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On March 18, 2015, the Fluvanna County Board of Supervisors adopted Chapter 8, Section 8-6 Emergency Medical Services (EMS) Cost Recovery, of the Fluvanna County Code to defray costs and improve services associated with providing EMS transport services by collecting a user fee for emergency ambulance transports.  2Ambulances

Fluvanna County’s EMS Cost Recovery program is a compassionate model that collects money for system operations from the people who receive services, with the vast majority of the revenues collected directly from Medicare, Medicaid, and private insurance companies.


Fluvanna County Cost Recovery Brochure
Frequently Asked Questions
Definition of Terms
HIPAA Notice of Privacy Practices
Ambulance Fee Waiver POLICY and Request FORM


The rate charged for transport services depends on the level of medical service required by the patient, the level of expertise of the responders (EMS, Paramedic, etc.), and the number of miles the patient travels in the ambulance.

Current Fees (125% of Medicare Allowable Charges): (Effective January 1, 2016)

Basic Life Support (BLS):              $449

Advanced Life Support 1 (ALS1):    $533

Advanced Life Support 2 (ALS2):    $772

Mileage (All Service Levels):           $13.71 per loaded mile. 

For billing questions, contact our billing services partner, EMS|MC, at 800-814-5339.

If you have further questions about the EMS Cost Recovery Program, please contact us at 434-591-1910 or by clicking on this link.

Always dial 9-1-1 in an emergency!  
No one will ever be denied emergency medical transport service
because of a lack of insurance or an inability to pay.

Emergency Services Menu