We can process all commercial insurances and you will only be responsible for your In-Network cost-sharing portion. Medicare, Medicaid, and TRICARE do not provide coverage for freestanding emergency room services.

Healthcare terms are like a whole foreign language of its own.

• Copay is a charge set by your health insurance plan for specific services. Your copay is due at the time of service and varies for different services. For example, a visit to your primary care doctor will differ from a visit to the emergency room or a specialist. Your copay amount is typically based on your specific insurance plan.
• Coinsurance is the amount you are responsible for after paying your copay and meeting your annual deductible. Coinsurance is typically done with a percentage of covered costs. After the deductible is met, your insurance will pay a percentage of the balance. For example, if your insurance pays 80% of the covered services, you are responsible for 20% of those charges.
• Cost-sharing is the general term for any charges the patient is responsible for under the terms of their healthcare plan. This includes copayments, coinsurance, and deductibles. Most healthcare plans include a maximum cost-sharing that sets an annual maximum out-of-pocket limit to the patient's financial responsibility.  See your specific health plan for details.
• The deductible is a set dollar amount that your insurance company requires you to pay out-of-pocket (yearly) before your insurance provides payment of claims. The amount of your deductible is based on your specific health plan.  Not all plans have a deductible.

The Billed Charges on your Explanation of Benefits (EOB) is not a bill.  We do our best to work with your insurance company for fair compensation for the services provided. To comply with regulations, we charge insurance companies a standard ER rate for our services. The billing process will take time for your claim to be fully processed. We will always work with you to assist you in every way.

To discuss a billing question, please call our patient advocacy line and speak with our specialists Mayra or Florell at (737) 787-7809.

Please review an explanation of practices here: 

Standard Practices

NOTICE OF FEES

Family Emergency Room at Georgetown would like to inform our patients of the following.  This is a requirement of the State of Texas.

1. The facility is a freestanding emergency medical care facility;
2. The facility charges rates comparable to a hospital emergency room and may charge a facility fee;
3. A facility or a physician providing medical care at the facility may be an out-of-network provider for the patient's health benefit plan provider network, and a physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient;
4. The facility is an out-of-network provider for all health benefit plans.