ER Katy welcomes all commercial/private insurance plans.
ER Katy is a licensed Freestanding Emergency Room. We operate just like a hospital-based emergency room. ER Katy usually charges a facility and physician fee, which may be an out-of-network provider for the patient’s health benefit plan provider network. While we are an out of network facility, all insurance carriers are required by State and Federal law to pay in-network benefits for any member needing emergency medical treatment. In an emergency all ERs must be treated as “In-Network” whether In or not, and the insurance company must pay as an “In Network” provider .
The state of Texas empowers you to use a prudent layperson standard when considering what constitutes an emergency. The prudent layperson law states that if an individual believes they are experiencing a medical emergency and seek emergency treatment, independent of the visit results, insurance must accept / pay toward that individual’s ER claim.
If you receive a bill from ER Katy, it will be based on what your insurance company dictates (copay / coinsurance / deductible). ER Katy will not balance bill beyond those 3 parameters set by your insurance company.
Free standing Emergency Rooms such as ER Katy are prohibited by the federal government to taking Medicare, Medicaid or Tricare because they are not part of the traditional hospital system. Unfortunately, this is not a decision made by ER Katy. It is determined by the federal government.
Below you will find our most updated pricing sheet.