CLARKSVILLE RESIDENT BENEFIT PROGRAM
What is the Resident Benefit Plan?
The Resident Benefit Program (“the program”) provides for the prepayment of co-payments and deductibles for ambulance service provided by LifeNet. In addition, participating residents pay a reduced rate of 40% off the regular cost for medically necessary ambulance service provided by LifeNet that is not covered by a third-party payer.
How does it Work?
Beginning on February 1, 2015, every water utility holder (within city limits) will be automatically enrolled in the program and are charged $6 per month. Customers have the option to “opt out” of the program.
Who Is Covered?
Benefits apply to the utility account holder and all permanent members of their household. A spouse being cared for in a nursing home will receive benefits under the account holder’s program.
PROGRAM BENEFITS
For residents with Medicare or residents with private insurance that pays a portion of the ambulance charges — LifeNet will accept the payment from Medicare or that insurer as payment in full. The resident will not have any responsibility for any deductible or coinsurance assessed by their insurance. If Medicare or the private insurance denies the service as “non-covered”, the resident will receive 40% discount on billed charges.
For residents without Medicare or private insurance — The resident will receive a 40% discount on billed charges.
For non-residents — LifeNet will bill Medicare or the private insurance, and will bill the non-resident for 100% of any deductibles and coinsurance assessed by Medicare or the private insurance. If Medicare or the private insurance denies the service as “non-covered”, the non-resident will be responsible for 100% of billed charges.