Facility Notice Regarding Insurance

About Bellaire ER

Bellaire ER is a licensed freestanding emergency medical care facility operating 24 hours a day, 365 days a year. We are staffed by board-certified emergency medicine physicians and provide full-service emergency care including on-site laboratory, X-ray, CT scan, and ultrasound.

Your Rights Under the No Surprises Act

Effective January 1, 2022, the No Surprises Act provides important protections for patients receiving emergency medical care:

• Emergency Services: You cannot be charged more than your in-network cost-sharing amount for emergency services, even if the facility or provider is out-of-network.
• No Balance Billing for Emergencies: Out-of-network providers and facilities cannot bill you more than your in-network cost-sharing for emergency services.
• Good Faith Estimate: Uninsured or self-pay patients have the right to receive a good faith estimate of expected charges before receiving non-emergency services.
• Consent Required: For non-emergency services at out-of-network facilities, providers must give you a written notice and obtain your consent before treatment.

Insurance Information

Bellaire ER treats every patient regardless of plan, and accepts most major insurance. Per the notice above, some plans may consider this facility out-of-network. Where a plan does:

• You are protected by the No Surprises Act for emergency services
• Your cost-sharing (deductible, copay, coinsurance) will be based on in-network rates
• We will work directly with your insurance company on billing
• You will not receive a surprise balance bill for emergency care

Good Faith Estimate for Uninsured Patients

If you are uninsured or choose to self-pay, you have the right to receive a Good Faith Estimate of expected charges. You can request this estimate before scheduling a non-emergency service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill through the patient-provider dispute resolution process.

Texas Facility Disclosure

As required by the Texas Health and Safety Code, we disclose that Bellaire ER is a freestanding emergency medical care facility. We are not a hospital emergency department. Our facility fees and physician fees may differ from those charged by hospital-based emergency rooms.

Questions About Your Bill

If you have questions about charges, insurance, or payment options:

For more information about your rights under the No Surprises Act, visit cms.gov/nosurprises.