Care Plan: Renew Your Membership
Renew your membership in the Rockford Ambulance Care Plan here. If you need to make any change to your plan, such as address, insurance, or family member covered, please download the PDF form and send the form completed with the updated information.
It’s a Smart Choice: Rockford Ambulance Care Plan
Rockford Ambulance offers a membership program called the Care Plan to the residents in our service area.
For only $50 per year, your household will be covered from any out of pocket expenses incurred from medically necessary ambulance transports to the hospital if you have insurance. If you do not have health insurance, your membership entitles you to a 50% discount on your total bill.
Membership Renewal
Rockford Ambulance Care Plan
Only $50 Per Year
Your Member Number is Required Below for Renewal.
Update your information and persons covered by resending this form if needed.
Use our online payment service to securely and conveniently pay an ambulance or wheelchair van bill, or to make a donation.
We offer a membership program called the Care Plan to residents in our service area. $50 per year covers out-of-pocket expenses for medically necessary ambulance transports to the hospital if you have insurance. If you do not have insurance, your membership entitles you to a 50% discount on your total bill.
We serve Rockford, Cedar Springs, Lowell, Sparta, Sand Lake, Belmont, Kent City, Algoma, Alpine, Cannon, Courtland, Grand Rapids Charter, Grattan, Lowell, Nelson, Oakfield, Plainfield, Solon, Sparta, Spencer, Tyrone, Vergennes and Chester.
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