Membership Program

Louisville Fire Protection District offers district residents a program to help cover the cost of ambulance transportation to the hospital. If you or a relative have a high risk of illness or falls, consider signing up for this program.

We will bill your insurance and accept whatever it pays as payment in full with a Louisville Fire Rescue Ambulance Membership.

Instructions

Ambulance Membership Program

Membership Benefits

  • The ambulance membership program is a simple way to help lower the cost of using an ambulance by prepaying the uninsured portion of your ambulance bill. The advantage of the ambulance membership program is that you won’t be charged for any co-pay or deductible. Simply said, the fees collected by your insurance will be considered full payment.  You owe nothing.
  • It is essential to know that the membership program is not an insurance policy, only a tool to help with the financial impacts of high co-pays or deductibles.
  • Various options are offered to best serve your needs, including individual, family, and senior family memberships, with annual rates starting at $25.

Membership Annual Rates

Membership registration fees are valid for one year. Renewal and registration fees are the same.


Individual

$25
Couple$45
Family$65
Senior Couple$35
Senior Family$55

Becoming A Member

1

Review The Registration Fee Information Above

Reach the categories, descriptions and annual cost.  You should fill your application out based on the individuals you intend to include in the registration.  Please note that all members listed in the application must have insurance.

2

Fill Out The Membership Application Form

Application Process

  • Go to the “apply” tab on this page and complete the form most convienent for you. You have two options, apply online or complete a form and mail it to us.
3

Pay Membership Fee

Go to the “pay” tab and select / pay for the appropriate registration fee for your completed application.

 

4

Mark Your Calendar For Your Renewal Date

Notate the date you applied and put an annual reminder in your calendar.  It’s the signer’s responsibility to keep these annual fees current in order to keep the membership from lapsing.

Apply

Apply for An Ambulance Membership

CARES: Cost Avoidance & Reductions for Emergency Services

This form must be completed and paid for. Membership registration fees are valid for one year, and applications are accepted year-round.

Pay

Pay Ambulance Membership Fees

Select, and pay, for the review fees appropriate for your membership. If you have not yet completed a membership review request, please do that first by going to the “apply” tab on this page. Print your payment confirmation and attach it to your plans with the membership form.

Individual Membership: $25

Covers only the individual signing this enrollment form.

Couple Membership: $45

Covers the individual signing this enrollment form and spouse living at your residence.

Family Membership: $65

Covers the individual signing this enrollment form and all family members, including unmarried children under age 25 and other dependents listed on your tax return and regularly living at your residence.

Senior Couple Membership: $35

Covers the individual signing this enrollment form, who must be age 55 or older, and spouse living at your residence.

Senior Family Membership: $55

Covers the individual signing this enrollment form, who must be age 55 or older, and all family members, including unmarried children under age 25 and other dependents listed on your tax return and regularly living at your residence.