Me too! Had massive chest pains back in March, called 911 like they tell you to do in school. 911 dispatched MONOC and when I learned my ekg was normal, I declined to go. I signed an electronic device saying I wasn't going with them, and lo & behold, come May, I was socked with a $500 bill! I called and inquired and the rep said that it was because I didn't go to the hospital, my insurance wouldn't cover cost of their visit! I had a similar episode when I lived in Burlington County, and I was NEVER charged for not going to the hospital! I am livid that this was not part of any disclosure of my rights as a patient. They should absolutely disclose that their services are not provided for by the county and that if you deny further treatment, that your insurance will not cover it. I don't know of any other service where you aren't told what the costs are...esp when they hammer into your head that this is a local government funded system. Utterly disgusted.