Insurance Information
Emergency Room Near Me and Urgent Care
Notice to all patients:
Some people who are having a heart attack have warning signs, while others show no signs. You can avoid experiencing heart attack symptoms with proper exercise, diet, reduce stress and make sure that you find a good cardiology doctor at an urgent care facility near you. Some symptoms that many people report are:
- Post Oak Emergency Room is a Freestanding Emergency Room Medical Care Facility.
- A physician(s) providing care at the facility may bill separately from the facility.
- By Texas state law your health insurance company is required to process your ER visit at in network benefit levels.
- Post Oak ER is out-of-network for all benefit plans.
- The facility charges rates comparable to a hospital emergency room and may charge a facility fee.
- Either the facility or a physician providing services at the facility may be out-of-network with the patient’s health plan
Help Save Medicare Coverage At Your Local FEC
On January 30th, the government announced that the Public Health Emergency (PHE) would end on May 11th, 2023. Unfortunately, this announcement means Medicare will no longer cover our Emergency Services.
When the PHE went into effect at the start of the pandemic, it authorized private emergency care facilities to treat Medicare patients to help meet the high demand for emergency services. This authorization allowed Medicare recipients to seek care at any emergency room.
Post Oak ER will continue providing emergency care to the members of our community, including our Medicare population, by working with most private insurance plans and providing discounted pricing for those patients who require it.
We want to remind our esteemed clients that the Emergency Medical Treatment and Labor Act (EMTALA) guarantees your right to a health screening at any emergency care facility; all you need to do is request one. Furthermore, EMTALA guarantees your safety by prohibiting emergency departments from turning patients with medical emergencies away.
Action Needed!
You can help save Medicare Coverage at your Local Freestanding Emergency Center (FEC).
At Post Oak ER, we are fighting to extend Medicare Benefits to FECs permanently because we believe our Medicare recipients deserve equal access to high-quality emergency care.
Here is how you can help!
The Emergency Care Improvement Act (H.R. 1694) is a bipartisan legislation that would update the existing statute allowing Medicare beneficiaries to keep their coverage.
If you, a family member, or a friend are Medicare beneficiaries, we urge you to contact your U.S. House Representative and ask them to support the Emergency Care Improvement Act (H.R. 1694).
Hearing from voters helps legislators understand the issues their constituents face. By sharing your experiences and ongoing concerns, you can highlight the need for equal access to emergency care services for all Americans.
The Best Way to Contact Your State Representative
- You may call, email, or mail your state representative
- Include your name and the district you are a constituent from. State whether you are a direct Medicare beneficiary, a family member, or a friend of a Medicare recipient
- Reference the legislation you support – Emergency Care Improvement Act (H.R. 1694)
- Share positive experiences related to services received at your local Freestanding Emergency Center. Also, please explain why you feel it’s important for Medicare beneficiaries to enjoy equal access to emergency care.
- Urge your State Representative to support this legislation and make Medicare benefits permanent at all FECs.
To obtain contact information for your U.S. House Representative, please use this link: Find Your Members in the U.S. Congress | Congress.gov | Library of Congress
DISCLAIMER TO ALL PATIENTS:
TEXAS SENATE BILL 425
- This 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 physician providing medical care at this facility may not be a participating provider in your Health Benefit Plan provider network
- A physician providing medical care at this facility may bill separately from the facility for the medical care provided to you
TEXAS HOUSE BILL 3276
The facility is not a participating provider in any health benefit plan provider network.
Our goal is to help all patients who come through our doors. Our patients never have surprise billing. Ever. We’ll file with the insurance companies on your behalf. We are, first and foremost, patient advocates.
Emergency Services Facility Fees:
- Fees range from $500 to $3600 depending upon the level of care necessary to properly treat your condition or illness
- Median Fee is $1750
- Level I $500
- Level II $900
- Level III $1500
- Level IV $2500
- Level V $3600
In the event your care requires intensive treatment and observation, Post Oak ER will bill your insurance carrier for an observation fee.
- Observation Fees are billed $1750 per hour
- Median Fee is $1750 per hour
- This is the only level of care charged when an observation is necessary to properly care for your condition or illness
Emergency Services Facility Fees:
| Evaluation | Points |
|---|---|
| ME Evaluation | 1 |
| IM (non- narcotics) | 1 |
| EKG | 1 |
| Blood Glucose test | 1 |
| UA/HCG | 1 |
| Influenza test | 1 |
| Rapid Strep | 1 |
| Splint | 1 |
| Xray (each body part) | 2 |
| Neb Treatments | 2 |
| Labs | 2 |
| IV Interventions: Narcotics, IVF, ABX, Etc. | 4 |
| Physician Procedure (minor) | 2 |
| Physician Procedure (major) | 4 |
| IM Narcotics | 4 |
| CT/US: each body part | 5 |
| Conscious Sedation | 10 |
| Critical Care | 4 |
| Send Out Labs | 4 |
| COVID (Antigen/Antibody) | 1 |
| COVID (BioFire PCR) | 3 |
| Prompt Payment | Points |
|---|---|
| Level 1 – $175 | 0-2 |
| Level 2 – $300 | 3-4 |
| Level 3 – $500 | 5-7 |
| Level 4 – $750 | 8-10 |
| Level 5 – $1000 | 11-12 |
| Level 6 – $1300 | 13-14 |
| Level 7 – $1600 | 15-16 |
| Level 8 – $1850 | ≥17 |