Ambulance Trust seeks 20% fee increase to address rising demand

The Western Payne County Ambulance Trust Authority is seeking to raise its monthly subscription fee from $5 to $6, citing increased operational costs and a surge in service demand. The proposed hike, which would be the first in 14 years, was presented to the Stillwater City Council on Feb. 10.

Jerry Moeller, chairman of the ambulance trust, told council members that the authority has been operating at a loss for five of the last six years.

"We're operating on reserves and they're starting to run out," Moeller said. "Therefore brings us to the need for a $1 increase."

The ambulance service, which covers Stillwater and western Payne County, has seen a steady rise in both emergency responses and inter-facility transfers. Moeller reported a 45% increase in 911 call volume over the past five years and a 45% jump in inter-facility transfers in just the last two years.

To meet this growing demand, the authority has increased its fleet from two and a half ambulances to five and a half over the years. Each ambulance is staffed with at least one paramedic.

The $5 subscription fee, which appears on Stillwater utility bills, has remained unchanged since the program's inception in 2011. Residents can opt out of the fee, but those who pay receive significant benefits if they require ambulance services.

"If you're transported by the ambulance, we file for your insurance and whatever we collect, we write the rest off," Moeller explained. "There's no copay to you, there's no deductible."

For those without the subscription, an ambulance ride could cost between $3,000 and $3,500, according to Moeller.

The proposed increase would take effect July 1, pending approval by WPCA trustees. They plan to include an explanation of the increase in utility bills, along with information on how to opt out of the program.

Mayor Will Joyce noted the efficiency of the ambulance service's financial management. "A 20% fee increase once in 14 years is a pretty efficient use of that money," he said.

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Councilor Christie Hawkins sought clarification on what the fee covers, asking Moeller to explain the benefits for those who may be unsure.

Moeller emphasized that the primary benefit is ensuring emergency medical services are available to the Stillwater community. He added that the fee helps cover costs when insurance claims are denied or when patients are uninsured.

The City of Stillwater is the largest contributor to the ambulance authority's revenue, providing nearly 77% of its funding through the subscription program.

Councilor Kevin Clark inquired about coverage for residents in facilities like Golden Oaks, who don't receive city utility bills. Moeller confirmed that individuals in such situations can opt into the program independently.

Mayor Joyce expressed appreciation for the service and the opportunity to discuss the proposed increase. "We certainly appreciate the chance to hear about and talk some about the service," he said.

The council did not take formal action on the fee increase at the meeting, as the decision ultimately rests with the ambulance authority's board. However, the presentation allowed city leaders to understand and provide input on the proposed change that would affect many Stillwater residents.