INSURANCE INFORMATION

Network Status and Required Facility Notice

Required Notice

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.

This notice is required by Texas Health & Safety Code §254.155 and is reproduced exactly as the statute prescribes.

Insurance and Network Status

Arlington ER is a freestanding emergency medical care facility licensed by the Texas Department of State Health Services, License No. 160615.

Arlington ER is an out-of-network provider for all private health benefit plans.

This does not increase what you pay for emergency care. Under the federal No Surprises Act, your insurer must apply your in-network copay, coinsurance, and deductible to an emergency visit, even at an out-of-network facility. You cannot be balance billed for emergency services.

Emergency care is treated differently from every other kind of medical care under federal law. You are not expected to check a network directory during an emergency, and the law does not penalize you for going to the nearest facility.

What Out-of-Network Actually Means Here

The phrase sounds like it should cost you more. For an emergency visit, it does not.

Federal law requires your health plan to cover emergency services at an out-of-network facility using your in-network cost sharing. Your copay, your coinsurance percentage and your deductible are applied exactly as they would be at a facility inside your network.

The standard your plan has to apply is what a reasonable person would consider an emergency at the time, not what the diagnosis turns out to be afterward. Chest pain that turns out to be something less serious is still an emergency visit. Your plan cannot deny the claim because the outcome was reassuring.

You do not need prior authorization for an emergency visit, and you do not need a referral. Walk in.

What We Bill

We bill most major private insurance plans and file the claim for you. You do not need to submit anything yourself.

A physician providing care at this facility may bill separately from the facility. If you receive two statements, that is why.

We do not bill Medicaid, Medicare or TRICARE. VA and CHAMPVA are separate programs and we do bill those.

If your plan processes the claim in a way you did not expect, call us before paying anything. Claims are frequently reprocessed, and a bill that looks wrong often is.

Why You May Receive Two Bills

This surprises people, so it is worth explaining plainly.

The facility bill covers the room, the nursing staff, imaging, laboratory work, supplies and equipment.

The physician bill covers the emergency physician who treated you. Emergency physicians bill separately from the facility they work in. This is standard across emergency medicine and is not specific to freestanding facilities.

Two envelopes for one visit is normal. It does not mean you were billed twice for the same thing.

What to Bring

Come in regardless. Nothing on this list should delay you. Bring what you have:

  • Your insurance card
  • A photo ID
  • A list of the medications you take
  • Any known allergies

If you have none of these, we will still treat you. Emergency care is never conditional on paperwork.

Uninsured and Self-Pay

If you are uninsured or paying for yourself, ask about our self-pay discount and the Care Relief Program. Both insured and uninsured patients can apply, every application is reviewed individually, and applying takes about two minutes.

Being uninsured does not mean paying a hospital-sized bill. Insured patients facing a high deductible can apply as well.

Common Questions

Does Arlington ER take my insurance?

We bill most major private health plans and file the claim for you. Arlington ER is an out-of-network provider for all private health benefit plans, which under federal law does not change what you pay for an emergency visit.

For emergency services, no. Your plan is required to apply your in-network copay, coinsurance and deductible to an emergency visit, even at an out-of-network facility.

No. Neither is required for emergency care. Walk in at any hour, with no appointment.

One is from the facility and one is from the emergency physician who treated you. Emergency physicians bill separately from the facility they work in. This is standard across emergency medicine.

No. VA and CHAMPVA are separate programs, and we do bill those.

Ask about the self-pay discount at check-in, or apply to the Care Relief Program afterward. Every application is reviewed individually and applying takes about two minutes.

Our published charges are available in the chargemaster, linked at the bottom of this page.

Call us at (817) 973-7406 before the due date. Payment plans and the Care Relief Program are both available, and both are easier to arrange before an account goes past due.

Related Pages

Billing Practice explains how an emergency room bill is put together and what each part covers.

Billing Disclosure sets out your protections against surprise and balance billing under the federal No Surprises Act.

Our published charges are available in the chargemaster.