The Richmond County Department of Emergency Services understands that some citizens may not have the financial means to cover the costs of services provided during emergencies. The Richmond County Board of Supervisors has approved a scale of income guidelines for those individuals who lack insurance coverage and are interested in applying for an exemption for fees billed for ambulance transports.
|
Total Combined Income |
Percentage Exemption of Ambulance Bill |
|
Less than $14,750 |
100% |
|
$14,751 to $16,801 |
80% |
|
$16,802 to $18,851 |
60% |
|
$18,852 to $20,901 |
40% |
|
$20,902 to $22,951 |
30% |
|
$22,952 to $25,001 |
20% |
|
$25,002 to $27,051 |
10% |
|
$27,052 and above |
0% |
If you feel you may qualify to receive an exemption from your ambulance bill, please click here to download a copy of the Ambulance Hardship Certification Form. You must provide proof of income with this application.
Billing Contact
Mary Kay Baughan
Medical Billing Supervisor
Northern Neck Planning District Commission
Phone: (804) 333-4593
Fax: (804) 333-4614
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
