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Who is covered?The SW Polk FireMed program covers the entire family, which means the primary member, spouse or domestic partner, and all relatives (by blood or marriage) living in the home.
Please refer to the Terms of Agreement for the full definition of covered persons.
To download a copy of the SW Polk FireMed informational
brochure click HERE.
What is covered?
FireMed covers ambulance transport to the nearest appropriate hospital and medically-necessary transfers from one hospital to another that require basic or advanced life support care from an Emergency Medical Technician. One of the following conditions must be present in order to be covered by this plan:
1. The patient requires medical care.
2. The patient requires stretcher services.
3. The patient and/or family member feels that an emergency medical condition exists.
The ambulance may be used as many times as medically necessary.
SW Polk FireMed Rates
Please refer to the Terms of Agreement
for a map of the area to determine rates.
SW Polk Fire District (ASA 2):
$75 per household
Polk County Portion of Amity Fire District (ASA 2):
$95 per household
($20.00 goes to local fire district)
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How to Become A Member?Please
complete an application and enclose a check or credit/debit
payment information.
Apply by Mail
You may download and fill out the application
form to the right, then including a check
made out to the 'SW Polk FireMed', mail it to:
SW Polk - FireMed
PO Box 3510
Silverdale, WA 98383
Apply by Fax
You may download and fill out the application form to the right,
then fax it to (360) 697-1659. Make sure to include your
payment information at the bottom of the application.
Apply by Email
You may download and fill out the application form to the right,
then scan and email it to:
swpolkfiremed@emspatient.com
NOTE: Submission of an application and payment constitutes
acceptance of the FireMed Terms of Agreement which is available
for download HERE.
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Online Application and Payment
Credit Card/Debit Card/eCheck
No convenience fee will apply if payment is made with a credit
or debit card. A $3.00 consumer paid fee will apply for eCheck payment.
Click on the link to our secure payment processing page to the
right. You will be asked to complete the application form
and payment information. Upon completion, you will then receive
an email confirmation of your payment.
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How to Contact UsFor more information, please contact our billing department at the phone number, fax number or email address provided below:
1) Call our billing service department at (800) 238-9398. Please
indicate that this is regards to FireMed.
2) Email any questions you may have
concerning FireMed to the following email address:
swpolkfiremed@emspatient.com *
* Communications via unencrypted e-mail are not secure. Please do not include personal identifying information or medical information in any e-mail you send to us.
3) Fax completed
application with payment information to the
SW Polk - FireMed billing service department: Fax # (360)
394-7094.
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