Emergency Medical Services Subscription Drive

10 Paid 1910 TD NC e S igh , Frequently Asked Questions Postag No PRSRT ermit Rale S Why should I purchase an Emergency Medical Service Johnston County P U Subscription The purpose of an EMS Subscription is to lessen the financial burden in times of emergency If you or your family requires emergency transport by Johnston County EMS , you will be covered for any out of pocket expenses beyond what your insurance will cover Does my subscription cover ambulance service provided by private ambulance providers No This subscription and fee program ONLY pertains to transports provided by Johnston County EMS When does my coverage begin and when does it end If you join on or before July 1 , 2024 , your coverage period is July 1 , n 2024 - June 30 , 2025 If you join later than July 1 , 2024 , your coverage o will be effective from the date your payment is received through June ti 30 , 2025 ; however , the subscription rate is not prorated Emergency traMedical Who do I contact if there are changes in my household Services sSystem If there are any additions or changes during the subscription period , i please call 877 842 - 0328 eg 2024 - 2025 What is my money going toward R Subscription Drive Revenue from subscription will go toward the operation cost of the e organization , including equipment , fuel , insurance , and personnel Onlin salaries This subscription does not include ground ambulance services r provided by any entity other than Johnston County Emergency e Medical Services Off EMS 27012 ow Para recibir una copia de esta campaña de suscripciones en y nt C N 0 español por favor llámenos al 877 842 - 0328 u 168 N Co mons , We Box Johnston PO ClemPageEMERGENCY MEDICAL SERVICES Johnston County Emergency Enroll online today SUBSCRIPTION APPLICATION Medical Services System We encourage everyone in Johnston 2024 - 2025 Medical emergencies and accidents are unpredictable County to take advantage of this offer Most insurance policies , including Medicare , Return this application and 60 in the enclosed envelope 3 Easy Ways to Register will NOT cover the full amount of an ambulance bill Please make checks payable to Johnston County EMS Please provide COMPLETE information Online Registration 1 Head of Household 1 https emsecurepayemsbillingcom membership Last Name _________________________________________________________ 2 Activation Code JCEMS First Legal Name _______________________________________ MI_______ 3 Make a 60 payment by bank draft or credit Date of Birth ______ ______ ______ card Phone No _______ - ________ Home Address ____________________________________________________ 4 Add household information ______________________________________________________________________ 5 Print membership confirmation card and Mailing Address ___________________________________________________ receipt On average , an emergency transport often exceeds 540 , ______________________________________________________________________ plus 1322 per mile for transport to the hospital City _____________________________State __________ Zip ____________ By Phone 2 You can offset these fees by joining the voluntary subscription program Your annual subscription fee of Other Household Members Call our Customer Service department at 60 covers the direct costs of ambulance services not 877 - 842 - 0328 for assistance with online paid by your insurance This is a one - time annual fee enrollment or to join by phone Full Legal Name Date of Birth good from July 1st through June 30th of the following year and covers unlimited emergency calls provided ___________________________________________________ __________________ by Johnston County EMS for permanent residents of By Mail ___________________________________________________ __________________ 3 your household during that time Please note that your insurance information will be requested at the time ___________________________________________________ __________________ Complete application on left and mail with 60 of transport , and upon receiving a first invoice After ___________________________________________________ __________________ check or money order in enclosed envelope first invoice , subscribers should not receive any further ___________________________________________________ __________________ invoices from the billing agency ___________________________________________________ __________________ We MUST have birth dates in order to processPage