Quick. Convenient. Caring.
Insurance Information

Patient Resources

We Are Your Advocates

The level of care we bring at Excel ER doesn’t end when patients leave our facility. Our staff works closely with you to understand billing, insurance options, and costs. We strive to create an easy, stress-free, and quick process to ensure more time for your busy life and family.

You will appreciate the transparency and easiness of the billing process we’ve created at our facilities.

Call us at (832)653-3200 for additional information about our billing process.

Billing Process

This facility is a freestanding emergency medical care facility.

This facility charges rates comparable to a hospital emergency room and may charge a facility fee for medical treatment;

A facility or a physician providing medical care at the facility may be an out-of-network provider for the patient's health benefit plan provider network;

The physician providing medical care at this facility may bill separately from the facility for the medical care provided to a patient;

This facility is an out-of-network provider for all health benefit plans.

You may view our fee schedule at: [LINK TO CHARGE TABLES]

Este centro es un centro de atención médica de emergencia independiente.

Esta instalación cobra tarifas comparables a una sala de emergencias de hospital y puede cobrar una tarifa de centro por tratamiento médico;

Un centro o un médico que proporciona atención médica en el centro puede ser un proveedor fuera de la red de proveedores del plan de beneficios de salud del paciente;

El médico que proporciona atención médica en el centro puede facturar por separado del centro por la atención médica proporcionada a un paciente;

Este centro es un proveedor fuera de la red para cualquier plan de beneficios de salud.

Puede ver nuestro horario de tarifas en: [LINK]

Preguntas y preocupaciones sobre este asunto pueden ser dirigidas a la administración.

Know Your Rights

The Texas Department of Insurance Code, Section 1301.155 requires all insurance companies to pay ER facilities “at the insured’s in-network benefit level” (i.e., use in-network deductibles, co-pays, and co-insurance rates) for all emergency services.

No person can be penalized for receiving treatment at a Freestanding ER due to the implementation of emergency care being recognized as an essential healthcare benefit by the Affordable Care Act (ACA).

Insurance Coverage

Currently, the Centers for Medicare & Medicaid Services (CMS) does not recognize Freestanding Emergency Departments. This means we cannot accept Medicare, Medicaid, or Tricare at this time.

We are working with the Texas Association of Freestanding Emergency Centers (TAFEC) to change this status.

Understand Your Charges and Insurance Policies

As a freestanding ER facility, we are always transparent in helping you understand all and any costs related to the services you and your family receive. Our staff members are knowledgeable and will assist you with any financial questions you may have. We recommend contacting your insurance provider (if insured) to know what your policy covers for ER care.

A list of our insured charges can be found on this link. You may also visit our FAQ page for additional information.

Your Rights and Protections Against Surprise Medical Bills

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit. “Surprise billing” is an unexpected balance bill. This can happen when you cannot control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of- network provider or facility, the most the provider or facility may bill you is your plan’s in- network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

In accordance with the No Surprise Act requirement the beneficiary or guarantor receiving services at Excel ER will not be balanced billed for any amounts which are considered not allowable by your insurance company. The guarantor or beneficiary will only be billed for co-pays, deductibles and co-insurance amounts in accordance with the insurance plan.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers cannot balance bill you, unless you give written consent and give up your protections.

You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

This facility is in compliance with HB2041. This information is provided to you in a separate disclosure. This facility does not balance bill for any out-of-network services.

When balance billing isn’t allowed, you also have the following protections:

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly. Your health plan generally must:

  • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact Texas Health and Human Services at (800) 458-9848 or email hfc.complaints@hhs.texas.gov

Visit https://www.cms.gov/nosurprises for more information about your rights under federal law.

For more information about your rights under Texas state laws visit:

https://www.tdi.texas.gov/tips/texas-protects-consumers-from-surprise-medical-bills.html

Question and concerns regarding this matter may be directed to the administration of this facility at (832) 220-1290.

Usted Derechos y Protecciones Contra Sorpresa Médico Cuentas

Cuando recibe atención de emergencia o recibe tratamiento de un proveedor fuera de la red en un hospital o centro quirúrgico ambulatorio dentro de la red, está protegido dela facturación sorpresa o la facturación del saldo.

¿Qué es la "facturación de saldo" (a veces llamada "facturación sorpresa")?

Cuando vea a un médico u otro proveedor de atención médica, es posible que deba ciertos costos de su bolsillo, como un copago, un coseguro y / o un deducible. Es posible que tenga otros costos o tenga que pagar la factura completa si ve a un proveedor o visita un centro de atención médica que no está en la red de su plan de salud. "Fuera de la red" describe a los proveedores e instalaciones que no han firmado un contrato con su plan de salud. Es posible que a los proveedores fuera de la red se les permita facturarle la diferencia entre lo que su plan acordó pagar y el monto total cobrado por un servicio. Esto se llama"facturación desaldo". Es probable que esta cantidad sea mayor que los costos dentro de la red para el mismo servicio y es posible que no cuente para su límite anual de desembolso. La "facturación sorpresa" es una facturade saldo inesperada. Esto puede suceder cuando no puede controlar quién está involucrado en su atención, como cuando tiene una emergencia o cuando programa una visita en un centro dentro de la red, pero es tratado inesperadamente por un proveedor fuera de la red.

Usted está protegido de la facturación del saldo por:

Servicios de emergencia

Si tiene una afección médica de emergencia y recibe servicios de emergencia de un proveedor o centro fuera de la red, lo máximo que el proveedor o centro puede facturarle es el monto de costos compartidos dentro de la red de su plan (como copagos y coseguros). No se le puede facturar el saldo de estos servicios de emergencia. Esto incluye los servicios que puede obtener después de estar en condición estable a menos que dé su consentimiento por escrito y renuncie a sus protecciones para que no se le facturen de manera equilibrada por estos servicios posteriores a la estabilización.

De acuerdo con el requisito de la Ley De No Sorpresa, el beneficiario o garante que reciba servicios en Excel ER nose le facturará de manera equilibrada por ningún monto que su compañía de seguros considere no permitido. Al garante o beneficiario solo se le facturarán los copagos, deducibles y montos de coseguro de acuerdo con el plan de seguro.

Ciertos servicios en un hospital o centro quirúrgico ambulatorio dentro de la red

Cuando recibe servicios de un hospital o centro quirúrgico ambulatorio dentro de la red, ciertos proveedores pueden estar fuera de la red. En estos casos, lo máximo que esos proveedores pueden facturarle es el monto de costos compartidos dentro de la red de su plan. Esto se aplica a la medicina de emergencia, anestesia, patología, radiología, laboratorio, neonatología, cirujano asistente, hospitalista o servicios intensivistas. Estos proveedores no pueden equilibrarlo y es posible que no le pidan que renuncie a sus protecciones para que no se les facture el saldo. Si obtiene otros servicios en estas instalaciones dentro de la red, los proveedores fuera de la red no pueden equilibrar la factura, a menos que usted dé su consentimiento por escrito y renuncie a sus protecciones.

Nunca sele pedirá que renuncie a sus protecciones de la facturación del saldo. Tampoco está obligado a recibir atención fuera de la red. Puede elegir un proveedor o instalación en la red de suplan.

Esta instalación cumple con HB2041. Esta información se le proporciona en una divulgación separada. Esta instalación no equilibra la factura de ningún servicio fuera de la red.

Cuando no se permite la facturación de saldo, también tienes las siguientes protecciones:

Usted solo es responsable de pagar su parte del costo (como los copagos, el coseguro y los deducibles que pagaría si el proveedor o la instalación estuviera dentro de la red). Su plan de salud pagará directamente a los proveedores e instalaciones fuera de la red. Su plan de salud generalmente debe:

  • Cubra los servicios de emergencia sin necesidad de obtener la aprobación de los servicios por adelantado (autorización previa).
  • Cubrir los servicios de emergencia de proveedores fuera de la red.
  • Base lo que le debe al proveedor o instalación (costo compartido) en lo que pagaría a un proveedor o instalación dentro de la red y muestre esa cantidad en su explicación de beneficios.
  • Cuente cualquier cantidad que pague por servicios de emergencia o servicios fuera de la red para su deducible y límite de desembolso.

Si cree que se le ha facturadoincorrectamente, puede comunicarse con Texas Health and Human Services al (800) 458-9848 o enviar un correo electrónico a hfc.complaints@hhs.texas.gov

Visitehttps://www.cms.gov/nosurprises para obtener más información sobre sus derechos bajo la ley federal.

Fo más información sobre sus derechos bajo las leyes estatales de Texas visite:

https://www.tdi.texas.gov/tips/texas-protects-consumers-from-surprise-medical-bills.html

Preguntas y preocupaciones sobre este asunto pueden ser dirigidas a la administración de este centro al (832) 220-1290.

PATIENT TESTIMONIALS

Quality Care When It Matters the Most
  • “Highly recommend. They did all they could to get my little one to feel better.”

    - L. Payne
  • “The doctor and nursing were very professional.¬†Absolutely the best clinic I have ever been to and strongly recommend this place.”

    - Ryan B.
  • “Great experience and super friendly staff. Stopped in for a COVID-19 test and they had me in and out promptly and provided many resources I could use to follow up.”

    - Mark O.
  • “The staff very helpful and were not at all rushing me. I came in with multiple symptoms and they were very thorough at checking on all possibilities. Very patient and friendly.”

    - Sonya S.
  • “Once I arrived the check-in was fast, once the nurse and doctor got to work on my toe it was a quick process to get me back on my feet and out the door on my way...good as new.”

    - Erik H.
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Advanced Medicine, Compassionate Care

  • Conveniently Located Throughout Texas
  • Comprehensive Treatments on Your Time
  • Family Friendly Environment
  • Little-to-No Wait Time
  • Excellent Bedside Manner
  • State-of-the-Art Technology All in One Location