Albemarle Rescue Squads Split On Billing

Albemarle County, neck deep in budget red ink, is moving ahead with plans to charge people for ambulance services. Full Story
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Greed

Charlottesville, VA

#1 Jan 12, 2010
From what I hear is that Scottsville is now having second thoughts about billing. It will be interesting to see what happens with them and if the county can keep Scottsville onboard. What would make sense is for all the volunteer stations to go to billing at the same time.
Greed

Charlottesville, VA

#2 Jan 12, 2010
Also, haven't I already paid for this service with my tax dollars?
Scottesville United

United States

#4 Jan 12, 2010
I wonder if you call 911, can you request a specific agency to pick you up :)?
scottsville man

Westlake, OH

#5 Jan 12, 2010
You have paid for it. I think scottsville should have stood by the other volunteer squads, But I guess threats of getting cut out altogether just were to much for svrs. Way to grow a set Scottsville and stand up against the county
Why not

North Garden, VA

#6 Jan 12, 2010
Do you have insurance? Do you like to help the insurance companies increase their profits by not getting anything in return? Do you enjoy paying higher taxes because your local government won't tap into a resource to help pay for emergency transports? Maybe the county should raise taxes so it can pay for emergency services and keep everyone from paying a cent. I would rather not pay for the abuse that goes on in every emergency services system I've ever seen. For those who have a brain, this really is a no-brainer!
thank u

Charlottesville, VA

#7 Jan 12, 2010
Thank you CARS and WARS for not giving into the albemarle county greed machine,
thank u

Charlottesville, VA

#8 Jan 12, 2010
yes we have , the hollymead and monticello are paid county staff , driving county units, so we are getting charged twice for the same service ,
Kim

United States

#9 Jan 12, 2010
Be sure to support the CARS and Western Albemale Rescue Squad with your donations. Do you really want to support the squads that are going to get paid by your insurance. If they took what the insurance paid it wouldn't be so bad, but they want me to pay as well and then would still like me to make a donation. I don't think so. Come up with a plan to penalize those that abuse the use of the squads.
Im Ya Huckleberry

Lithia Springs, GA

#10 Jan 12, 2010
Why not wrote:
Do you have insurance? Do you like to help the insurance companies increase their profits by not getting anything in return? Do you enjoy paying higher taxes because your local government won't tap into a resource to help pay for emergency transports? Maybe the county should raise taxes so it can pay for emergency services and keep everyone from paying a cent. I would rather not pay for the abuse that goes on in every emergency services system I've ever seen. For those who have a brain, this really is a no-brainer!
Are you really so naive that you believe that by not billing the insurance companies that this somehow raises their profits? I guess next you will be telling us where to get a free lunch. I agree that the county should tap into this resource but not to worry if they don't because Obamacare is going to take care of EVERYTHING at absolutely no cost to the consumer.(At least according to the Democrats)
Why not

North Garden, VA

#11 Jan 12, 2010
If you pay for insurance and never use it, where does the money go? Answer: into the insurance companyís pocket! Do they give a refund if you donít have a claim? I donít think so. Well when they donít, itís called a profit.
Dark Side

Charlottesville, VA

#12 Jan 12, 2010
Why not wrote:
If you pay for insurance and never use it, where does the money go? Answer: into the insurance companyís pocket! Do they give a refund if you donít have a claim? I donít think so. Well when they donít, itís called a profit.
This is common sense were you trying to make a point about something? You have insurance for the cases you may need it you just hope you never have to use it. Who really wants to go to the hospital unless they have no choice but to go?
Charlottesville Kid

United States

#13 Jan 12, 2010
Not me! Long lines and crouchy people! yuck!
Why not

North Garden, VA

#14 Jan 12, 2010
Dark Side wrote:
<quoted text>
This is common sense were you trying to make a point about something? You have insurance for the cases you may need it you just hope you never have to use it. Who really wants to go to the hospital unless they have no choice but to go?
You'd be surprised!
Im Ya Huckleberry

Marion, NC

#15 Jan 13, 2010
Why not wrote:
If you pay for insurance and never use it, where does the money go? Answer: into the insurance companyís pocket! Do they give a refund if you donít have a claim? I donít think so. Well when they donít, itís called a profit.
Profit is the premiums paid less expenses incurred. Since company stockholders (who have their money at risk) like it when there are profits to share, companies will simply raise premiums to offset expenses such as medical transport so that profits do not decrease. Once again there is NO free lunch.
scottsville man

Westlake, OH

#16 Jan 13, 2010
well I think everyone here agrees that no one agree's with WHY NOT. I said yesterday and It sounds like why not may be a ACFR employee trying to make the whole thing sound better. But it really doesnt matter. The county is giving press releases that say if you can't pay its ok we will be niced and still take you, but the truth is EMS personal can not deny service for someone that is truly in need. If they do its called breach of duty, and the county can be sue'd along with the EMS provider personaly. It goes for any locality. And if you do not want your insurance charged just dont give them the info. They still have to provide the service
yeahright

Louisa, VA

#17 Jan 13, 2010
scottsville man wrote:
well I think everyone here agrees that no one agree's with WHY NOT. I said yesterday and It sounds like why not may be a ACFR employee trying to make the whole thing sound better. But it really doesnt matter. The county is giving press releases that say if you can't pay its ok we will be niced and still take you, but the truth is EMS personal can not deny service for someone that is truly in need. If they do its called breach of duty, and the county can be sue'd along with the EMS provider personaly. It goes for any locality. And if you do not want your insurance charged just dont give them the info. They still have to provide the service
Since 29 deleted my CLEAN sarcastic response yesterday I will say it AGAIN.

Who is to say that responses will not be decided by the area you live in? If 2 calls come in from 2 neighborhoods, will the one more likely to pay be first? Think about it. I can happen.
scottsville man

Westlake, OH

#18 Jan 13, 2010
yeahright wrote:
<quoted text>
Since 29 deleted my CLEAN sarcastic response yesterday I will say it AGAIN.
Who is to say that responses will not be decided by the area you live in? If 2 calls come in from 2 neighborhoods, will the one more likely to pay be first? Think about it. I can happen.
True, but calls priority is decided by the time the call came in, and the severity of the call. If a call is held simply because they may know that the person is not going to pay, then your right back to breach of duty on the providers part. A provider on duty has a responability. Its called duty to act, look it up. Also in a case such as your talking about the 911 center may also be at risk for some sort of law suit.
Charlottesville Kid

United States

#19 Jan 13, 2010
yeahright wrote:
<quoted text>
Since 29 deleted my CLEAN sarcastic response yesterday I will say it AGAIN.
Who is to say that responses will not be decided by the area you live in? If 2 calls come in from 2 neighborhoods, will the one more likely to pay be first? Think about it. I can happen.
Dispatch works like this: The county of Albemarle is divided between Monticello, Hollymead, CARS, WARS, and SVRS. There is a map, look it up if you care. This gives everyone "First Due"
Then, other rescue squads will gain "First Due" when another squad runs out of ambulances to transports (typically, Monticello, Hollymead). So, for example, if either Monticello or Hollymead is unavailable, those will become CARS "First Due" otherwise it is CARS "Second Due". It works reverse too! If CARS all units dispatched, Monticello and Hollymead will take over CARS area.

In the end, everyone gets an ambulance :)
Charlottesville Kid

United States

#20 Jan 13, 2010
scottsville man wrote:
<quoted text>
True, but calls priority is decided by the time the call came in, and the severity of the call. If a call is held simply because they may know that the person is not going to pay, then your right back to breach of duty on the providers part. A provider on duty has a responability. Its called duty to act, look it up. Also in a case such as your talking about the 911 center may also be at risk for some sort of law suit.
It is decided before that! And, severity of calls is unrelated to who gets dispatched FIRST meaning... You will get the closest units to YOU with additional support as NEEDED
Charlottesville Kid

United States

#21 Jan 13, 2010
scottsville man wrote:
well I think everyone here agrees that no one agree's with WHY NOT. I said yesterday and It sounds like why not may be a ACFR employee trying to make the whole thing sound better. But it really doesnt matter. The county is giving press releases that say if you can't pay its ok we will be niced and still take you, but the truth is EMS personal can not deny service for someone that is truly in need. If they do its called breach of duty, and the county can be sue'd along with the EMS provider personaly. It goes for any locality. And if you do not want your insurance charged just dont give them the info. They still have to provide the service
The information is available at the hospital.

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