SW Polk — FireMed

SW Polk FireMed is an annual membership program that helps protect your household from the cost of emergency ambulance transport. This page explains who and what is covered, the membership rates, and how to enroll.

Who is covered: The SW Polk FireMed program covers the entire family — 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.

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 from an Emergency Medical Technician. One of the following must apply:

• The patient requires medical care.
• The patient requires stretcher services.
• The patient and/or a family member feels an emergency medical condition exists.

The ambulance may be used as many times as medically necessary.

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 the local fire district).

Please refer to the Terms of Agreement for a map of the area to determine your rate.

Complete an application and include a check or credit/debit payment information. The application and informational brochure are available in the documents below.

By mail: Mail your completed application, with a check made out to “SW Polk FireMed,” to:
SW Polk — FireMed
P.O. Box 3510
Silverdale, WA 98383

By fax: Fax your completed application, including your payment information, to (360) 697-1659.

By email: Scan your completed application, including your payment information, and email it to swpolkfiremed@emspatient.com.

Online: Complete your application and pay online on our secure payment page: apply and pay online (opens in a new tab).

Submitting an application and payment constitutes acceptance of the FireMed Terms of Agreement, available for download in the documents below.

For more information about FireMed, please contact our billing department using the details below, and let us know your question is regarding FireMed. Please do not include personal or medical information in unencrypted email.