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IA is a not-for profit ambulance service. Why do they charge for services?
What IA does and how we do it is much different today than in 1980's.
The number of requests for emergency assistance has grown from 500 to more than 5,500 calls each year. Originally, IA could serve our community's needs by staffing one ambulance 24 hours a day with volunteers. Today we need to staff three ambulances during the day and evening, two on the overnight. At the same time, it is harder for people to be available to volunteer their time to meet the many needs of EMS.
Emergency medical response has changed dramatically since 1970. Today we bring the emergency room to the patient. Our equipment is more sophisticated and medical care is more complicated. Sophisticated equipment and complicated treatment means training and equipment are more expensive. IA at one time could survive on donations of equipment and supplies. Hospitals used to resupply us after each call; now we need to purchase those supplies ourselves.
In 1989 IA realized that we had to begin billing people transported to cover costs not covered by donations. In 1994 IA began to evolve from being totally volunteer to being an EMS provider that serves its community with both career and volunteer personnel.
More calls, more expensive equipment, complicated training, and fewer volunteers have led to our need to bill for the services that are provided to you.
As one of three public safety services - police, fire, and EMS - isn't IA supported by my tax dollars?
Unlike fire departments and law enforcement agencies, ambulance services can take many different forms; the most common are non-profit organizations, commercial businesses, fire department-operated, village or town operated, county-operated, police department operated, and hospital-operated.
In Monroe County many EMS agencies bill for their services. We at IA receive most of our income from charges billed for our services. As of 2024 about 15% of our budget is supported through a contract for service with the Town of Irondequoit. The remainder of our funding comes from donations and grants and from people like you.
Typically the bill will be applied to your medical insurance. Your insurance type will determine how much it will pay and advise IA of any required co-pays to collect.
Operating as a 501(C)(3) not for profit organization all proceeds continue to support the organization.
I Have a Question about My Bill
Billing for health care services, including emergency medical services, is complicated in this day and age. IA contracts with Logical Billing Solutions, Inc to manage the process of submitting claims to third-party payers and ultimately billing our customers for the appropriate co-payments, deductibles, and non-covered charges.
** Please refer any questions about our charges, payments, and explanations of benefits to
** 888-376-1075
Logical Billing Solutions, Inc.
P.O. Box 16996
Rochester, NY 14616