It is important that you understand your insurance benefits. Our friendly team can help you if you have questions about our fees and billing. We are an emergency care facility, and thus bill as such. If you have a co-pay, it will be the amount required for an emergency room visit, and not the co-payment required for an urgent care facility. Your out-of-pocket expenses, such as deductible or co-insurance for example, will depend on your insurance company and plan.
We will process your insurance for your emergency visit. Due to federal regulations, Medicaid and Medicare do not currently provide reimbursement to free-standing emergency rooms. We will not refuse patient treatment in the event of a life-threatening situation, regardless of the ability to pay.
We are affiliated with BSA, therefore we are considered in-network with BSA insurance.
According to Texas and federal law, insurance carriers are required to pay in-network benefits for any member seeking emergency medical treatment. Whether the emergency room you choose is in-network or out of network for you, the law requires that your insurance carrier pay for your emergency care (US Dept. Health and Human Services) . If your insurance company refuses payment for your emergency room visit, you can file a grievance with the Texas Department of Insurance.
Some common insurance terms you may need to know include: