Paramedic Subscription Program

Beginning July 1, 2025, the Sierra Madre Fire Department enhanced the Paramedic Subscription Program to offer more flexible and affordable coverage options for individuals, couples, households, and businesses. These updates are designed to improve accessibility, reduce financial strain during emergencies, and ensure broader coverage across the community.

Individual Plan – $89 per year
Provides coverage for one adult resident at a Sierra Madre address. This plan offers secondary coverage for EMS costs and exemption from all EMS-related fees after insurance billing.

Couple Plan – $142 per year
Covers two adults residing at the same household address. Ideal for couples or roommates and provides the same benefits as the individual plan at a reduced rate per person.

Household Plan – $158 for a three-member household
Each additional household member may be added for $18, with a maximum cap of five people total. This plan provides comprehensive coverage for families or multigenerational households.

Modest-Income Household Plan – $45 per year
Residents who qualify as modest income may be eligible for a reduced rate based on gross household income, following income limits published by the U.S. Department of Housing and Urban Development (HUD). The City of Sierra Madre uses the HUD “Very Low Income” category. Current income limits can be viewed at: https://www.huduser.gov/portal/datasets/mtsp.html

Business Plan – Starting at $100 per year
Covers employees present at a fixed Sierra Madre business location during regular business hours.

• $100 covers the first 10 employees

• Add $100 for every additional 10 employees

Coverage applies only to employees physically on-site at the time of the incident. Business owners must provide verification that the employee was on duty when services were rendered.

To verify eligibility for the Modest-Income Household Plan, applicants must submit proof of total gross household income. Acceptable documentation includes:

• Most recent federal or state tax returns for all household members

• If tax forms were not filed:

  • Social Security benefit statements, or

  • Three months of bank statements for each household member

Applicants approved for the City’s Utility Users Tax (UUT) Exemption Program based on income are also eligible. A current utility bill showing the approved exemption may be submitted as documentation.

• Available to residents and businesses located within the City of Sierra Madre

• Secondary coverage for paramedic and ambulance services provided by the Sierra Madre Fire Department or its authorized ambulance provider within city limits

• No out-of-pocket EMS charges, including exemption from the EMS Dispatch Fee, after insurance billing

• Valid for one year from the date of payment (not automatically renewed)

• Renewal notices mailed one month prior to expiration

• Confirmation postcard and license number issued the month following payment

1. Complete the appropriate application form (residential, business, or modest-income household)

2. Include all required documentation, if applicable

3. Include a check or money order payable to City of Sierra Madre

4. Mail the application, documents, and payment to:

Sierra Madre Fire Department
Attn: Paramedic Subscription Program
242 W. Sierra Madre Blvd.
Sierra Madre, CA 91024

You may also make a payment in person at City Hall during regular business hours
(Monday–Thursday, 7:30 AM–5:30 PM).

• Subscriptions are non-refundable and begin upon receipt of payment

• Coverage does not apply retroactively

• Insurance providers are billed first

• Coverage applies only to emergency medical treatment or transport provided by the Sierra Madre Fire Department or its authorized ambulance service

• By enrolling, subscribers authorize the release of medical and insurance information for EMS billing purposes