For non-emergency medical transportation (NEMT) operators, selecting the right van is more than just a business decision; it’s an investment in your clients’ comfort, safety, and accessibility. Ensuring your fleet is equipped to meet your passengers’ needs, all while adhering to regulations, can set your business apart. Here’s a comprehensive guide on what to consider when making your purchase.

Key Features of an NEMT Van

ADA Compliance

First and foremost, your van must meet all standards set by the Americans with Disabilities Act (ADA). This includes features like a wide, accessible entrance, sufficient space for maneuvering mobility devices, and proper securement systems. ADA compliance ensures your vehicle is accessible and positions your business as inclusive and professional.

Wheelchair Lifts and Ramps

For clients who use wheelchairs, reliable and easy-to-use wheelchair lifts or ramps are essential. These features ensure smooth boarding and exiting, reducing strain for both passengers and staff.

Look for rear-entry vans, as they allow for more space to comfortably maneuver wheelchairs and properly secure them into place. The additional room can make all the difference when you want to save time and reduce errors.

A man in a wheelchair boarding a transport van with a rear lift.

Pro Tip:

Pair your new van with the Traversa Transport Wheelchair. Its Pivot Assist System ensures you can maneuver smoothly in any size of vehicle.

Safety Features

Safety is paramount for NEMT services. Ensure your van includes:

  • Wheelchair and stretcher securement systems to keep equipment stable during transit.
  • Child safety locks on doors and windows for added security.
  • First aid kits and emergency communication devices to address unforeseen situations.

Passenger Comfort

Your clients deserve a smooth and pleasant ride. Look for vans equipped with:

  • Ergonomic seating to minimize discomfort during long trips.
  • Climate control systems to maintain a comfortable temperature regardless of the weather.

Durability and Reliability

Invest in a vehicle with a reputation for reliability and longevity. NEMT vans are often in constant use, so selecting a durable model reduces downtime and long-term maintenance costs.

Check out reliable, third-party reviews of popular NEMT vehicles to learn the pros and cons of each model. Read opinions from other commercial transportation services or visit the Consumer Reports website for an unbiased look at long-term durability.

Ease of Cleaning & Disinfection

Choose vehicle seating that’s easy to clean and maintain. Many vans have cloth seats, but these can absorb moisture, viruses, and other pathogens that put your passengers at risk. Instead, try non-porous vehicle seating surfaces that you can quickly and easily wipe clean.

Fuel Efficiency

Fuel expenses can quickly eat into your profits. Look for fuel-efficient or hybrid models to lower operating costs. With rising fuel prices, energy-efficient vehicles make a significant difference in your bottom line, especially for growing fleets. As you scale your business, investments in efficiency will go a long way.

Where to Buy an NEMT Van?

NEMT vans are available from several different avenues. First, you will need to decide whether to purchase a or lease a van. You can either purchase a standard van model and pay for conversion or purchase a fully converted wheelchair accessible vehicle (WAV). We recommend finding a dealership that offers pre-converted vans for wheelchair transportation from a reputable company, such as BraunAbility.

A fleet of transport vans in a lot.

Look for reliable and highly recommended dealerships in your area. Companies such as Model 1 and ADAboy offer quality options with excellent financing packages.

Did You Know?

If you want to save by bundling your purchase of a van with a Traversa Transport Wheelchair, Broda has partnerships with dealers across the country. Call us at 844-552-7632 or email info@brodaseating.com to find a dealer near you.

New Vehicles

If you would like a brand-new NEMT vehicle, there are many dealerships and van conversion companies happy to service your needs. Look for a dealer who is flexible on financing options.

Dealers often offer the option to lease an NEMT van. If you’re not sure which model will work best for your business or you want to experiment with adding another vehicle to your fleet, this may be the best option.

Pro Tip:

Looking to bundle a new van purchase with a Traversa Transport Wheelchair for ultimate savings and streamlined financing? Call our partners at Model 1 Commercial Vehicles or Stellar Auto Mobility & Repair.

Used Vehicles

Pre-Owned NEMT vehicles are available in a variety of locations. Make sure you find a trusted seller. Be cautious purchasing a van from social media groups and online listings unless through a qualified dealer or a trusted source. Industry networking or working through a pre-owned dealership is the best way to ensure you’re getting the best quality for your investment. Always be sure to conduct a thorough test drive and ask if you can have a third-party mechanic check out the vehicle before you purchase.

Regulations to Keep in Mind

Regulatory compliance is a crucial component to running an NEMT business. In addition to the ADA requirements, here are a few areas that you should keep in mind.

A diagram of an NEMT chair in transport van.

Local and State Transportation Laws

Every state has unique NEMT regulations, from licensing requirements to minimum safety equipment standards. Review your local laws to ensure compliance.

Department of Transportation (DOT) Inspections

All NEMT vehicles must meet safety standards through regular DOT inspections and maintenance schedules. Following these guidelines ensures passenger safety and builds trust.

Vehicle Insurance

Secure comprehensive commercial insurance coverage for your vehicle. This safeguards your business and passengers in case of accidents.

NEMT Van Models: A Comparison Guide

Let’s explore some of the most popular NEMT van models to see which one is best for your business and your budget. The chart below shows some pros and cons of each van, complete with price points and other decision-making factors.

Best Minivans for NEMT

If you’re looking for a compact, budget-friendly vehicle, a minivan may be a great option.

Model

Pros

Cons

Cost

Dodge Grand Caravan

Budget-friendly, flat floors, dual doors, fairly good fuel economy (~25 MPG)

Discontinued in 2020; future support limited

Used models:

2015–2019 models ~$20K–35K fully converted

Toyota Sienna

Hybrid efficiency (~36 MPG), AWD available, wide ADA-compliant rear ramps

Pricier; limited after-market minivan conversions

New (converted hybrid): ~$60K–90K.

Used: 2021–2023 vans ~$50K–70K with full WAV conversion

Honda Odyssey

Comfortable ride, reliable, smooth handling

No hybrid option in recent years; moderate build space

New (converted): ~$55K–85K.

Used: 2015–2019 models ~$40K–60K fully converted

Best Full-Size Vans for NEMT

If you want a vehicle that is roomier and versatile, choose a full-size van. Many full-size NEMT vans have the capacity to accommodate wheelchair users, ambulatory passengers, and even stretchers.

Model

Pros

Cons

Cost

Ford Transit (Full Cut)

Multiple lengths/roofs, AWD option, better MPG (~16–17 MPG); available electric models

Higher upfront cost

Electric model range (~160 mi) may limit longer routes

New: $50K–70K base; conversions push to $80K+

Used: ~$35K–55K+ after conversion

Ram ProMaster

Front‑wheel drive, low floor, boxy interior simplifies fit‑outs; fuel efficiency around 15 MPG

No AWD, engine can feel underpowered, limited aftermarket demand

New: Starting ~$45K–60K; fully built vans $70K+

Used: ~$30K–50K after conversion

Mercedes-Benz Sprinter

Premium safety features, AWD available, top-tier interior; high resale value; electric models available

High initial cost and maintenance

New (gas/diesel): $55K–80K; with conversion $90K–130K+

New electric (e‑Sprinter): $63K–75K + conversion cost = ~$80K+

Used: ~ $45K–70K+ fully converted. Well-equipped models can go for as much as $120K+

*Vehicle pricing and features are included as examples only and may vary by region and availability. Please consult a vehicle sales professional for an accurate pricing package.

Best Picks by Use Case

For high capacity & rugged service:

  • Ford Transit (full-size) – balanced modern tech, drives well, AWD option.
  • Chevy Express – tough, proven, bulletproof engine options.

For fuel efficiency & ADA compliance:

  • Toyota Sienna Hybrid – excellent MPG and rear-entry ramp.
  • Dodge Grand Caravan – low upfront cost, useful for smaller-scale fleets.

For premium service & weather-ready:

  • Mercedes Sprinter – AWD, top-tier safety, resale value; choose electric if short-routes allow.

Tips for Selecting the Right NEMT Van

A minivan backed up to a home.

Identify Your Needs

Assess your current client base and their transportation requirements:

  • Do most of your passengers use wheelchairs? Or are they ambulatory?
  • If you want to service primarily wheelchair users, do you want to use ramps or lifts?
  • Do you need a mix of seating and space for stretchers or equipment?
  • Do you need to store spare equipment on board your vehicles?

Understanding your clientele helps narrow down vehicle options.

Pro Tip:

Maximize your vehicle space and fleet capability with the Traversa Transport Wheelchair. One vehicle configuration can accommodate ambulatory, wheelchair, and stretcher passengers.

Prioritize Client Feedback

Consider your clients’ comfort and concerns. Feedback on seating comfort, accessibility, aesthetics, and boarding ease can guide you toward the features you need to prioritize.

Evaluate Maintenance Costs

A low upfront cost may seem appealing, but ongoing maintenance expenses can outweigh initial savings. Choose vans with a proven track record for durability and affordable servicing.

Explore Financing Options

New vans can be expensive but are often worth the investment. Look for flexible financing plans or government grants that help ease the financial burden.

Test Drive and Evaluate Accessibility

Before purchasing, take the van for a test drive. Observe how smoothly it handles, inspect accessibility features like wheel ramps or lifts, and ensure all safety measures are functioning correctly.

Choosing the right van is key to your business’s success. A well-chosen van ensures:

  • Improved operational efficiency with fewer breakdowns and delays.
  • Enhanced client satisfaction by providing comfort and safety.
  • Regulatory compliance that protects your operations.

By focusing on the features and regulations outlined above, your NEMT service can build a strong reputation for reliability and care within the community.

Need help selecting the perfect equipment to go with your new NEMT van? Get the Traversa Transport Wheelchair from Broda, an innovative, cost-effective wheelchair solution that caters to NEMT needs.

Frequently Asked Questions (FAQ)

What does WAV stand for in transportation?

WAV stands for Wheelchair Accessible Vehicle. This term refers to vans or other vehicles that have been converted from the standard model to safely accommodate a wheelchair user and their equipment.

Are minivans or full-size vans better for NEMT?

Full-size vans offer space for gurneys + wheelchairs, ideal for high-volume or rural routes. Choose Express/Savana for simplicity or Transit/Sprinter for modern features.

Minivans are cost-effective for smaller-scale operations. The Hybrid Sienna leads in fuel efficiency; the Caravan is the best budget pick; the Odyssey is a solid all-rounder.

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Meet the Author

Michelle McCullough

Marketing Manager

Michelle has over 5 years of experience in healthcare content. Her focus is helping patients and caregivers make informed decisions about medical equipment that transform daily comfort and ability.