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Towns often have a budget set aside for Emergency Services, which include the local ambulance crew.

However, this cost is often not paying for the town to use these services for free. Unlike the fire and police department, which are free services paid completely through your taxes, most town EMT services charge for their services, going through your health insurance if they can. If it is an auto accident, then the EMT services will go through your motor vehicle insurance first.

Some towns have a membership or subscription, or even a town fund, whereby people who either subscribe or cannot pay, are not pursued by credit bureaus for the cost of their ambulance trip. Many towns often have a hardship request, whereby you apply to let the town know how poor you are, and they decide if you are able to pay the cost of your transport.

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