PPC 3 applies to all properties within the Manteno Fire Protection Service Area that are within 5 road miles from the closest recognized responding fire station; including the listed recognized Automatic Aid Fire Department Fire Stations. PPC 10 applies to all properties within Manteno Fire Protection Service Area that are beyond 5 road miles from the closest recognized responding fire station.

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Information for Residents

Everyone has a perspective! Although it may be created from a feeling or observation, it may not tell the whole story. Understanding the who, what, where, why and how is important in determining the foundation of a perspective. In this section, we have provided several questions with answers regarding topics we are asked about frequently.

If there is something you would like to learn about in more detail, please contact Chief Scott O’Brien.

FAQs

How is the cost of the Ambulance Fee determined?

The total cost of ambulance services rendered will depend on the level of service provided appropriate to the person’s needs, as judged necessary by the paramedics on the scene in consulting with the nearby hospital’s emergency room physician.

Individual fees for materials or services rendered during an ambulance call will be itemized and provided to the insurance company along with the invoice. Although the ambulance fees assessed to residents do not cover the cost of services provided, the published fee schedule as provided by Medicare and Medicaid is used as a guide in order to minimize the cost to residents who contribute to the fire district through real estate taxes and donations.

Real estate tax proceeds only provide a portion of the revenue needed to provide our residents with professional fire, medical and rescue services.

We are very fortunate to have these full time professional services in a community our size, especially since we are an average of 15 – 20 minutes from the nearest hospital.

What other communities assess Ambulance Service Fees?

Many of the surrounding fire departments, as well as the private ambulances have an ambulance service fee in place.

Communities have realized the value of assessing this user fee as a means of defraying the costs of providing the highest quality emergency medical care to you and your family.

What does the Ambulance Service Fee mean to me?

After you have received ambulance service, Andres Medical may contact you to obtain specific insurance information.

Your insurance carrier (or Medicare, if applicable) will be invoiced for the ambulance service. You will receive an Explanation of Benefits (E.O.B.) from your insurance company explaining the portion of the ambulance service fee that they will pay. Any portion of the ambulance service fee in excess of the cost paid for by your insurer will be considered a co-payment amount.

What are the Ambulance Service costs and who is affected?

Ordinance 2020-005 was passed establishing a fee of $ 1,200.00 for basic life support (BLS) ambulance calls and $1,800.00 for non-resident BLS calls. These fees only apply to those who are transported by the Manteno Community Fire Protection District to the nearest hospital.

Advance Life Support (ALS) ambulance service fee calls, those requiring more extensive emergency care, are $ 1,200.00 for residents and $1,800.00+ for non-residents. Along with the ambulance service (transport) fees, the following itemized expenses may be applied if applicable to the emergency response:

  • Mileage – $30.00 per mile
  • Oxygen – $20.00

These fees will be billed and collected by Andres Medical Billing. Most insurance companies (medicare and non-resident medicare providers) have agreed to pay out benefits on behalf of their customers in order to cover the cost of pre-hospital emergency care (ambulance service). We provide the following services free of charge to residents:

  • Diabetic Emergencies
  • Lifting Assistance: After the 3rd call of the calendar year: $200 per assist ( Effective January 1, 2020)
  • Refusal of Treatment
  • Good Intent Calls
What is a Red Flag Warning?

Red Flag Warning is a forecast warning issued by the United States National Weather Service to inform area firefighting and land management agencies that conditions are ideal for wildland fire ignition and propagation. After drought conditions, and when humidity is very low, and especially when high or erratic winds which may include lightning are a factor, the Red Flag Warning becomes a critical statement for firefighting agencies, which often alter their staffing and equipment resources dramatically to accommodate the forecast risk. To the public, a Red Flag Warning means high fire danger with increased probability of a quickly spreading vegetation fire in the area within 24 hours.

The weather criteria for fire weather watches and red flag warnings varies with each Weather Service Office’s warning area based on the local vegetation type, topography, and distance from major water sources but usually includes the daily vegetation moisture content calculations, expected afternoon high temperature, afternoon minimum relative humidity and daytime wind speed.

Red Flag criteria occurs whenever a geographical area has been in a dry spell for a week or two, or for a shorter period , if before spring green-up or after fall color, and the National Fire Danger Rating System (NFDRS) is high to extreme and the following forecast weather parameters are forecasted to be met:

  1. a sustained wind average 15 mph or greater
  2. relative humidity less than or equal to 25 percent and
  3. a temperature of greater than 75 degrees F.

In some states, dry lightning and unstable air are criteria. A Fire Weather Watch may be issued prior to the Red Flag Warning.
Outdoor burning bans may also be proclaimed by local law and fire agencies based on Red Flag Warnings.

A separate but less imminent forecast may include a Fire Weather Watch, which is issued to alert fire and land management agencies to the possibility that Red Flag conditions may exist beyond the first forecast period (12 hours). The watch is issued generally 12 to 48 hours in advance of the expected conditions, but can be issued up to 72 hours in advance if the NWS agency is reasonably confident. The term “Fire Weather Watch” is headlined in the routine forecast and issued as a product. That watch then remains in effect until it expires, is canceled, or upgraded to a Red Flag Warning.

What if I don’t have health insurance?

We always encourage residents to call 9-1-1 for emergency help!

Residents who do not benefit from privately held health care insurance, and do not qualify for medicare or medicaid, will be assessed the Ambulance Service Fee as per the ordinance.

Please call Chief Scott O’Brien (815) 468-7100 with insurance concerns or questions about payment if you do not have insurance, medicare or medicaid.

Fire Prevention and Safety

For Fire District Residents, please inquire about complimentary safety inspections, smoke detectors, carbon monoxide detectors, weather radios and rural address signs.
Contact Fire Chief Scott O’Brien at 815.468.7100.

WHAT IS THE MINIMUM REQUIREMENTS FOR SMOKE ALARMS AND CARBON MONOXIDE ALARMS IN A RESIDENTIAL DWELLING?

The Manteno Community Fire Protection District works with the Village of Manteno, the Village of Bourbonnais, and Kankakee County (Depending on where you live) to ensure the requirements are followed for the safety of all!

Smoke Alarm Fact Sheet

CO Presentation

HOW OFTEN SHOULD SMOKE ALARMS AND CARBON MONOXIDE ALARMS BE REPLACED?

It is recommended every 10 years for smoke alarms and 6 years for Carbon monoxide alarms, and at least once a year for the batteries in those alarms.

WHERE CAN I DISPOSE OF HOUSEHOLD CHEMICALS?

The Illinois Environmental Protection Agency has a schedule for collection dates and a listing of collection facilities in Illinois.

HOW DO I BECOME A VOLUNTEER FIREFIGHTER WITH THE MANTENO COMMUNITY FIRE PROTECTION DISTRICT?

You must be at least 18 years of age, in good physical condition (able to pass a medical test and physical agility test) and live within the fire district. Once you have completed the application process, passed the background and physical requirements, you will be placed in an orientation program.

Please contact Battalion Chief Richard Petersen for further information.

Why does an engine respond to an EMS (medical) call?

Our full-time firefighters & officers are also paramedics and can respond to medical emergencies when the other ambulances are not available due to multiple calls. Or the nature of the call may warrant additional assistance and the engine will follow the ambulance to assist with patient care. The Engines and Command Cars are equipment with medical equipment to assist the paramedics in providing EMS care until an ambulance arrives to transport.

Why do we bill for ems and mva calls?

The property taxes collected are not sufficient to fund all of the services that are being requested of the fire district. And each year, the demand for emergent services increases as does overall costs.

Why does our equipment look so new?

Daily care and attention by our firefighters, as well as the fire district prioritizing the maintenance and care of the units, as safety and reliability are very important in providing an emergent service to our community. Our Tower Ladder (T79) is 20 years old, our Squad (Sq. 78) is 26 years old, our boat is over 40 years old and our two engines are 14 years (E75) and 10 (E75) years old.

Why did an out of town ambulance respond to my medical call?

Your emergent call may have been one of many during a given period, which exhausted the availability of our ambulances and paramedics. We assist our neighboring communities when they request assistance and in turn they assist us when we are in need of additional resources. As such, you will receive an ambulance bill from that respective fire districts billing agency.

Why a fee for lift assists?

This fee has become necessary as the frequency of non-emergent lift assist calls has greatly increased.  We have residents who call 9-1-1 20+ times a year. They were not injured, they just needed help up. This is not what the 9-1-1 system was designed for!

We will continue to provide lifting assistance, but with the limited resources available during a given shift the call for a lift assist may cause a delay to an emergent situation. This is the situation we are trying to avoid.

Why can’t the fire district always be operated like a business?

In the administrative functions, it is run like a business as we maximize efficiencies, minimize expenses, seek additional sources of revenue and utilize data to make informed decisions. But operationally, this is more difficult. Here are a few examples:

1. Emergencies can’t be scheduled – we receive numerous emergent calls in a close time frame which deplete our resources for the next call. It’s easier when they are one at a time, but many times this is not the case. If the public could schedule emergencies, then we could better prepare for the demands in the most efficient method possible. It is common during each day for 2 or 3 of our ambulances and 6 of our paramedic/firefighters to be on calls and not available for the next call. One 911 call does not wait for the next call. The 911 calls tend to arrive in bunches. So how do you plan for the efficient use of resources when you don’t know what is needed at what time of the day?

2. We must respond to a broad category of incidents, not just the ones that have revenue streams attached. Business would focus on optimization and delete the non-performing/non-optimal items. When you call 911, anything not an initial crime, traffic issue or business check mostly gets a fire response. Examples of a fire response – building fire, vehicle fire, field fire, motor vehicle accident, gas leak, carbon monoxide poisoning, structural collapse rescue, machinery entrapment…. Or an ems call such as cardiac arrest, difficulty breathing, feeling ill, stroke, diabetic emergency, allergic reaction and the list goes on. Therefore, we train every day!

3. Availability – availability is ensuring we are ready to respond to the next call at a moment’s notice. This means being prepared with the proper equipment and necessary training. We have heard the comment “the firefighters are just hanging around.” This is a good thing as it means we are available for your emergency. And with the demands of preparation (training) and on-going calls, they don’t just hang around much anymore. In business, availability represents under-utilized resources and would be adjusted to be maximized as they would seek out the identified opportunity. A business has hours of operation, our is 24/7. And we must be able to respond to an emergency that we don’t know about until it’s called in. A business has planned production. If the public would schedule their emergencies, it would make our ability to respond more efficient.

Availability is also determined by the distance to respond and the distance to the hospital. The further away the emergency from the fire station, the longer it takes for the resources to get back into service after the calls completed. It costs more money when we place stations, equipment and firefighters equally across an area. And in a less densely populated area, there probably would not be enough tax revenue to cover the costs. A business would consolidate locations and equipment, but in doing this would create a longer response. In addition, when we are 20-25 minutes away from a hospital, it takes the ambulance crew longer to complete the call. So additional resources are needed to meet the demand. It would be more efficient if we were 5 minutes from the hospital. A call for us is not the same as a call for a fire district in closer proximity to the hospital.

4. Proximity – “Time is Life”
Placing resources in a central location sounds great from an expense perspective, but if your ambulance and/or fire engine is 20 minutes away, it’s a long way away when you want a quick response. Especially when tissue death can occur within 5 minutes of a heart attach or not breathing, or when a fire doubles in size every 17 seconds with modern materials. We have placed our resources in 2 locations, which maximizes our ability to respond quickly to most of our residents. Proximity and availability are key to optimizing an emergency response, this is counter to corporate resource efficiency.

5. Efficiencies- we seek efficiencies within our scope.:

  • a. Responses -Auto aid, mutual aid, MABAS, Haz Mat Team, Fire Investigation Team, CART Team, TRT Team
  • b. Sharing of resources – testing equipment, training-academy, computer systems
  • c. Cooperating in equipment utilization & purchasing
  • d. Protecting 96.3 sq. miles with full-time staffing
  • e. Utilizing technology to improve emergent response and patient care
  • f. Cross training staff to handle fire inspections, public education and fire prevention activities.
    We help our neighboring communities when they are busy and they reciprocate when we are busy, but many times when one fire district/ department is busy so are the others. This may mean the nearest ambulance or fire truck may be up to 30 minutes away! It is not always as simple as it appears.


6. We respond to non-emergency calls that there is no funding available, but no one else will do it or is not available to do it – lift assists, rescue a pet… Businesses look for ways to maximize revenue and decrease costs, they would not take on these tasks. We provide services when it does not make a business sense to provide the service. But we can’t keep up as the needs are exceeding our ability to provide the services. And no one wants to pay more – the taxpayer (real estate taxes, fees), the government (Medicare & Medicaid, inadequate social services), the insurance companies (private medical & auto insurance). If it was looked at as a business, they would abandon the business. To us, this is not an option.

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