East Windsor Ambulance Association Inc. is a 24 paramedic level emergency medical service that provides advanced level paramedic care to the Town of East Windsor at no charge. Our paramedic advanced life support ambulance service provides 2 paramedic units to the citizens of East Windsor nearly 24 hours per day, 7 days per week. A third ambulance is staffed during high volume periods. Call back staff is utilized regularly as well. The East Windsor Ambulance does not rely on any volunteer staffing to cover any EMS shifts. We also employ 1 24-hour staff member to provide routine maintenance to the fleet.
East Windsor Taxpayers provide our ambulance association a small facility in Warehouse Point at the Town Hall Annex. Taxpayers provide for some building repairs, electricity, heat, air conditioning, snow plowing, lawn care, and garbage removal. All other expenses are the responsibility of the East Windsor Ambulance Association. There are no hidden line items to provide operating funds, ambulance purchases or other capital improvement funding.
The ambulance association is responsible for all of our own employee benefits, employee payroll, automobile insurance, general liability and malpractice insurance, worker’s compensation insurance, ambulance purchases, ambulance fleet maintenance, ambulance vehicle fuel, medical equipment and supplies, information technology, and staff medical training.
The East Windsor Ambulance also delivers our service regionally to many of our neighboring communities. This is also done without any tax subsidy from the communities we serve on a mutual aid basis. The East Windsor Ambulance Association actively seeks to expand our service area to any town that seeks to improve their emergency medical system and eliminate costs associated with EMS in their community. The future of highly successful emergency medical service agencies relies heavily on the future consolidation and creation of larger more efficient departments.
The East Windsor Ambulance also looks to join forces with any similar type ambulance service providers that share our feeling that a larger regional type system would benefit them and the community they serve.
The demands and the high cost of quality paramedic emergency medical care requires all services to take bold moves to provide the highest level of service possible to their community. Smaller communities do not have the emergency call volume, administrative staff, or the full-time advanced life support expertise to properly manage a paramedic system. Combining organizations reduces or eliminates many duplicated costs including organizational supervision, all forms of insurance, medical supplies, fleet maintenance, patient billing, payroll administration, and scheduling. It also improves buying power for large purchases such as ambulance and other expensive medical equipment.
The East Windsor Ambulance does not outsource for employee medical staffing. All personnel is employees of the ambulance association. No money is wasted on outside staffing services. This ensures that our EMS operation is conducted to our standards.
The East Windsor Ambulance currently operate 5 ambulances with an additional ambulance on order. Paramedics and Emergency Medical Technicians answer over 2600 requests for advanced life support paramedic level emergency medical service. Mutual aid to our community is rarely needed.
The East Windsor Ambulance also provides many community services beyond 911 emergencies. We provide coverage for many sports programs such as football and horse shows. We provide our police department with first responder medical supplies and all portable oxygen replacement. We also provide and restock opiate antidote kits for the police vehicles and the school resource officers. We provide annual training for their use all at no charge.
The primary source of funding for our organization is billing our patients or their insurance provider directly for the services that we provide. The Connecticut Department of Public Health Office of Emergency Medical Services strictly regulates the rates that we charge. They have adjusted annually.
Patient billing for Emergency Medical Services is regulated by the CT Department of Public Health and rates are assigned annually by the Commissioner of Public Health. There are 2 ways that rates are assigned to an ambulance provider. The most popular are to accept the standard ambulance rate that the Department of Public Health offers with a modest annual increase. You can also appeal and apply to the DPH for even higher excessive rates if your service cannot operate on the standard ambulance rates. If you are awarded a higher rate, the higher rate is applied each year thereafter.
Most Connecticut community ambulance services in our region including the East Windsor Ambulance use the State of Connecticut's standard ambulance rates. American Medical Response (AMR) and Windsor Locks Ambulance are local exceptions which charge rates significantly higher rates (see table below). A special application to the Department of Public Health must be submitted to receive rates above the universal standard ambulance rate.
These regulations allow us to bill only those patients that we transport to the hospital, with only a few exceptions. We cannot bill patients that refuse to be transported even if we provided medical care or an evaluation. We regularly providing assistance to those that fall and need assistance but do not require medical treatment. We do conduct the medical evaluation at no charge to ensure the fall was not a result of an unknown medical issue. The patient is not billed.
If adequate information is provided, we will bill your medical insurance provider, worker’s compensation carrier, or automobile coverage directly. Of course, the patient is responsible for any unpaid portion of the bill such as co-pays, deductibles, and denied claims. We regularly submit claims to Medicare, CT Medicaid, and any private insurance carrier. Out of state Medicaid will not pay your claim as we are not a participating Medicaid provider except in CT.
Each year a full audit of our financial position and accounting practices is conducted by Accounting and Auditing Services Inc. in Enfield CT.
Emergency Medical Services Chief Paramedic
Thomas J Clynch III