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1. What options are available to me if I do not have insurance or am unable to pay?

You may complete the Financial Hardship Certification Form and submit it, along with the required documentation, to the Treasurer’s Office for review. As of July 26, 2018, all inquiries regarding hardship/payment arrangements for EMS Cost Recovery Program bills are being handled by the Treasurer’s Office. Please call 757-728-5052 if you need additional assistance.

Financial Hardship Certification Form

2. Are there other options if I need transport to the hospital for non-emergency situations?

There are medical transport services available in the area. Your local phone directory or online searches should provide you with options and contact information for alternative services (medical transport, private ambulance services, or taxis, etc.). 

3. If someone else calls 911 on my behalf, will I still be charged if I refuse transport?

There is no fee if no assessment is done and you are not transported to the hospital. However, if a patient assessment is done, regardless of whether you choose to be transported, you will be charged the patient assessment fee of $125.

4. Will I be charged an additional $125 if I decide to be transported to the hospital?

No. If after being assessed you decide to be transported to the hospital, you will be billed according to the level of service provided and the mileage from your point of pickup to delivery at the hospital.

5. Do these fees apply only to EMS or are there charges if I have to call for fire department services as well?

These charges apply to calls that result in a patient assessment and/or transport to a medical facility regardless of whether a fire engine or an ambulance responds.

6. What if I am unable to provide insurance information at the time of service?

If your insurance information is not available at the time of service, the billing company will attempt to obtain it from the hospital. If the information cannot be obtained, you will receive a letter from the billing company asking you to provide the information. Once they receive it, your insurance provider will be billed.

7. How is my privacy protected?

All of our providers have been trained on patient confidentiality and strictly adhere to Health Insurance Portability and Accountability Act requirements, which provide data privacy and security provisions for safeguarding patient medical information.

• Notice of Privacy Practices


• HIPPA privacy information