Q. Why should I become a member?
A. Your membership and additional optional donations assure that Lehigh Valley Health Network EMS can staff highly trained medical professionals, maintain our fleet of ambulances, and purchase necessary medical equipment to provide 24/7 emergency medical care to you and your family in the event of an emergency.
Q. Do I need to purchase a membership if I have health insurance?
A. Yes. Your membership assures that you will not incur any unnecessary bills or medical expenses for necessary emergency ambulance service to the closest appropriate facility. Medicare and commercial insurance companies typically do not pay 100% for an emergency ambulance call. Keep in mind that we are required to bill you for the balance owed unless you are a member of LVHN EMS. As a subscriber to our membership, we are allowed to not send you a bill for any balance, co-payment, or deductible for up to three 911 responses/transports/lift assists/treat no transports by our service. Any additional after that we can bill for any balance, co-payment, or deductible. Nonmembers are responsible for full payment of all applicable charges.
Q. If I am transported to the hospital, how does LVHN EMS get reimbursed?
A. If you need emergency ambulance service, LVHN EMS will submit a bill to your insurance company. Insurance payments that we receive are then applied to your balance. Once all insurance benefits are exhausted, we write off the remaining balance if you are a member. As a member, you will have zero out of pocket expenses for up to three (3) 911 responses/transports/lift assists/treat no transports per subscription year.
Q. What should I do if my insurance company sends me a check for payment of services provided by LVHN EMS?
A. All recipients of service are required to immediately forward all reimbursement received to LVHN EMS. Failure to do so will result in the immediate termination of any membership agreement and you will be held responsible for payment of all outstanding balances.
Q. What is not covered by my membership?
A. The following services are not covered by your membership:
• Certain non-emergency ambulance transports, which are not covered by insurance
• Any charges related to excessive mileage based solely on patient and/or physician preferences
• Any Inter-Facility Transfer from Lehigh Valley Hospital - Hazleton to another hospital.
Q. Who does a family/household membership cover?
A. Under the regular Family rate it covers the primary subscriber, spouse and any household/family member who is a dependent under the age of 21 unless currently enrolled in college, and/or any disabled dependent who resides in the same household. Any household members over the age of 21 need their own plan. Senior Household must have all members 65 and older.