Fees for ambulance services and prehospital care provided by the village's fire department shall be charged to the individual receiving said services, or said individual's estate, in accordance with the following schedule:
Resident
| Nonresident
|
Resident
| Nonresident
| ||
Basic life support emergency (BLS) | $750.00 | $900.00 | |
Advanced life support emergency (ALS-1) | 850.00 | 1,100.00 | |
Advanced life support emergency (ALS-2) | 1,000.00 | 1,300.00 | |
Mileage | 10.00 | 25.00 | |
(As measured from the location of the ambulance call to the hospital) | per mile or portion thereof | per mile or portion thereof | |
Vehicle extrication | $0.00 | $450.00 | |
Advanced life support ALS refusal | 650.00 | 750.00 | |
All fees will be determined by the above chart, however, for ambulance services provided to patients covered under the federal medicare system, medicare will be billed under the appropriate billing code as provided under the uniform medicare fee schedule for ambulance services, and based on the services provided and the mileage covered.
All those individuals who receive ambulance services from the village and who have insurance coverage which provides for the payment in whole or in part of the ambulance service fee, are covered by a governmental entity program such as medicare that provides for the payment, in whole or in part, of the ambulance service fee, or who have the ability to obtain reimbursement, in whole or in part, of the ambulance service fee from a noninsurance/nongovernmental entity third party shall upon request of the village, provide the names and addresses of said third party to the village. (The term "third party" shall mean any such insurance company, governmental entity, other third party as referenced in the foregoing sentence.) The village shall prepare and issue to the third party an invoice for such ambulance service fee in accordance with the ambulance service fee schedule set forth above.
In the event an individual who received the ambulance services receives compensation from a third party which is allocable to the ambulance service fee, such compensation shall be promptly forwarded by said individual to the village. Under no circumstances shall any term of provision of this schedule adversely affect the rights of the village as set forth in the Illinois health care services lien act or any similar statute. (Ord. 15-12-69)