No one will ever be denied emergency service because of the Emergency Medical Services (EMS) Cost Recovery Program. If a patient calls 911 but is not transported, there is no charge. City residents covered by Medicare, Medicaid, or private insurance will not be billed for any balances due after applicable insurance payments have been collected. City residents without insurance will not be billed at all. Non-city residents, in cases of hardship, may apply to the City for a hardship waiver once all applicable insurance payments have been collected.