If you have a question that is not addressed here, please contact us. We look forward to hearing from you.
DO YOU PROVIDE MEDICAL SERVICES FOR CHILDREN?
A: Our experienced physicians are trained in pediatric emergency care to provide you and your child with personalized service in the event of an emergency or illness.
Understanding that these situations can be scary for both parent and child, our facility is much calmer and less rushed than traditional emergency room settings. We even designate special rooms for our younger patients.
HOW IS NEC DIFFERENT FROM TRADITIONAL HOSPITAL EMERGENCY ROOMS?
A: Think of us as your own, personal emergency center. Like hospital-based emergency rooms, our doors never close, but that’s where the similarities end.
In contrast to the chaotic, rushed atmosphere of a hospital, our local board-certified physicians and staff will examine you within minutes of your arrival. We also take the time to meet all of our patients’ needs. No long wait times, no parking hassles, no stressful people-filled waiting rooms – just experienced doctors caring for you in a calm environment. We’ll also follow up with your primary care physician to ensure optimum communication between all of your care providers.
WHAT IF I HAVE QUESTIONS ABOUT MY BILL?
A: You may find that medical billing can be a complicated process. At Neighbors Emergency Center, we strive to be fair and transparent with our billing. If you have any questions regarding billing or whether or not we take your insurance, we encourage you to contact us at 844-406-7263. We will do our best to answer any questions you may have and look forward to serving you soon.
WHAT INSURANCES DO YOU TAKE?
A: We accept all major private insurance plans like Aetna, BlueCross / BlueShield, UnitedHealthcare, Humana, and others. If you do not have insurance, we’ll work with you on a cash fee schedule to help you cover your visit. You’ll never encounter hidden costs or surprise fees.
WHAT IF YOU ARE NOT IN MY INSURANCE NETWORK?
A: According to Texas Guidelines, all insurance carriers are required to pay in-network benefits for any member presenting for emergency medical treatment. In fact, it’s the law that you must be reimbursed by your insurance carrier for your emergency room visit. Texas law requires your insurance carrier to pay for your emergency care, whether the emergency room is “in network” or “out of network.” The state of Texas empowers you to use “a prudent layperson standard” in considering what constitutes an emergency.
WHAT IF I HAVE TROUBLE WITH MY INSURANCE COMPANY?
A: State law requires patients to be reimbursed for emergency room visits by their insurance carrier. If your insurance company refuses payment for your emergency room visit, you can file a grievance with the Texas Department of Insurance. To learn more about the Texas Department of Insurance, please refer to their website: www.tdi.state.tx.us
WHAT IF I NEED TO STAY IN THE HOSPITAL?
A: Certain situations require a hospital stay. We have agreements with local facilities to make sure you are transferred to the hospital of your choice. If you need assistance choosing the hospital that’s best for you, we’ll help evaluate your situation and provide you with expert suggestions. Our calm approach to patient care allows us to focus on you and your needs – including the possibility of hospital stays.
WHAT IF MY CONDITION REQUIRES ADDITIONAL CARE OR SURGERY?
A: In the case that you’ll need a more in-depth procedure that can only be provided in a hospital, we take care of all the details. You can bypass the hospital ER visit and be admitted the minute you arrive and promptly shown to your room. We can even provide practitioner referrals to make a smooth transition.
LEARN ABOUT TEXAS SENATE BILL 425
Senate Bill 425 relates to healthcare and fees charged by freestanding emergency centers. Neighbors Emergency Centers are freestanding emergency medical care facilities that charge rates comparable to hospital ERs and may charge separate facility fees. Patients may also be treated by physicians who are out of network and/or may be billed separately by the physician providing medical care. Neighbors Emergency Center complies fully with this law.
- Our 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 ER visit at in network benefit levels.
HOW YOUR EMERGENCY ROOM BENEFITS WORK
While Neighbors may not contract directly with your individual health plan (in-network,) it is the law that your emergency visit be processed at the in-network rate. You will not be billed or responsible for anything more than your insurance plans in-network rate.
This is a result of the Affordable Care Act protecting your decision to seek emergency care deeming emergency services an essential health benefit.
Co-pays, Co-insurance and deductibles apply as in traditional hospital based emergency departments.
Should you not have insurance, Neighbors is happy to offer you self-pay rate schedule and will work with you on an individual basis.
We will also gladly work with you to arrange a payment plan.
At Neighbors we understand that healthcare billing can often be a complicated, drawn-out, confusing process which is why we are available to assist you with any of your billing concerns. You will never be subjected to hidden costs or fees due to our transparent billing practices. Please call us at 844-406-7263 (select option 1), and we will be happy to answer any questions you may have.
If you are experiencing difficulties in dealing with or understanding your health insurance company, or if your insurance company refuses to pay for your emergency treatment, please call us at 844-406-7263 (select option 1).
We would like to provide you with the difference between Urgent Care and an emergency room like Neighbors. Emergency Rooms are equipped and staffed to treat complex medical emergencies. Services include but are not limited to:
- Open 24 hours a day, 7 day a week
- All patients are seen by a board -certified physician- not just a physicians assistant/nurse practitioner
- Experienced Emergency Room Registered Nursing Staff
- Full range of radiology services including CT, Ultrasound and X-ray
- Onsite laboratory services with immediate results
- Should you require hospital admission – a transfer agreement is in place with local hospitals
- Full onsite pharmacy including lifesaving and sustaining drugs
- 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.
At this time we are unable to participate in CMS (Medicare and Medicaid). We are actively in the process of lobbying for CMS recognition so we may care for all CMS beneficiaries.
NEED YOUR PATIENT OR MEDICAL RECORDS?
Please email requests to Records@Neighborshealth.com or Fax 713.436.5210