EMS Protection Makes Perfect ˘ents!

Each year Susquehanna Valley EMS responds to 13,000 - 15,000 emergency calls within Lancaster County. As a non-profit organization striving to maintain prompt response times and excellent medical care for area residents, we need your help.

Subscribing to Susquehanna Valley EMS can pay huge dividends if you or your family members ever need emergency medical services. REMEMBER, subscribers do not incur any additional charges for emergency ambulance services while non-subscribers are responsible for all fees, which average more than $500 per ambulance trip.

Each year, Susquehanna Valley EMS responds to approximately 15,000 requests for service calls. For non-subscribing residents, just one ambulance trip could total over $500 dollars! But with full emergency coverage, you can protect yourself - and your family - for mere pennies per day.

  • Individual Rate is just $49.00 (that's less than 13.5 cents a day)
  • Couples Rate (2 family members) is just $69.00 (that's less than 19 cents a day)
  • Family Rate (3 or more family members) is just $79.00 (less than 22 cents a day)
It's a small price for 24-hour, 7-day a week, emergency medical service coverage.

Subscription Donation's Form

* Required Fields
 
Amount of Subscription:*
Individual Rate $49.00
Couples Rate (2 family members) $69.00
Family Rate (3 or more family members) $79.00
Donation:
 
Personal Info:
Name:*
Address:
City:
State:
Zip Code:
Phone Number:
Email Address:*
 
Membership #:
Your membership number is imprinted on the front of your response card.
Check here if you have not been a subscriber before, OR you have been a subscriber previously but do not have a membership number.
 
Authorization:*
By checking this box and submitting the form this authorizes Medicare benefits or other insurance benefits be made on my behalf to Susquehanna Valley EMS for any services furnished by this health service provider or supplier. I authorize any holder of medical information or documentation about me to be released to the Health Care Financing Administration and its carrier or agents, as well as this health service provider, any information or documentation needed to determine these benefits benefits payable for any service provided to me by this heath service provider now or in the future.
 
Please list each family member residing in your home: (Use first and last name)
1)
2)
3)
4)
5)
 

Please Remember!!!

Your membership is a major part of our annual operating income. Please review the 2012 SVEMS Membership Terms and Conditions listed below. The documents are in PDF format and will require Adobe Acrobat Reader 6.0 or greater. The software can be downloaded at the following location and thank you for your support.

2012 SVEMS Subscription Terms and Conditions :: Download Now

2012 SVEMS Subscription Terms and Conditions - Q&A :: Download Now

Susquehanna Valley Emergency Medical Services
P.O. Box 1 • Landisville, PA 17538
Local Phone: (717) 435-8101 • Toll Free: 1-877-53SVEMS
Email: info@svems.org • Privacy Policy

©2012, Susquehanna Valley Emergency Medical Services. All Rights Reserved.