THE NORTH METRO FIRE AMBULANCE MEMBERSHIP PROGRAM (AMP) will provide emergency ambulance care and transportation by North Metro Fire Rescue District within the boundaries of the District. Ambulance transport will be provided to a nearby hospital that has the appropriate facilities for your illness or injury. NON-EMERGENCY AMBULANCE TRANSPORTATION FOR ROUTINE, SCHEDULED, OR OTHER NON-EMERGENCY MEDICAL CARE IS NOT COVERED. Coverage will begin upon the acceptance of the application and the payment of the annual fee. The membership period is January 1 through December 31. Members who enroll after January 1 will expire December 31.
NORTH METRO FIRE AMP IS NOT AN INSURANCE POLICY AND DOES NOT FUNCTION AS A SUBSTITUTE FOR MEDICAL INSURANCE. EACH PERSON LISTED FOR COVERAGE UNDER THE AMP MUST HAVE MEDICAL INSURANCE OR COVERAGE UNDER ANOTHER MEDICAL BENEFIT PROVIDER. This medical insurance must include coverage for emergency transports.
The North Metro Fire AMP membership fee represents the pre-payment of the uninsured portion of a member’s ambulance bill up to the amount of the annual limit. North Metro Fire Rescue District WILL BILL A MEMBER’S INSURER OR OTHER PROVIDER OF MEDICAL SERVICE PAYMENT. A member will not be charged for costs not covered by insurance up to a maximum of $1,500 per year, per member. In other words, the deductible and co-payment portions of an ambulance bill, usually paid by the person being transported or to whom medical services are provided, will be paid by North Metro Fire AMP on your behalf up to the limit of $1,500 per year. Each person listed on a family membership shall be entitled to a benefit of up to $1,500 per year. If a member receives payment from an insurance company or other medical benefit provider for ambulance service provided by North Metro Fire, the member agrees to forward the payment to North Metro Fire Rescue District. Membership in North Metro Fire AMP is not solicited from persons who receive welfare benefits (i.e. Medicaid).
Membership in the North Metro Fire AMP is only offered to residents of North Metro Fire Rescue District. Membership is offered on an individual, senior individual, family, and senior family basis. An individual membership applies to only one person. Family and senior family memberships cover all persons who permanently reside at the address shown on the membership application (verified by Colorado Driver’s License). Senior family memberships are available to households if the primary member is over the age of 55. Fees are: $40 for individual, $45 for senior family memberships and $55 for family memberships. AMP memberships are non-refundable, non-transferable and automatically terminate if the person no longer resides in the District.
I hereby authorize the release of any medical information necessary to process any insurance claims and further authorize direct payment of any insurance or other medical benefits to North Metro Fire Rescue District.
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