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Indeed there is a charge. Insurance should pay for most of it, but you'll likely have to pay a bit for it. It's only fair, you've taken the time and services of EMS. Had to use them for my parents' falls to get them off the floor.
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We have Life Alert for my husband who is 76 and has a left prosthetic leg. If he is transported to the hospital then there is a charge otherwise Medicare should cover it. I hope this has helped with your question.
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It will definitely depend on where you are and possibly what your insurance if not medicare pays for:
Here's what Medicare 2021 says about ambulance service:
"Part B covers ground ambulance transportation when you need to be transported to a hospital, critical access hospital, or skilled nursing facility for medically necessary services, and transportation in any other vehicle could endanger your health."
So falling and just needing a pick me up is not a Medicare service that an ambulance can help with but the fire/rescue squads of some towns do. I worked for a small town in NJ (Roosevelt) that had it's own volunteer rescue squad supported by an annual stipend from the borough and donations local citizens. They would help you off the floor in a heartbeat .... no charge. For some reason, that is way beyond me, the borough decided they didn't need their own rescue squad as they could contract out with a neighboring town that had some paid people on the squad to ensure 24 hour coverage. The agreement has a period where the neighboring town will not charge the borough but it is possible that they might put a charge into your insurance. After that period, they may charge for all calls for which they respond even if no transport is involved. Now we have about 518 municipalities in the state and everyone of them handles the situation differently so I would suggest you call whoever responds to 911 calls in your area to see how they handle things.
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In the past year my wife has needed EMS services about 15 times. Any time she was NOT transported, about 5 times, there was NO charge.

When she was transported, there was a charge of $750+ depending on the services needed and distance.

We live in N/ E. Florida and we have a non-volunteer Fire and Rescue. Most of the time, at least one of the crew members knows us/remembers us and calls us by our first names. They are always caring, quick (usually arrive in less then 5 minutes), professional, and thorough.
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In my area, there is no charge when the firemen come out to lift a person after a fall.

There is a charge for transporting a person to the hospital.
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Rian1945: It will depend on what type insurance that the elder has, e.g. Medicare and possibly Medicare Supplemental.
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Stop by the fire department/EMT department that comes to this person's house. Ask how it works for that area. Our FD has said to call anytime we need help. Even if it's just a fall and needs help to get up. They have come a couple of times over the years, where no one loaded up to leave, and there was no bill sent for the call.

However, with that said, I would think if it became a regular service, they would have some kind of reporting protocol to let Adult Protective know you are no longer safe in in the home.
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My guess is there may be some variables in every city, as every city is trying to make ends meet and get what income they can from any source possible without making residents feel that they have to be worried about costs if they should use these city services. I saw something that made me think I was going to get a bill from our city when I was transported to the hospital, but I never did. I DID get a bill for $47K from the helicopter company that transported me from the local hospital to the main campus for emergency surgery....
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Call 311 non-emergency information in your city, Ask them.
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If the person pays an annual membership fee to be part of ambulance services in case of emergency, there is NO cost. If they do not have a membership, they will be obligated to pay whatever the ambulance wishes to charge - ER or not. I pay $35 a year and if I need 911 I am l00% covered and have never received a bill.
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I've called a few times and never have been charged. Even for the death of my father, there was no charge for transporting his body.
I think there is only a charge when they take someone to the hospital
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Isthisrealyreal Apr 2021
Transporting a body will be inclusive in the funeral or cremation fees. That is what I have experienced multiple times, it is part of the huge expense for either service.
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As soon as you can, call the fire department's non-emergency phone number and ask if they provide lift assist. My husband fell several times and they always came out (minimum of two) with such a loving attitude. These guys are special angels ---they never chastised me for calling so much. I'm in California.
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Be aware however, if you need air transport, you will be charged.
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gdaughter Apr 2021
This whole air transport thing...don't get me started. It is chosen by the medical staff at the time of an emergency often with the patient clueless or to sick to voice an opinion or critical....as in little babies etc. I was taken all of about 13 miles and it was $47,000 which was billed while I was still in the hospital recuperating. If you aren't sick going in, you will be before you leave. $47K in debt! Our whole system is so out of whack; I pray the government gets hold of things and straightens it out. Do you know you can refuse care? Sometimes lab work is NOT justified every damn day. Yet the blood sucking crew arrives to awaken you around 6 AM. AND you WILL BE BILLED. No one should ever be alone in the hospital. Someone needs to take notes and document and patients need to remember they can say NO. Blessedly (I was literally in tears) time passed (months!) and I finally discovered the insurance had covered the copter...but still I get bills from the hospital that insurance apparently didn't cover and owe them over $5K. Compared to the total, I should feel relieved...but I don't. I am paying what I can monthly, and they no doubt will put me in collections. I do not for the life left in me understand how a tax evading NON PROFIT, can hunt people down for thousands of dollars. Yes, they have no interest payment plans...but I've played the game before. You offer something you know you can do, say $25/month and they will ask you for $50. They sent me home with no less than 20 follow up appts made without my knowledge or consent that I cancelled for that reason. What a way to ensure income for them, and debt for the rest of us. It's despicable and should be against the law. There are bills for services from people I never even MET! Was never told I could say no to! ANd who knows what's going on? IT's an outrage.
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In SA, Tx you can call the 911 to get someone to assist helping with elderly when they have fallen and you need help getting them up. They will talk to them and screen them to see if they are okay. No charge.
Beyond that if they have to evaluate and give basic first aid then yes they will charge.
I called them quite a few times for help. They were so good with Daddy and so helpful.
I had a lift that the doctor ordered but after a while Dad became afraid of it and I was worried he would get hurt if I kept using it.
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In our community, fire fighters and paramedics are City employees. There is no charge for 9-1-1 if you live in the city.

Our fire fighters will happily change out the batteries in smoke alarms, schedule permitting! No charge, and they install smoke alarms for seniors, no charge.

They are City employees and gladly, regularly help citizens who have fallen, and often take in the weird “cat in a tree,” and other critter calls. However they will not do a job that competes with the local private sector.

Call and find out!
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Not where I live. I’ve had to do that with my husband and was not charged. I live in GA
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In Texas, I use to call 911 to get an elderly person off the floor.  I didn’t know the term “Lift Assist”.  The fire department with about four men would come get her up, check her and be gone.  Nothing mentioned about money; never received a bill.

I bought a Rizer Lift to lift her from the floor to a chair.
Then I bought a Hoyer Lift as mobility declined.

No more calling the fire department unless there is injury in need of medical assistance.
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I would say yes you are going to get charged because you called, they came and helped someone up off the floor........they performed a service. wishing you luck
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Yes. whether they have to pay for it out of their pocket depends on their insurance. Most insurance will pay for emergency calls -- a person who calls because they have fallen is typically considered an emergency response. Going to the hospital is not generally relevant. It is the symptoms and reason for the call
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I'd expect to be charged, if insurance doesn't cover it all. They also check the person out before they leave, to assess whether they should go to the hospital.
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Depends on where you live and if the ambulance crew a paid EMTs or volunteer. If the ambulance crew are paid employees, then they are not expected to work for free; so, a bill would be sent for their services.
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KatKat124 Apr 2021
Yes it depends on were you live for sure. Also it depends on the 911's policy. In a 3 yr period I call 911 the first 2 times I called ' no charge ' the 3rd time I called they charge me to come out and I checked with my medical insurance they would not cover it. Then the 4th time I called 911 and I ask before they came will you charge me they said no. .. It definitely depends on where you live and the mood the fire department is in . Also where my mom lived she paid her water company a fee each year and it made 911 calls 'no charge ' best of luck.
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Depends on where you live, but you should assume there will be a charge for all 911 calls.

If a person is at risk for falls, other measures need to be taken: walker, rails in hallways, no scatter rugs, nonslip shoes... If the person tends to fall a lot and can not get himself or herself up, then they probably should not life alone.
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JPC2842 Apr 2021
Most of these people do not live alone but the person they live with most times cannot get them up. There is a skill to getting someone up off the floor safely, especially if they are dead weight. It is not unrealistic to expect our cities to care for their elder.
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As you can see it all depends on the Municipality you live in.
In my municipality, we pay for our Fire Dept with our tax dollars. The Fireman are volunteers but the EMTs are paid. So, we don't pay for an assist. We don't pay for ambulance service either. They are able to bill Medicare and insurances. If not paid, they are not allowed to bill a township resident.
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I can only think of one time that my FIL was charged for a call - and it was very specific. He is a fall assist - and a very large man. So when we call we have to specify that they generally need to send at least one additional crew. The second to the last time he fell (the very last time he fell he was actually transported) they picked him up but he said he was fine and after they checked him out they agreed, so they did not transport. He actually received a bill for the additional ambulance crew. I know he appealed it several times but in the end I believe he actually did pay it. But outside of that particular time I don't remember him ever receiving a bill for ambulance or emergency services.
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My mother got charged every time she used the ambulance and went to the hospital.

She never had to pay for it though. She would call up and who knows what she said to them but they wrote it off.

when my mother went to the hospital before she passed away, the ambulance took her to the hospital. I got a bill after she passed away. I told them she passed away and didn’t have any money so they wrote it off.
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Where we live, a Lift Assist is $162.00 per incident.
So, it truly depends on your location.

This is something you can check in advance with your local Emergency Services. The majority of the USA does not have to pay for this service, though.

But, depending on location - it is an unfortunate possibility.
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JustDaughter Apr 2021
I am sorry you are charged for this although I understand that maintaining these services is expensive. I know there were many times were needed LiftAssist and would not have been able to afford those charges. Bless the EMS, firemen snd police!!!!
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I called for a "Lift Assist" 9 times and was never charged when they came.
I was asked to sign a release stating that I did not want him transported to the hospital.
IF the person has visible injuries I think there might be a more intense discussion about transport but they can not force you to go to the hospital.
There are some areas where there might be a charge, it depends on the village, town and the contract. I suggest you contact your local Emergency Service and ask.
Also IF there is a possibility that the person can not get to the door to open it for First Responders that you ask if the village has a Lock Box that the Paramedics would have access to.
Whenever I called I would, while I was on the phone, lock up the dogs, put a note on the door that the door was unlocked and they should just enter. I would also turn on the Porch Light so the house would stand out a bit more. I would then go stay with my Husband until the paramedics arrived. They would call out and I would answer as to where we were in the house.
Again I was never charged.
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My husband had chest pain...I had a swollen right ankle and couldn’t drive. We called 911. Five people responded..fire and ems. No charge...ekg, vitals etc were done. No need to transport. I was so glad I called. He was able to do Telemed visit with his cardio. next day. Doc had his copy of the ekg I had scanned over. Such a relief in time of COVID not to have to go to ER or hospital. Very fast and efficient. A wonderful service.
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No.

The charges are ambulance charges. Your taxes or other charges pay for the fire department.
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rovana Apr 2021
Please keep in mind that in many cases, MANY cases, we are talking about volunteer fire departments. They are NOT paid.
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Rian, please call your local providers and ask them how they deal with this situation.

I live in the county and I have to pay for these services by annual contract. Yet, 10 miles down the road people are covered by city services. To many variables to know what your situation is.
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