BCEMS Membership Overview
BCEMS Membership is for ambulance services for which the patient (or his or her insurance provider) has
financial responsibility.
In addition, BCEMS members pay a reduced rate of 40% off the regular cost of non-emergency transports.
Individuals who join after the enrollment period are eligible to receive benefits for dates of service 5 days
after payment is received in full or payment has cleared the bank (including payment by check).
Who Is Covered?
One membership covers the applicant and all permanent members of the applicant's household. A spouse or child
being cared for in a nursing home may be covered under the applicant's membership (facility must be in Bryan
County, Oklahoma).
How to Join
There is one BCEMS Membership program with two ways to join — you may pay for one year at a time or by a
monthly fee.
To request an application for BCEMS Membership or questions about eligibility, please call (580)
924-4687.
- Annual Membership: $55 per year
- Monthly Membership: $5 per month (Auto draft available)
Member Benefits
BCEMS Membership benefits apply to emergency and non-emergency ambulance transports provided by BCEMS within
the BCEMS service area. Patient preference usually determines to which hospital the patient is transported;
however, in cases of life endangerment, the closest appropriate hospital will be used.
Emergency transports are fully covered. An emergency is defined as an unforeseen condition
requiring urgent and unscheduled medical attention. Emergency transports always result in the ambulance taking
the patient to a hospital emergency room.
Non-emergency transports are fully covered if insurance or other third-party coverage
provides benefits for the service (even if subject to deductible, co-payment, or co-insurance). If no
insurance or other third-party coverage is available, or if the claim is denied, the BCEMS Membership member
is charged a reduced fee (40% off BCEMS standard non-emergency rate). A non-emergency transport is a medical
transfer that may not have a hospital emergency room as the final destination.
Excluded Services
BCEMS Membership members must present a completed physician certification statement (PCS) to receive benefits
for non-emergency transports. BCEMS provides no coverage for non-emergency transports without a PCS. The
patient's physician usually completes the PCS.
Repetitive transports for services such as dialysis, radiation therapy, and chemotherapy are not eligible for
BCEMS Membership benefits without additional screening and insurance approvals.
BCEMS Membership does not cover non-emergency transports to and from doctor's offices, dentists' offices,
physical therapy centers, pharmacies, freestanding clinics, and other facilities. Transports outside of
BCEMS's service area are also not included in the program. Members will receive a full bill for excluded
services. Before requesting non-emergency service, please call (580) 924-4687 to determine
transport eligibility.
Agreement
I acknowledge that my insurance provider and/or I am responsible for payment of ambulance services provided to
me by BCEMS. I acknowledge that it is my responsibility to provide BCEMS, within 60 days of the date of
service, with any valid insurance and third-party payer information, or to advise BCEMS that such coverage
does not exist, pertaining to me or anyone living in my household who receives BCEMS services, and that
failure to do so nullifies this agreement.
In addition, I agree to furnish any information requested by my insurance company in order to facilitate
payment of ambulance claims for me or anyone living in my household. In consideration for payment of the
membership fee, I hereby assign to BCEMS all ambulance benefits that any covered family member or I may
otherwise be entitled to receive from any insurance or other third-party payer for services provided under my
BCEMS Membership.
BCEMS will accept this assignment as payment in full for emergency transports, and for non-emergency
transports if insurance or other third-party payer coverage provides benefits for the transport. I understand
that BCEMS will file my ambulance insurance claims for each covered person and is entitled to receive payment
from all insurance or other third-party payers up to the amount of BCEMS’s usual charges.
If no insurance or other third-party payer benefits are available, or if the insurance company or other
third-party payer denies payment for non-emergency service, I understand that I will remain responsible for
payment of BCEMS’s reduced fee for BCEMS Membership (40% off BCEMS’s standard non-emergency rate).
Any insurance or other third-party payment I receive related to BCEMS services provided under my BCEMS
Membership must immediately be delivered to BCEMS if there is an outstanding balance on my account.
Violation of the terms of this agreement will result in termination of this agreement, and the patient (or
responsible party) will be billed for all charges related to services provided.
Contact Information
Bryan County EMS
306 South 22nd Avenue
Durant, Oklahoma 74701
Phone: (580) 924-4687
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