The hidden Cost of hesitation: Why fear of calling 911 should worry employers

Across the U.S., countless individuals are delaying or avoiding emergency care due to one powerful factor: cost. Ambulance rides, often ranging from hundreds to thousands of dollars, have become a symbol of financial fear. This white paper explores how that fear is causing dangerous hesitation, and why employers can no longer afford to ignore it.

Published on Oct 10, 2025

Even the insured are at risk

Emergency medical transportation is a critical, yet often overlooked, component of the U.S. healthcare system. As the first point of care in life-threatening situations, ambulances and air medical services provide essential, immediate interventions that can mean the difference between life and death.

Despite having health insurance, many employees still face significant out-of-pocket expenses for emergency transport. This unpredictability forces individuals to make critical decisions in high-stress moments: call 911 and risk financial ruin or wait and hope their symptoms resolve.

Delayed care, worse outcomes

This hesitation has a measurable impact on health outcomes, workforce productivity, and employer costs. Delayed care can lead to worsened medical conditions, longer recoveries, and in some cases, permanent disability or death. For businesses, the ripple effects include increased absenteeism, reduced performance, higher turnover, and rising healthcare expenses.

The high cost of hesitation

Key insights from the white paper include:

  • The financial barriers that discourage timely emergency care, even among the insured
  • The psychological toll of emergency cost anxiety on employees and families
  • The systemic inconsistencies in EMS coverage, pricing, and billing
  • The employer's role in mitigating risk through supplemental coverage and employee education
  • The bottom-line impact of delayed care on productivity, retention, and healthcare costs

Workers shouldn't have to choose between their health and their financial security. Employers who address this issue head-on by investing in benefits that cover emergency transport, not only protect their teams but also safeguard their business interests.