InsuranceCareers

EXPERIENCE THE HIGH-QUALITY

EMERGENCY CARE You Deserve

You can’t prepare for an emergency, but what you can do is trust your health in the hands of the skilled staff at Physicians Premier ER. With locations across Texas including Corpus Christi, New Braunfels, Bryan, Clear Lake, San Antonio, and others, we offer patients of all ages an elevated emergency room experience that’s worlds away from the lackluster attention you would receive at an urgent care clinic. As a freestanding ER, you’ll be amazed by the quality of our team and our technology, as well as our calm, comfortable environment. Let us handle your needs. You have enough to worry about!

PAYMENT OPTIONS

When you’re experiencing an emergency, the last thing on your mind should be how you’re going to pay for it. That’s why we aim to offer as many payment options as possible here at Physicians Premier ER. You deserve convenience and quality care, even after your treatment with us is finished!

We accept all private insurance plans, including Cigna, Humana, Aetna, BlueCross/BlueShield, and more. We will also honor all in-network benefits from your insurance. Additionally, we accept cash, checks, and all major credit cards.

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TEXAS HEALTH CARE STATUTES

The Texas Department of Insurance Code, Section 1301.155 on Emergency Care requires that insurance companies pay emergency facilities “at the insured’s in-network benefit level” for all services. Additionally, the Patient Protection and Affordable Care Act added numerous patient protections that require health plans covering emergency services to provide such coverage without need for prior authorization, regardless of the participating status of the provider, at the in-network level.

The “prudent layperson” standard is a generally accepted principle in the healthcare industry that applies to emergency medical care. This standard was created to protect consumers from high medical costs that arise from emergency situations, allowing them to be charged at in-network rates. However, insurance companies have been reluctant to ?apply this standard for care issued at freestanding emergency centers (FECs). By not providing usual and customary reimbursement rates, insurance providers violate the intent of the medical community and legislators who turned the prudent layperson standard into law.

Furthermore, health plans are required to pay for emergency visits for medical situations in which a person believes his or her health is threatened. The final diagnosis should not influence whether the insurer pays for the emergency room visit, and insurers cannot legally apply the claim towards the out-of-network benefits.

ATTENTION: ALL CLIENTS

The following notice has been posted in accordance with Texas Senate Bill 425 and Texas House Bill 3276.

  • 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 this facility may not be a participating provider in patient’s health benefit 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 not a participating provider in any health benefit plan provider network.
  • However, by state law, your health insurance company is required to process your emergency room visit at in-network benefit levels if you think you are having an emergency.
  • Physicians Premier will help you enforce your rights to this legitimate benefit. You cannot be expected to look for an in-network site when you are having an emergency when every second counts.
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