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Road Ambulance Fees

Ambulance services are not considered an “insured” service under the Canada Health Act and therefore, use of road ambulance services within the province are only partially subsidized for provincial residents holding a valid Newfoundland and Labrador Medical Care Plan (MCP) card.

There is an exception. If a patient, holding a valid MCP card, requires a transfer or transport from one hospital facility to another for treatment or a procedure, there is no fee charged to the patient. 
Applicable Fees
A person covered by MCP is charged a standard user fee of $115 for a road ambulance response, except for interfacility transfers.  Persons not covered by MCP must pay a cost recovery rate of $125, plus $1.84 per km traveled by the ambulance service (round trip). This cost is in addition to the standard patient fee of $115.

These fees are established by the Newfoundland and Labrador Department of Health and Community Services and are subject to change. Please be advised that if you call for an ambulance, you will be billed whether or not you are transported by the ambulance.
Authorization of Non-Emergent Ambulance Services
Routine road ambulance services must be properly authorized by a physician or nurse based on the medical needs of the patient. Transports that are not properly authorized are not subsidized by the provincial government and the patient would be responsible for the complete cost of the ambulance transfer. If a patient elects to contact an ambulance service to provide an unauthorized transport, the ambulance service provider is entitled charge the patient a full cost recovery rate for the transport.

All health facilities are required to use the ambulances services as outlined by Department of Health and Community Services policies

Patients are not able to choose which ambulance service provides them transport due to licensing agreements and to ensure emergency coverage of all geographic areas.



Updated Aug 7, 2017