Insurance Information
Grace ER strives to make your visit as comfortable and reassuring as possible. We will work with you to make sure you get the care you deserve in a cost efficient manner.
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HB 2041 Facility Notice
Sec. 254.155. NOTICE OF FEES.
(A) the facility is a freestanding emergency medical care facility;
(B) the facility charges rates comparable to a hospital
emergency room and may charge a facility fee;
(C) 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; and
(D) a physician providing medical care at the facility may bill
separately from the facility for the medical care provided to a patient;
(E) the facility is an out-of-network provider for all health benefit plans.
Texas House Bill 3276
- We are out-of-network for all health benefit plans and locations.
- We are not yet recognized by Medicaid. If you would like to assist us in being able to accept these insurance plans, please contact your legislators.
What happens if you do not carry my insurance (out of network)?
Texas law requires your insurance carrier to pay for your emergency care, whether the emergency room is “in network” or “out of network.” According to Texas Guidelines, all insurance carriers are required to pay in-network benefits for any member presenting for emergency medical treatment. In fact, it’s the law that you must be reimbursed by your insurance carrier for your emergency room visit. The state of Texas empowers you to use “a prudent lay person standard” in considering what constitutes an emergency.
What if I’m currently experiencing problems with my insurance company?
If your insurance company refuses payment for your emergency room visit, you can file a grievance with the Texas Department of Insurance. State law requires patients to be reimbursed for emergency room visits by their insurance carrier. To learn more about the Texas Department of Insurance, please refer to their website at: https://www.tdi.state.tx.us.
