Billing and Insurance Policies

• 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 the Texas Department of Insurance.

• 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.

• 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 https://www.tdi.texas.gov/wc/employee/. If 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.

The State of Texas are requiring every Freestanding Emergency Medical Care Facilities to publicize a list of their standard charges online by Sept. 1, 2019.

One file includes average Charge Description Master price (which includes basic information and coding about hospital charges).

These lists are meant to meet the government requirement, but they do not represent all of our efforts around price transparency or affordability of care.

Every patient and their medical needs are different, so we’re happy to talk to you about your needs and possible cost of care. Below is a phone number you can call to talk to someone about these costs.

Orange (325)-277-2460

Port Arthur (409)548-3293