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First, if you think you're having a medical emergency, forget the bill. Go to the hospital and get the proper medical care. On the other hand, if you didn't call 911 and you don't think you're experiencing a true medical emergency, you can always find other modes of transportation to the hospital or a medical facility. You always have the right to refuse treatment. We do not encourage this because if you are having a true medical emergency that needs evaluation, your life is more important than any medical bill you may receive.
Possibly. Most ambulances will take you to the "closest appropriate facility," but protocols vary from town to town. If you're not in dire condition, the ambulance crew may agree to take you to your preferred hospital. If you're on Medicare, you may have to pay for the extra miles due to the distance of said hospital. If you're set on going to a particular hospital, ask if the crew will take you there before you get in.