Payment Options - My Emergency Room

PAYMENT OPTIONS

MyHealth Plan

My Health Plan is not insurance, but can help manage health care cost for anyone without insurance coverage or for those with high deductibles.

Receive all the benefits of our My Virtual Clinic at no cost.
Receive special offers, priority phone check in, welcome gifts, and discounts on multiple services.
Never get a bill!

Individual & Family Plans

Individual

$150 per month

(Save 15% discount if paid annually)

Family

$150 for the first member
$50 for spouse
$25 each additional member

Copays

$0 Virtual Clinic
$30 Urgent Care Clinic
$250 Emergency Room Visit

College Plans

Per Semester

$500

(Fall & Spring semester only. Ask about our Summer program.)

Copays

$0 Virtual Clinic
$30 Urgent Care Clinic
$250 Emergency Room Visit

Business Plans

My Health Plans for business are built and tailored for each business depending on need. Contact us to set up a 30 minute assessment interview to determine your business discount!

Costs Per Month

$125 per month per employee
$25 per month per spouse
$25 per month per dependent

Copays

$30 Urgent Care Clinic
$250 Emergency Room Visit

Benefits of MyHealth Business Plans

1 FREE Annaul Physical per member
1 FREE IV Hydration per member (18yrs & older)
Virtual Clinic is always free
Discounts on prescrptions
Priority check-in
Friends & family discounts

MyHealth Plan Business FAQ

How do I pay for this business plan?

We send an invoice once a month for the total amount for all employees participating in the membership. Some choose to pay for the monthly fees in full while others choose to deduct from their employees paycheck.

Who pays the copay?

Because we collect payment at the time of service, the employee will be responsible to pay their copays. The good news is, nobody will ever get a bill!

What does the copay cover?

The copay covers all in-house care performed at the time of service. Any send out labs or DME may be billed to the patient by the outside lab or DME company.

What in-house labs are offered?

What in-house labs are covered?

In-house, we offer CBC, CMP, and TSH. These 3 labs are included in your copay or free annual physical. There are many other labs we are able to send off and because of our contract agreements, we are able to forward our lab savings to you. All My Health Plan members get special discounts on send out labs.

What cannot be treated in the ER?

While My ER 24/7 is a full functioning ER, medical needs requiring an impatient stay will need to be directed to an impatient hospital. Examples include stroke, need for surgery, cancer treatments, and stays lasting longer than 23 hours.

Insurance Providers

We are open year-round 24/7 to assist with any emergencies that come up in life. Medicaid and Medicare do not recognize Physician owned Emergency Rooms and at this time they do not accept our patient billing.

However, our Urgent Care Clinic located next door CAN provide care to patients with Tricare, Medicaid, and Medicare with no billing issues.

Visit our website at https://myurgentcareabilene.com for more information.

Understanding your explanation of benefits (EOB) towards ER policies will help you understand what to expect when walking into My Emergency Room 24/7.

After completing necessary forms to verify insurance, and your medical screening has been completed, our billing specialist will be able to compile a treatment plan cost analysis.

At this point a patient can ask what the treatment plan will be and discuss the cost if needed. If the patient chooses to proceed with the treatment plan and can make co-pay fee it will be collected, then. The patient’s insurance company will be billed the remainder of the treatment plan. For our fee schedule please click here.

If you have any additional questions about insurance and billing, don’t hesitate to contact us.

For Specific Billing Questions:

Julie Moorhead
Patient RepresentativeManager

325-704-4470 Ext. 113
julie@myerabilene.com

Billing FAQ

What can I expect?

Two separate claims will be submitted to your insurance company; one claim for the facility (My Emergency Room 24/7) and one claim for physician services STC Emergency Physicians PA. Your insurance company will not be charged separately for radiology, pathology, or cardiology over reads as with hospital-based ER’s. These charges are included on your facility bill. Should you have any financial responsibility after your insurance company processes your claims, you will receive two statements: one for the amount you owe for the facility charges and the other for the amount you owe for the physician charges.

Why am I receiving bills when I already paid my co-pay or co-insurance?

At the time of service, your ER co-pay and/or a portion of your deductible amount was collected. As a courtesy, we will file claims to your insurance carrier for your emergency room benefits. The balance due represents your remaining deductible, co-insurance, and, in some cases other non-covered services.

What are non-covered services?

Non-covered services are diagnostics and treatment services that are not covered under your insurance plan. In most instances, these denials of coverage are automatically appealed back to the insurance company for payment. You will receive statements only after the denial of an appeal or if the insurance company is unwilling to negotiate payment for allowed services.

What is a deductible?

A deductible is the amount you must pay out of pocket for expenses before your insurance company will begin to cover your medical bills. Typically, your deductible starts over at the beginning of the calendar year and each family member must meet their own deductible.

What is co-insurance?

Co-insurance is the amount of out-of-pocket you must pay for services rendered. For example, if your plan only covers 80% of the allowed amounts for services then you must pay the other 20%.

How can I help?

Be familiar with your insurance benefits. Take the time to review your insurance policy. Find out if you have a deductible, co-insurance or anything else that may be your responsibility. This knowledge will help you to make educated decisions when seeking medical care.

MyHealth Plan

Individual & Family Plans

Individual

Family

Copays

College Plans

Per Semester

Copays

Business Plans

Costs Per Month

Copays

Benefits of MyHealth Business Plans

MyHealth Plan Business FAQ

How do I pay for this business plan?

Who pays the copay?

What does the copay cover?

What in-house labs are covered?

What cannot be treated in the ER?

Insurance Providers

For Specific Billing Questions:

Billing FAQ

What can I expect?

Why am I receiving bills when I already paid my co-pay or co-insurance?

What are non-covered services?

What is a deductible?

What is co-insurance?

How can I help?

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