I was transported by Trauma Star air ambulance. I thought this was free for Monroe County residents so why did I get a bill for this?

A statement is sent out to every patient transported by Trauma Star along with an application for the Monroe County Resident Trauma Star Fee Waiver (PDF). This must be completed and returned to us to write off any out-of-pocket expenses for qualifying Monroe County residents.

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1. I was transported by Trauma Star air ambulance. I thought this was free for Monroe County residents so why did I get a bill for this?
2. Do I qualify for the Monroe County Resident Trauma Star Fee Waiver?
3. Do I have to sign up for the Monroe County Resident Trauma Star Fee Waiver before transportation?
4. I was transported by an air ambulance other than Trauma Star. Will Monroe County cover this bill?