The following is an excerpt from the Department of Health & Community Services, ploicy # EHS 2003-09-55 which outlines the policy which all ambulance providers must follow in the Province of Newfoundland & Labrador with respect to Road Ambulance patient fees.
There shall be no ROAD AMBULANCE patient fee charged to a patient who is transported as a result of an approved air ambulance medevac; the $115.00 patient fee will be paid by the Department of Health & Community Services provided the service operator records a valid air ambulance authorization number on the Patient Information and Billing Form (PCR) in question. The patient will be responsible for a $130.00 AIR AMBULANCE patient fee which is a flat rate for all patients transported by the medical flight team.
If a patient is transported to a facility for initial assessment / treatment and (prior to the ambulance departing the facility) it is determined that the patient must be transferred to another facility by the ambulance that initially transferred the patient (as defined as a continuation trip) for further treatment within 1 1/2 hours of arriving at the original facility, only one $115.00 patient fee is to be charged to the patient.
As of June 01, 2011, any patient being transported between any government funded medical facilities will not be charged the $115.00 patient fee. During the 2011 Provincial Budget, it was announced that the $115.00 patient fee will no longer be required for any patient (whether you are an in-patient or not) who requires road ambulance transport to another medical facility.
For example; if you are at home (or anywhere for that matter) and suddenly become ill and you call for an ambulance, "you are responsible for the $115.00 patient fee to get you to the nearest medical facility". Once you are at that medical facility and you are required to be transported to another medical facility to receive further treatment or diagnostic testing, "you are NOT responsible for the ambulance fee"!