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Cranberry Township EMS Ambulance Service Subscription Program

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Cranberry Township EMS

Ambulance Service

Subscription Program

Protect yourself and your family, today!

We proudly serve the people of Cranberry

Township, Seven Fields Borough and parts

of New Sewickley Township.

Through the Cranberry Township EMS Ambulance Service Subscription Program, you can save hundreds of dollars in medical bills should you or a family member ever need an ambulance.

Your paid subscription will offset the costs of co-payments and deductibles that your insurance company may require you to pay. It will also allow Cranberry Township EMS to continue serving the community, ensuring that we have the staff, vehicles and equipment to provide you with around-the-clock care, 365 days a year.

Subscription Types

You have the option of subscribing three different ways.

The official registration and financial information of Cranberry Township EMS may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

Thank you for your continued

generosity and support.

Cranberry Township EMS, 20727 Route 19, Suite 51,

Cranberry Twp, PA 16066 | 724.776.4480

www.CranberryTownshipEms.org

Find us on Facebook and Twitter Cranberry Township EMS @CTEMS51

Cranberry EMS Subscriptions are just $60 for your entire household for one year.

Did you know the average

ambulance ride costs $850?

1

2

3

Family Membership ($60)

Covers all permanent residents of your home.

Individual Membership ($45)

Covers only the individual listed on the subscription card.

Senior Citizen Membership ($40)

Covers an individual 62 years of age or older, as well as all other permanent residents of that household.

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The Benefits of

Your Subscription

Personal and community advantages

Not only will you save hundreds of dollars in unwanted ambulance charges, you will also show your support for your local EMS. We are not affiliated with the fire department and therefore we do not receive any direct tax subsidies from the municipalities that we serve. We depend on your generous donations so that you can depend on our services.

Coverage beyond your community

Cranberry Township EMS maintains reciprocal agreements with all of our immediate surrounding EMS services and 17 other organizations who are

While Cranberry Township EMS covers your emergency situations, non-emergent care is not covered by your subscription.

• Alternative modes of non-emergency

transportation, such as wheelchair van or invalid coach transports

• Certain non-emergency ambulance transports, which may be denied or deemed outside the limits of your insurance coverage

• Transports which do not meet medically necessity criteria

• Any charges related to excessive mileage or other non-covered charges for transports, which are based solely on patient and/or physician preference

members of the Northeast Ambulance Alliance. This means that if you become ill or injured in any of these communities and require medically necessary emergency service, your Cranberry Township EMS subscription will be honored.

No unnecessary insurance costs

Your subscription ensures that should a medically necessary emergency ambulance service be required, you will not incur any unnecessary insurance bills. Most insurance companies do not pay 100% of ambulance bills. If your overage includes a deductible or a co-payment, you could be left with a large balance to pay out-of-pocket. If you choose not to subscribe, you would be responsible for the full payment, which could exceed more than $850 per trip.

No ambulance cost for emergencies

No matter how frequently you may need our services, you will not pay any out of pocket expenses for emergency ambulance services beyond your one-year subscription fee. Should you need an ambulance, Cranberry Township EMS will submit a bill to your insurance company. Insurance payments are then applied to your balance, and once your insurance benefits are exhausted, we will write off any remaining balance.

Additional questions?

For more information on the subscription program, please contact 724-776-4480 or visit us online at

www.CranberryTownshipEMS.org.

With your paid subscription,

we will be able to continue

supporting the community

and further protecting you

and your family.

(3)

The Benefits of

Your Subscription

Through the Cranberry Township EMS Ambulance Service Subscription Program, you can save hundreds of dollars in medical bills should you or a family member ever need an ambulance.

Your paid subscription will offset the costs of co-payments and deductibles that your insurance company may require you to pay. It will also allow Cranberry Township EMS to continue serving the community, ensuring that we have the staff, vehicles and equipment to provide you with around-the-clock care, 365 days a year.

Subscription Types

You have the option of subscribing three different ways.

Did you know the average

ambulance ride costs $850?

1

2

3

Family Membership ($60)

Covers all permanent residents of your home.

Individual Membership ($45)

Covers only the individual listed on the subscription card.

Senior Citizen Membership ($40)

Covers an individual 62 years of age or older, as well as all other permanent residents of that household.

Cranberry EMS Subscriptions are just $60 for your entire household for one year. Personal and community advantages

Not only will you save hundreds of dollars in unwanted ambulance charges, you will also show your support for your local EMS. We are not affiliated with the fire department and therefore we do not receive any direct tax subsidies from the municipalities that we serve. We depend on your generous donations so that you can depend on our services.

Coverage beyond your community

Cranberry Township EMS maintains reciprocal agreements with all of our immediate surrounding EMS services and 17 other organizations who are

With your paid subscription,

we will be able to continue

supporting the community

and further protecting you

and your family.

(4)

Cranberry Township EMS

2015 Ambulance Service Subscription

Cranberry Township EMS

2015 Ambulance Service

Subscription Card

For emergency calls, dial 9-1-1.

For other inquiries with Cranberry Township EMS,

dial 724-776-4480.

Expires December 31, 2015

Three easy ways to subscribe:

1. Check 2. Credit Card 3. Online

Subscribe now by completing the back of this form, or online at www.CranberryTownshipEMS.org Please make necessary corrections to name and address.

Mr. John Smith

123 FPO Street

Cranberry Township, PA 16066

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Your subscription covers medically necessary emergency ambulance services (excluding wheelchair van transportation) until December 31, 2015. All services are subject to terms and conditions, available upon request.

Cranberry Township EMS reserves the right to all available third party claims.

Thank you

for your support!

Choose your subscription rate:

Family Membership ($60) Individual Membership ($45) Senior Citizen Membership ($40) Optional Donation Amount

Please print all names of family members residing in your home. Check your municipality:

Cranberry Township Seven Fields Borough New Sewickley Township

Choose payment option:

Check (payable to Craberry Township EMS) Credit Card (fill out below) Expiration

Date:

Name as it appears on card:

Signature: Date: Card

Number:

I authorize Cranberry Township EMS to charge the total amount of the subscription/donation payment to my credit card. I will be responsible for payment of all applicable charges.

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