Victoria ER accepts private insurance plans such as Aetna, Humana, United Health, Cigna, and BlueCross/BlueShield. We also accept out-of-pocket payment in the form of cash, checks or credit cards. Your ER co-pay will be collected at the time of your visit. We will then bill your insurance company for the policy’s emergency room benefits. There will be two different claims mailed to your insurance company: the facility bill and the physician bill. If you have any questions concerning your bill please contact our Billing Department, Tyvan Billing at 713-357-2535.
If you have health insurance, you will receive an EOB (explanation of benefits) from your insurance company in the mail. Taking the time to be familiar with your benefits will help you make the best decisions when seeking medical care. It is important to note that the EOB is not a bill. Victoria ER is classified as out-of-network with many insurance companies; however, Victoria ER does honor all in-network deductibles and benefits.
Workers' compensation is a state-funded insurance program that gives covered employees income and medical benefits if they're injured while working. Texas employers may choose to provide their employees with this coverage. Most employers will inform you as to whether or not you're covered under this state plan. Workers' compensation pays medical bills and is covered underneath the Texas Workers' Compensation Act. For more information on workers' compensation, visit this page. If you'd like to file or dispute a claim, call 800-252-7031, option 1, to speak with a representative with the Texas Department of Insurance.
For all cases deemed emergent, Texas state law requires your insurance company to pay for your emergency care, even if the emergency room is classified as out-of-network. The state of Texas empowers patients to use a standard called the prudent layperson standard when determining what constitutes as an emergency. If your insurance provider is refusing to reimburse you for your emergency room visit, you can file a complaint with the Texas Department of Insurance (TlDI). For more information about this process and the Texas Department of Insurance visit http://www.tdi.state.tx.us.
• Victoria ER is an emergency room.
• Victoria ER charges rates comparable to a hospital emergency department, including a possible facility fee.
• The physician may bill separately from the facility.
• Victoria ER and facility-based physicians may not be a participating provider in an individual’s health plan network.For more information about Senate Bill 425, click here.