Item J2
BOARD OF GOVERNORS
FIRE AND AMBULANCE DISTRICT 1
AGENDA ITEM SUMMARY
Meeting Date: August 20,2008
Division:
Emergency Services
Bulk Item: Yes
No X
Department: Fire Rescue
Staff Contact Person: Camille DubroffX6010
AGENDA ITEM WORDING: Approval of Settlement Agreement between Monroe County Fire
Rescue and Karen SchirmeisterIMedCare International account #800419-01.
ITEM BACKGROUND: On March 4, 2008 Monroe County EMS transported, by ground ambulance,
German citizen Karen Schirmeister. At the time of the transport, while traveling in the United States,
Ms. Schirmeister carried a medical policy with MedCare International insurance. This policy generally
only covers urgent hospital services and excludes any other services including ambulance transports.
MedCare International is willing to make an exception to their travel policy, as a one-time courtesy,
and settle this account for Ms. Schirmeister, with immediate payment to Monroe County, provided that
we accept a payment of70% of the charges as payment in full. The County Attorney's office agrees
that a settlement for 70% of what is owed in the amount of $444.50 is agreeable due to the fact that this
patient is not a citizen of the United States and collection efforts could be costly.
PREVIOUS RELEVANT BOG ACTION: None.
CONTRACTIAGREEMENTCHANGES: N/A
STAFF RECOMMENDATIONS: Staff recommends approval of this item as written.
TOTAL COST:
BUDGETED: Yes
No
COST TO COUNTY:
SOURCE OF FUNDS:
::::::::~u:::: :: ~r:~::~T P::~::::ment ;~r
DOCUMENTATION: Included X Not Required
DISPOSITION:
Revised 8/06
AGENDA ITEM #
1 Mea€are
" ,:.' .. '" ". ,
12480 West Atlantic Boulevard, Suite 2
Coral SprIngs, Fl33071
Phone: '54.340.4710 * Fox: 954-340-4245
International Incorporated
JW1C 25, 2008
Via Emall: clllJBhan-,jim@monroecounty-fl.gov
Via Facsimile: (305) 289 - 6336
Jim Callahan, Acting Fire Cbief
Monroe County EMS
490 63rd Street
Marathon, Fl33040
E*MA!lE~
RE:
ACCOUNT NUMBER:
DATE OF SERVICE:
TOTAL CHARGES:
TREATMENT OF OUR GERMAN PATIENT, KARIN SCHIRMEISTER
800419-01
MARCH 04, 2008
$635.00
Dear Fire Chief Callahan,
MedCare International is the United States office of Karin Schiu:neister's Gennan health insurer, This travel
insurance policy is designed for urgent hospital services and bas exclusions for other services, Since you
transported her to a hospital, we are attempting to cover these services at the same level this policy reimburses
hospital services.
Under the patient's Gennan tTavel insurance policy) the patient is responsible for medical bills in the United
States, therefore, as a one-time courtesy, we would like to settle this account with you to make immediate
payment for the ambulance services provided. It is proposed that Monroe County EMS accept 70% of charges as
settlement in full on her-ambulance bill.
It is agreed that this amount will be accepted as payment in full and that the patient will not be billed the adjusted
amount.
Payment will be made in U.S. currency in 15-20 business days upon our receiPt of the siened agreement
letter.
Sincerely>
14/41( tjNta,.
Loren Gootar
Network Management
Agreed to by Monr.oe County EMS:
Signature:
Date:
THIS IS A CONFIDENTIAL AGREEMENT BETWEEN YOU AND MEDCARE INTERNATIONAL
AND IS NOT TO BE RELEASI;D TO ANY THIRD PARTY WITHOUT OUR CONSENT.