Low-Income Assistance

1. What options are available for those who do not have health insurance or cannot afford to pay the ambulance bill?  Is there relief for low-income patients?

Patients without health insurance or those experiencing financial difficulties may qualify for low-income assistance.  Contact the LAFD billing contractor, Intermedix, at (888) 772-3203 for more information or submit a completed Request For EMS Billing Low Income Assistance form and all supporting documentation, including complete tax returns and W2s, to the LAFD at the address listed on Page 2 of the form.

2. Who qualifies for the LAFD Low-Income Assistance Program?  What options are available to those who don't qualify but still need assistance?

The Low-Income Assistance Program provides an exemption from fees resulting from an ambulance transport to patients whose household income does not exceed the maximum allowable.  Information about the low-income assistance program and income thresholds are found on the Request For EMS Billing Low Income Assistance form or from Intermedix at (888) 772-3203.  For those who don't qualify for low-income assistance, contact Intermedix at (888) 772-3203 to discuss possible alternative payment arrangements.

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