St. Marys Area Ambulance Service is a non-profit Community Organization established by Jim Costanzo in 1967, and has been serving residents of St. Marys and surrounding areas with the highest quality emergency medical services since that time. It is with the support through the annual subscription program that SMAAS can continue to provide this service to the community. Current subscriptions have exceeded 3,300, and we are looking to add more support from the Community.

SMAAS strives to provide the best health care and transportation for the sick and injured. Operating costs, call volumes, and transport between facility greatly increased in the past 2 years, with 3,378 calls dispatched in 2022. The funds generated from the subscription program are used to obtain the most up-to-date vehicles and equipment, and provide ongoing training and education to our staff.


  • 100% waiver of the first medically necessary and reasonable emergency ground ambulance charges within the subscription period to the closest appropriate hospital not paid by insurance (i.e., deductibles, co-pays, and coinsurance).
    – 50% waiver of all medically necessary and reasonable emergency ground ambulance charges to the closest appropriate facility not paid by insurance starting on the 2nd Emergency Transport and any thereafter within the subscription period.
  • 50% waiver of all charges not paid by insurance for up to three medically necessary Non-Emergency Ambulance Transports.
    – Billing in full will apply on the 4th transport and any thereafter within the subscription period.
  • Waiver of the $200 charge for up to two “Refusal of Transport” calls.
    Charges in full will apply on the 3rd “Refusal of Transport” call and each thereafter within the subscription period.


  • We employ highly trained and professional staff of over 40 full and part-time EMT’s, Paramedics, and Registered Nurses who are dedicated and ready to care for you in your time of need.
  • We operate a fleet of four Advanced Life Support and one Basic Life Support ambulance, as well as a Paramedic Interceptor Unit.
  • We provide around-the-clock coverage with a minimum of two crews in station.
  • We provide services to St. Marys, Ridgway, Johnsonburg Borough, Fox Township, Jay Township, Bennetts Valley and all of Cameron County.
  • St. Marys Area Ambulance Service is the DESIGNATED provider of Emergency Medical Ambulance Services for the city of St. Marys and Johnsonburg Borough.
  • Membership can help offset costs that your insurance does not cover.

Who is covered?

$60 Family Plan: Covers husband, wife, and any children living at home under 18 years of age (or over the age of 18 and who are still enrolled in and attending high school), as well as full-time college students up to 24 years of age. (All persons must be listed on the subscription application.)

$50 Individual Plan: Covers the person listed in the subscription application only.

Please note: The pricing listed above is for 2024-2025 subscriptions. 2023-2024 subscriptions expire April 30, 2024. Online applications for 2023-2024 subscriptions are currently closed. If you would still like to purchase a 2023-2024 subscription, please call our office.

Subscriptions are non-refundable and non-transferable.