Please reach us at if you cannot find an answer to your question.
Depending on the type of service we provide to you the following are the rates:
See below for further details of base rates.
Emergency medical transportation is used to transport patients who require immediate medical attention, while non-emergency medical transportation is used for patients who do not require immediate medical attention and can be transported on a scheduled basis.
ALS1 means transportation by ground ambulance, medically necessary supplies and services and either an assessment by a paramedic or the provision of at least one paramedic intervention.
ALS2 means ALS1 has been meet plus the addition of at least 3 medications by IV push or continuous infusion and at least one of the following procedures:
BLS: Basic Life Support (EMT)
The personnel of BLS ambulances are not allowed to do any procedures that break the skin of patients, which includes giving injections, administering medications, starting an IV, or any necessary medical process, including cardiac monitoring. The term “basic” is literal - no advanced procedures of any type are permitted. Different States allow for different procedures for BLS providers.
ALS: Advanced Life Support (Paramedics)
ALS providers, however, are trained in more techniques than what BLS providers do. ALS providers are trained in how to give injections, administer medication, and how to interpret electrocardiograms. A person needs to have an extensive background in medical knowledge to become an ALS provider. Different States allow for different procedures for ALS providers.
SHCA's mission is to deliver exceptional emergency healthcare services to everyone that requests our service, regardless of their ability to pay. We offer a hardship program, in which an application needs to be completed and some basic documents (ie – pay stubs, tax returns, copies of medical bills, etc.) mailed in. All requests and determinations are considered on a case-by-case basis. We also offer payment arrangements to fit your budget.
Medicare and Medicaid only cover emergency ambulance transports that are “medically necessary.” They do not cover hospital to hospital, hospital to residence, or hospital to skilled nursing facility, unless certain conditions apply. Medicare, Medicaid, and supplements cover mileage only to the closest appropriate facility. If you are taken to a facility farther away than the nearest option, you will be responsible for whatever amount was not covered.
We file insurance as a courtesy, but we do not discount rates. Ambulance charges are subject to your individual policy’s coverage of that service, as well as your deductible.
If you would like to prepare for ambulance service in the future, please keep the following documents readily available to give to EMS workers.
We recommend keeping copies of these items in one easily accessible place.
South Howell County Ambulance District (SHCAD) is required by law to maintain the privacy of certain confidential health care information, known as Protected Health Information or PHI, and to provide you with a notice of our legal duties and privacy practices, and lets you know how SHCAD is also required to abide by the terms of the version of this Notice currently in effect. We may use this information after we obtain your consent, and in emergency and other situations without your immediate consent. Uses and Disclosures of PHI: SHCAD Ambulance may use PHI for the purposes of treatment, payment, and other health care operations. Examples of our use of your PHI: For Treatment: This includes such things as verbal and written information that we obtain about you and use pertaining to your medical condition and treatment provided to you by us and other medical personnel (including doctors and nurses who give orders to allow us to provide treatment to you). It also includes information we give to other health care personnel to whom we transfer your care and treatment, and includes transfer of PHI via radio or telephone with a copy of the written record we create in the course of providing you with treatment and transport. For Payment: This includes any activities we must undertake in order to get reimbursed for the services we provide to you, including such things as organizing your PHI and submitting bills to insurance companies (either directly or through a third party billing company), management of billed claims for services rendered, medical necessity determinations and reviews, utilization review, and collection of outstanding accounts. For Health Care Operations: This includes quality assurance activities, licensing, and training programs to ensure that our personnel meet and follow our established policies and procedures, obtaining legal and financial services, conducting business planning, processing grievances and complaints, creating reports that do not individually identify you for data collection purposes, and certain marketing activities. Reminders for Scheduled Transports and Information on Other Services: We may also contact you to provide you with a reminder of any scheduled appointments for non-emergency ambulance and medical transportation, or for other information about alternative services we provide or other health-related benefits and services that may be of interest to you. · Emergency situations (in these situations, in accordance with the law we will attempt to get your written consent after the emergency service is provided and we would appreciate your cooperation when we do so); · To a relative, friend of individual involved in your care; · To a public health authority in certain situations (such as reporting a birth, death, or disease as required by law, as part of a public health investigation, to report child or adult abuse or neglect or domestic violence, to report adverse events, such as product defects, or to notify a person about exposure to a possible communicable disease as required by law; · For health, oversight activities including audits or government investigations, inspections, disciplinary proceeding, and other administrative or judicial actions undertaken by the government (or their contractors) by law to oversee the health care system; · For judicial and administrative proceeding as required by a court or administrative order, or in some cases in response to a subpoena or other legal process; · For law enforcement activities in limited situations, such as when there is a warrant for the request, or when the information is needed to locate a suspect or stop a crime; · For military, national defense and security and other special government functions; · To avert a serious threat to the health and safety to a person or the public at large; · For workers’ compensation purposes, in compliance with workers’ compensation laws Any other use or disclosure or PHI, other than those listed above will only be made with your written consent or an authorization (an authorization specifically identifies the information we seek to use or disclose, as well as when and how we seek to use or disclose it). You may revoke your consent or authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that consent and authorization. Patient Rights: As a patient, you have a number of rights with respect to the protection of your PHI including: The right to access, copy, or inspect your PHI: This means you may come to our offices and inspect and copy most of the medical information about you that we maintain. We will normally provide you with access to this information within 30 days of your request. We may also charge you a reasonable fee for you to copy any medical information that you have the right to access. In limited circumstances, we may deny you access to your medical information, and certain types of denials may be appealed. We have available forms to request PHI and will provide a written response if we deny you access and let you know your appeal rights. If your wish to inspect and copy your medical information, you should contact the privacy officer listed at the end of this Notice. The right to amend your PHI: You have the right to ask us to amend written medical information that we may have about you. We will generally amend your information within 60 days of your request and will notify you when we have amended the information. We are permitted by law to deny your request to amend your medical information only in certain circumstances, like when we believe the information you have asked us to amend is incorrect. You can appeal our denial of your request to amend the information. If you wish to amend the medical information that we have about you, you should contact the privacy officer listed at the end of this Notice.