(610) 678-1545
info@wbems.org
About
Our Company
Our History
Frequently Asked Questions
Title VI & Reasonable Accommodations
Commendations / Complaints
Services
Basic Life Support Services (BLS)
Advanced Life Support Services (ALS)
Wheelchair Van Services
Non-Emergency Transport by Ambulance
Event Stand Bys & Mass Gathering Medicine
Patients & Billing
Make a Payment
Cost & Fees
Financial Hardship Policy
Patient Care Records
Notice of Privacy Practices
Schedule Transport
Membership & Donations
About Our Membership
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Make a Donation
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✕
Make a Payment
Use this form to pay an invoice, make a donation or purchase an annual membership using your credit card.
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Purchase a Membership
We currently offer two different plans:
Gold Plan
includes copays, deductibles , 3 lift assists , insurance denials and individuals with no insurance allowing for no out of pocket expenses.
- Family: $180.00
- Single Parent w/children: $135.00
- Senior (2 adults over the age of 65): $95.00
- Single: $85.00
- Family with no insurance: $205.00
Silver Plan
includes copays, deductibles & 3 lift assists limiting out of pocket expenses.
- Family: $130.00
- Single Parent w/children: $105.00
- Senior (2 adults over the age of 65): $75.00
- Single: $65.00
- Family with no insurance: $155.00
Choose Your Plan
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Gold - Family
Gold - Single Parent w/children
Gold - Senior (2 adults over the age of 65)
Gold - Single
Gold - Family with no insurance
Silver - Family
Silver - Single Parent w/children
Silver - Senior (2 adults over the age of 65)
Silver - Single
Silver - Family with no insurance
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Please enter the address where you receive the statements for your credit card if different from the one above.
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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