FIREMED

Thank you for your interest in the Lebanon Fire District FireMed Program. FireMed is a voluntary ambulance membership program that provides you with a 50% benefit of your patient responsibility for ambulance transportation. FireMed Membership is available to anyone residing in the Lebanon Ambulance District and all emergency service must originate within the boundaries of the Lebanon Ambulance District. The cost of Membership is $50.00, including all eligible family members. (See FireMed Agreement for definitions and terms.)

All FIREMED memberships expire each year on June 30th. Coverage will begin upon receipt of your payment in the months of May and June, which is our OPEN ENROLLMENT period. If purchased outside of the open enrollment period, a one-week waiting period will apply. You will not receive a membership card, therefore your cancelled check will verify your enrollment.

Please read the agreement in full on the back of your application. Also, please be aware of services that are NOT COVERED under your FIREMED agreement. Some examples are listed below. Utilization of non-covered services is the responsibility of the member.

1) Non-emergent/non-medically necessary transportation, as defined in
your FIREMED agreement.
2) Transportation from hospital to care facility or home.
3) Transportation from hospital to hospital for patient’s primary physician.

To enroll or renew, download the FIREMED APPLICATION, complete, sign, and return it with your payment of $50.00. Make checks payable to: FIREMED. Applications can be mailed to Lebanon Fire District – 1050 W. Oak Street, Lebanon, OR 97355, or you may utilize the drop box at the station. Notice of Privacy Practices.