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Avon to update EMS fees and continue third-party billing; residents protected from out-of-pocket bills if uninsured

Council of the City of Avon, Ohio · March 16, 2026
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Summary

Ordinance No. 25-26 would raise certain EMS fees and authorize a billing agreement with Great Lakes Billing Associates, Inc.; Mayor Jensen affirmed Avon residents "never pay if their insurance doesn't cover services," and staff said the billing firm's fee was reduced from 9% to 7%.

Ordinance No. 25-26 proposes updated emergency medical services fees and authorization for Great Lakes Billing Associates, Inc. to handle third-party EMS and ambulance billing for the city. Law Director John Gasior and Safety/Public Service Director Duane Streator explained the update aligns rates with improved insurance reimbursements and the Bureau of Workers' Compensation fee schedule. Mayor Jensen emphasized that Avon residents will "never pay if their insurance doesn't cover services," describing that protection as city policy.

Streator and Gasior recommended Council approve the updated fee schedule and continue the relationship with Great Lakes Billing Associates, noting the company reduced its fee from 9% to 7% earlier in the year. Council did not act on the ordinance at the work session; it will proceed to scheduled readings and public consideration.