Understanding Your Health Insurance
Medical emergencies are one of the major stressors in life and having to battle with your insurance company afterward only adds more stress. Our goal is to minimize that stress by ensuring your emergency is resolved quickly and efficiently. Patients ER & Hospital is your personal advocate in this process by making sure that the benefits for which you pay monthly will be honored by your insurance company.
At Patients ER & Hospital, we provide fast, concierge emergency care to all members of the Plano community and surrounding areas. State law requires your health insurance company pays your emergency room claim based on your in-network benefits. This safeguards you from having to worry about finding an in-network provider when experiencing a medical emergency. Insurance Code law can be found here.
We welcome all private insurance plans
While our facility is not a participating provider with any health benefits plans, we will work with all commercial insurance companies and submit claims on our patients’ behalf. This enables us to coordinate directly with your insurance provider, ensuring that your visit is processed at an in-network level. If you do not have insurance and would like to pay out-of-pocket, we can treat you — we have a simple fee-for-service plan. We accept all major credit cards and cash.
Patients ER & Hospital has never and will never balance bill or surprise bill!
For more information regarding your health care coverage in Texas visit the Texas Department of Insurance.
For more information regarding filing a complaint regarding your health insurance company, visit the TDI Health Insurance Complaints page.
Pursuant to House Bill 2041, the following is for your information:
- 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;
- This facility or a physician providing medical care at the facility may not be a participating provider in your health benefit plan provider network; and
- The physician providing medical care at this facility may bill separately from the facility for the medical care provided to you.
- This facility is not a participating provider in any health benefit plan provider network.
Click here to review our prices.
Click here for a statement about COVID-19 testing.
PERH will never send you a surprise bill. We take great care to review each claim and ensure that your insurer processes the claim correctly.
Patients ER & Hospital is not a CMS (Center for Medicare and Medicaid Services) participating provider. Patients ER & Hospital complies with the terms of the Emergency Medical Treatment And Labor Act of 1986 (“EMTALA”) and treat or stabilize all patients that have “a condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in placing the individual’s health [or the health of an unborn child] in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of bodily organs.”