1.TEXAS HOUSE BILL NO.2041 FACILITY POSTING NOTICE

The following law was passed by the LEGISLATURE OF THE STATE OF TEXAS, HB 2041 relates to health care information provided by and notice of fees charged by FEMC facilities.

This law became effective September 1, 2019

  • This facility is a Freestanding Emergency Center.
  • This facility charges rates comparable to a hospital emergency room and may charge a facility fee.
  • Either the facility or a physician providing services at this facility may be out-of-network with the patient’s health benefit plan.
  • This facility is out-of-network for all benefit plans.
  • A physician (s) providing care at this facility may bill separately from the facility.

AVISO DE PUBLICACIÓN DE LAS INSTALACIONES DE LA LEY N ° 2041 DE LA CASA DE TEXAS

La siguiente ley fue aprobada por la ASAMBLEA LEGISLATIVA DEL ESTADO DE TEXAS, HB 2041 se relaciona con la información de atención médica proporcionada por y el aviso de tarifas cobradas por las instalaciones de FEMC

Esta ley entró en vigencia el 1 de septiembre de 2019.

  • Esta instalación es un centro de emergencia independiente.
  • Esta instalación cobra tarifas comparables a las de una emergencia hospitalaria.
    habitación y puede cobrar una tarifa de instalación.
  • Es posible que el centro o un médico que brinde servicios en este centro estén fuera de la red del plan de beneficios de salud del paciente.
  • Esta instalación está fuera de la red para todos los planes de beneficios.
  • Un médico que brinde atención en este centro puede facturar por separado del centro.

Thank you for choosing Golden Triangle Emergency Center (GTEC) for your emergency medical needs. We understand that the billing process can be confusing or overwhelming. To better serve you, we want to make the billing process simple and transparent. It’s important to note that GTEC is a Freestanding Emergency Center (FEC).

For billing questions regarding Golden Triangle Emergency Center - Orange please call (469)404-7020

For billing questions regarding Golden Triangle Emergency Center - Port Arthur please call (409)548-3293

  • GTEC will bill your insurance company for the policy’s emergency room benefits, however, your ER co-pay is due at time of visit. There will be two different claims mailed to your insurance company: a facility bill and a physician bill. If you have any questions concerning your bill please contact our Billing Department, F&A Billing whose information is listed at the bottom of the page.

 

  • If you have health insurance, you will receive an EOB (explanation of benefits) from your insurance company in the mail. It is important to note that the EOB is NOT a bill! 

 

  • If you do not have insurance we do have a self pay rate and accept out-of-pocket payment in the form of cash, checks or credit cards.

 

  • GTEC is not in-network with any health benefit plan provider. However for all cases deemed emergent, Texas state law requires your insurance company to pay for your emergency care, even if the emergency room is classified as out-of-network. The state of Texas empowers patients to use a standard called the prudent layperson standard when determining what constitutes as an emergency. If your insurance provider is refusing to reimburse you for your emergency room visit, you can file a complaint with the Texas Department of Insurance (TlDI). For more information about this process and the Texas Department of Insurance visit http://www.tdi.state.tx.us.

 

  • At this time, the Federal agency that administers federal programs, The Center for Medicare and Medicaid Services (CMS), does not recognize us as an emergency room and will not allow us to receive any compensation for treating Medicare and Medicaid recipients. Thankfully, however, we are now able to file on Tricare.

 

  • At GTEC we do accept Workman's Comp insurance. Workers’ compensation is a state-funded insurance program that gives covered employees income and medical benefits if they’re injured while working. Texas employers may choose to provide their employees with this coverage. Most employers will inform you as to whether or not you’re covered under this state plan. Workers’ compensation pays medical bills and is covered underneath the Texas Workers’ Compensation Act. For more information on workers’ compensation, visit this pageIf you’d like to file or dispute a claim, call 800-252-7031, option 1, to speak with a representative with the Texas Department of Insurance.