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Appeals Process

A small number of ambulance fees can be remised by BCAS. Remission of ambulance bills is enabled through the Financial Administration Act Health Emergency Act Remission Regulation (the Regulation).

While ambulance fees are not an insured benefit under the BC Medical Services Plan (MSP) or the Canada Health Act, fees are heavily subsidized by the BC Ambulance Service (BCAS) and the Province of British Columbia for persons with a valid BC Care Card who are covered by MSP (known as MSP Beneficiaries). Individuals pay approximately only 10% of the actual cost of ground transportation.

To apply for remission under one of the four remission provisions you must submit information demonstrating how imposing the fee would cause either a great injustice or a great hardship. The Regulation includes the following provisions and conditions under which BCAS can authorize remission of ambulance fees:

Remission Provision 1


To apply for this remission provision, please call BC Ambulance Service Billing at 250-356-0052 (toll free 1-800-665-7199). BC Ambulance Service Representatives are available Monday to Friday, 9 am to 4 pm excluding statutory holidays.

To apply for this remission provision, please review the detailed information below to ensure you qualify for a 


Financial Hardship Appeal:

The Regulation enables remission of the ambulance fee when another person or insurer refuses to pay the fee as a result of a delay in issuing the initial invoice and this refusal to pay creates a great hardship for the patient. The Remission Regulation includes two provisions for invoicing delays:

  1. The delay must be either greater than 12 months from the date service was provided
  2. The delay must result in an insurer refusing to pay

When either of these circumstances apply the fee can be remised only if imposing the fee would cause great hardship for the patient. You satisfy the great hardship requirement of the Regulation if your adjusted net income is less than $30,000.


Please Note: The BC Ambulance Service can only consider claims for financial hardship from Canadian residents. New immigrants and visitors are not eligible to claim financial hardship. New immigrants sign a declaration saying they or a sponsor will cover any medical costs, and visitors are expected to buy medical travel insurance before arriving in British Columbia.


If you have reviewed the Financial Hardship Appeal information and wish to apply, please provide the following:

  • A completed and signed Application for Fee Remission Due to Financial Hardship (EHS 2598) form
  • A copy of applicant’s (and spouse’s, if applicable) most recent Canada Revenue Agency Notice of Assessment
  • Other documents that you feel may support your claim of financial hardship
  • If someone has Power of Attorney or another legal representation agreement and is signing on your behalf, include a copy of the agreement

Send to:

BC Ambulance Service – Ambulance Billing
PO Box 9676 Stn Prov Govt
Victoria BC V8W 9P7

Phone: 250-356-0052
Toll Free: 1-800-665-7199
Fax: 250-356-1383
Email: bcasbill@bcehs.ca

SOURCE: Appeals Process ( )
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