Lonestar 24HrER is a freestanding emergency medical care facility. Lonestar 24HrER charges rates comparable to a hospital emergency room and may charge a facility fee. Facility and physicians providing medical care at the facility are not a participating provider in the patient’s health benefit plan provider network. Lonestar 24HrER physicians providing medical care at the facility may bill separately from the facility for the medical care provided to a patient.
We accept all commercial and private insurance.
In the State of Texas, All emergency visits are required to be reimbursed by your insurance carrier regardless of whether that provider is “out-of-network” or “in-network.” Unfortunately, federal regulations and the Centers for Medicare and Medicaid Services do not allow us to participate with or accept Medicare, Medicaid, or Tricare but we do offer cash options instead.
We offer substantial discounts for cash payments and we also offer payment plans.
Texas Health Care Statutes
The Texas Department of Insurance Code, Section 1301.155 on Emergency Care requires that insurance companies pay emergency facilities “at the insured’s in-network benefit level” for all services. Additionally, the Patient Protection and Affordable Care Act added numerous patient protections that require health plans covering emergency services to provide such coverage without need for prior authorization, regardless of the participating status of the provider, at the in-network level.
Furthermore, health plans are required to pay for emergency visits for medical situations in which a person believes his or her health is threatened. The final diagnosis should not influence whether the insurer pays for the emergency room visit, and insurers cannot legally apply the claim towards the out-of-network benefits.