ground transport with WPEMS or an air ambulance.
Email: info@pacific-ems.com | Phone: 1-866-297-0050
Western Pacific Emergency Response Ltd. is not a 911 emergency ambulance service. If you are experiencing a medical emergency, or need urgent transfer to a higher level of care, call 911.
For stable patients whose care team has cleared them for ground travel, yes. A long-distance ground ambulance provides paramedic care for the full journey. Patients who are unstable, need critical care in transit or need to travel urgently are better served by air ambulance.
Private charter air ambulance flights are typically priced in the tens of thousands of dollars, even on regional routes, because the aircraft and medical team are dedicated to one patient. Long-distance ground ambulance transport typically costs a fraction of that. WPEMS quotes each trip based on distance and care needs.
Often, yes. Private transport is arranged in coordination with the sending and receiving facilities, and the patient’s care team needs to confirm ground travel is appropriate. Contact us and we’ll walk you through the process for your situation.
WPEMS is a private service, so transport is paid privately rather than through BCEHS. Some extended health or travel insurance plans may reimburse private medical transport. Check with your insurance provider before booking.
It depends on the route, road conditions and any planned stops for patient care and crew rest. We’ll give you an estimated travel time when we plan your transfer.
No. WPEMS provides pre-booked, non-emergency transport only. If you are experiencing a medical emergency or need an urgent transfer to a higher level of care, call 911.

