What Type Of Insurance Does Texas Health Family Care Accepted?

Texas Health Family Care

Texas health family care is one of the biggest faith-based, nonprofit health systems in the United States and the largest in North Texas regarding the number of inpatients and outpatients treated.

Physicians Group and hospitals under the Texas Health Presbyterian, Arlington Memorial, Harris Methodist, and Huguley banners are part of the health system.

To better serve the more than 7 million inhabitants of North Texas, Texas Health has partnered with several organizations from throughout the health care sector.

More than 350 points of access, 24,000 workers, and 6,000 doctors with active staff privileges all work together to support Texas Health’s primary projects and quality programs to serve businesses and consumers in North Texas with more affordable, high-quality, and integrated care. “Partnering with you for a lifetime of health and well-being” is their mission statement.

Texas Health Resources owns, operates, or is a joint venture partner in 29 hospital locations, including acute-care, short-stay, behavioral health, rehabilitation, and transitional care facilities, as well as more than 350 outpatient facilities, satellite emergency rooms, surgery centers, fitness centers, imaging centers, and other community access points.

Based on an employee satisfaction survey, Fortune magazine rated Texas Health Resources at No. 15 on its Top 100 Companies to Work For in 2020, climbing to No. 7 in 2021.

History

Harris Methodist Health System in Fort Worth and Presbyterian Healthcare Resources in Dallas merged to become Texas Health in 1997, becoming Texas Health Resources.

Arlington Memorial Hospital became a part of the Texas Health network later that year.

All of the First Choice Emergency Rooms (FCERs) in the Dallas–Fort Worth area were rebranded under the Texas Health banner in May 2016 by Adeptus Health.

However, the facilities were shut down, and the premises were sold to other organizations. Consequently

Service Area

For more than 7 million people in 18 counties in North Texas, including Collin, Cooke, Dallas, Denton, and Ellis counties, as well as Hamilton and Henderson counties as well as Hood and Hunt counties as well as Johnson and Kaufman counties, well as Somervell and Tarrant counties, Texas Health Resources’ points of access, are available.

Texas Health Family Care MyChart

  • Pay Bill as Guest
  • Get a Cost Estimate
  • Schedule an Appointment
  • Covid-19 Results & Vaccine Status
  • User Guide

All Features you can get in this link are login options

Patient Resources

Use the links below to find out which insurances Texas Health Physicians Group providers accept and download any necessary documents.

Texas Health Family Care

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Texas Health Family Care Insurance

Use this page to find out which insurance plans are accepted by Texas Health Physicians Group (THPG).

Insurance Plans Accepted

As a reminder, Texas Health Physicians Group has the right to change the plans shown here at any time and without notice.

Not all providers may be contracted owing to their geographic location or the services they offer; please check with your health plan to be sure.

Please get in touch with us at 1-877-959-2927 if you have any questions about the insurance coverage that Texas Health Physicians Group accepts.

I am trying to find a doctor or service that accepts a specific insurance plan. Find your provider.

CHECK OUT OUR ACCEPTED INSURANCE PLANS!

Do you have a bill to pay?

For your convenience, there is a phone number and a MyChart link at the bottom of this page. Call 855-602-5273 if you have any questions or would want to pay your account over the phone. When you call, you’ll need your statement’s account number.

PAY MY BILL

Federal Billing Surprise Act

The No Surprises Act protects you as a patient from the financial burden of out-of-network medical expenses. Whether you have a group or individual plan or pay out-of-pocket if you’re covered under this provision doesn’t matter.

Billing FAQ & Support

Act of 2022 on Federal Surprise Billing

Protecting Yourself from Unexpected Medical Bills

Suppose you go to an in-network hospital or ambulatory surgery center for emergency care or treatment from an out-of-network physician. In that case, you won’t be hit with surprise or balance billing.

What is “surprise billing” or “balance billing?”

When you see the doctor or another health care provider, a co-payment, co-insurance, or deductible may be required.

If you visit a health care facility or see a physician who isn’t in your health plan’s network, you may be responsible for additional fees or the total bill.

Health care providers and institutions who have not signed a contract with your insurance company are known as “out of network” providers.

Outside providers may be able to bill you for the difference between the amount your insurance plan has agreed to pay for a service and the actual cost.

“Balance billing” is the term for this. Fees not in-network for the same service may not count toward your yearly deductible.

A charge for an unanticipated debt is known as “surprise billing.”

An out-of-network practitioner may treat you even if you have a pre-scheduled appointment at a network facility or if you have an emergency and need immediate treatment.

Balance billing is not an issue for:

Emergency services

Your out-of-network provider or facility can only charge you up to your insurance plan’s in-network cost-sharing level if you have an emergency medical condition (such as co-payments and co-insurance).

In an emergency, you can’t be paid for these services.

Unless you provide written approval and give up your safeguards not to be paid for these post-stabilization services, this includes services you may get after you’ve stabilized.

About 16 percent of Texans have state-regulated health insurance, which protects patients in emergencies or when they have no choice of providers against unexpected medical expenditures.

Doctors and other healthcare practitioners are prohibited by law from sending people unanticipated medical bills.

Certain services can only be provided at an in-network hospital or surgical facility.

Certain physicians in an in-network hospital or ambulatory surgery center may be out-of-network, even though the facility is in-network.

In these circumstances, the maximum amount that those providers may charge you is the cost-sharing level of your insurance plan.

Anesthesiology, emergency medicine, pathology, radiography, and laboratory services are all included in this. Neither of these service providers has the authority nor the right to charge you a balance.

Suppose you go to an in-network hospital or ambulatory surgery center for emergency care or treatment from an out-of-network physician. In that case, you won’t be hit with surprise or balance billing.

Unless you grant written authorization and waive your rights, out-of-network providers cannot balance charge you if you get other services at these in-network locations.

It is illegal in Texas to bill a patient for services provided by an out-of-network physician or another provider at a network facility, as well as for services provided in conjunction with a health care service by a network physician or providers, such as diagnostic imaging and laboratory service providers.

You’ll never have to give up your balance billing safeguards. In-network care isn’t necessary, however. You may select an in-network health care practitioner or facility.

If balance billing is not permitted, you are additionally protected by the following:

  • As a participant, you are solely responsible for paying for your portion of the costs (like the co-payments, co-insurance, and deductibles that you would pay if the provider or facility were in-network). Out-of-network physicians and facilities will be paid directly by your health insurance plan.
  • The following is usually required of your health insurance:
  • Provide coverage for emergency services without needing prior clearance (prior authorization).
  • Pay for out-of-network medical care in the event of an emergency.
  • It’s best to base your cost-sharing obligation on what your insurance company would pay an in-network physician or facility and to include that amount in your explanation of benefits.
  • Expenses for emergency or out-of-network care should be included against your deductible and out-of-pocket maximum.
  • In Texas, the Department of Insurance may be reached at (800) 252-3439, or the Centers for Medicare and Medicaid Services can be reached at (800) 633-4227.

For additional information about your federal legal rights, go to https://www.cms.gov/nosurprises.

If you have questions about your rights under Texas law, please visit https://www.tdi.texas.gov/medical-billing/surprise-balance-billing/.

Payment in Full Up-Front

When pre-register, the hospital’s standard procedure is to collect all known costs, such as deductibles, co-payments, and co-insurance. As a result, your final invoice may contain expenses that differ from your registration estimate.

We have the right to request extra payment if accurate prices are more significant than anticipated. We will reply to you if the actual changes are more minor than expected.

Coverage or Insurance Payments

If you have insurance or another kind of coverage, we will bill your provider and notify you of the costs made soon after your appointment.

This statement is provided only for your convenience and knowledge.

Additionally, it would help if you got an explanation of benefits (EOB) from your insurance company or other coverage outlining how your claim was handled and the amount you owe.

Within 60 days following discharge, this procedure is generally completed.

Additional information may be requested from you by your insurance company or other coverage to file your claim. To make sure you get the most out of your insurance, please react as soon as possible.

Finally, Texas Health Resources will send you a final bill for the outstanding amount, which may include any deductibles or other non-covered expenditures that have not been paid by your insurance or different kind of coverage.

Contact your insurance company or additional coverage directly if you have issues handling your claim.

The final bill must be paid within 30 days after receiving it. Texas Health offers a variety of payment alternatives if full payment is not attainable.

Online resources may be found on your last billing statement or by calling Customer Service at 800-890-6034 from 7 am to 6:30 pm, Monday through Friday.

Non–covered services are not reduced or waived for patients with insurance or other coverage, and Texas Health hospitals will make reasonable attempts to collect payment for such services.

Discounts may be granted to patients with insurance or additional coverage who prefer not to use it for a scheduled treatment.

Please get in touch with us at 877-773-2368, Option 3, between the hours of eight in the morning and six in the evening, Monday through Friday, for further information.

Payment without the benefit of insurance or any other kind of protection

Without insurance or other coverage, patients at our hospitals are eligible for a discounted rate. The discount gives a 30 percent reduction in predicted hospital costs.

All accounts classified as “self-pay” are automatically billed for this service, and payment of the remaining amount is required once the deal has been applied.

If the total price is not feasible, we will work with you to establish a payment plan, acquire Medicaid coverage, or seek financial assistance.

Only hospital expenses are eligible for the Texas Health uninsured discount.

The Texas Health discount policy does not cover costs made by doctors or other professionals while a patient is in the hospital or charges made by other providers for services not given in the hospital.

What choices do I have if Texas Health does not accept my insurance or other coverage?

If you don’t see your insurance plan on this list, you may not be covered by Texas Health. A single case agreement (SCA) may be necessary if you want to use Texas Health as an out-of-network hospital.

The term “SCA” refers to a contract between Texas Health and a third-party insurance provider. Patients seeking care at Texas Health may submit an SCA request via their insurer or another coverage plan.

Before treatments are rendered, the insurer or other coverage plan would work directly with Texas Health to complete the SCA, which details authorization and payment arrangements.

Payment in full must be completed before receiving treatment at Texas Health. If your insurance or other coverage will not finish an SCA with us, or if you have insurance or additional coverage, choose not to utilize it.

Patients who do not have health insurance may get a discount through Texas Health. Please call our office at 877-773-2368, Option 3, from 8 am to 6 pm Monday through Friday for further information.

Multiple Bills

Hospital services are the sole items on your bill. Certain medical and professional services are often provided in conjunction with hospital treatments, as directed by your numerous treating doctors.

Additional services, such as: will be charged to your account individually.

  • Health care providers or other professionals’ fees/charges
  • Doctors who work in the emergency department
  • X-ray technicians (Examples: physicians who interpret X-rays, MRI, CT, ultrasound)
  • Pathologists (Examples: physicians who examine body tissues and body fluids reads)
  • Cardiac specialists (Examples: physicians who treat heart and blood vessel conditions)
  • Neonatal physicians (Examples: physicians who treat newborns in the neonatal intensive care unit)
  • Doctors that give general/regional anesthesia and pain treatment are anesthesiologists.

Other consulting physicians

These providers are not affiliated with the hospital and charge for their services individually.

Texas Health Resources cannot guarantee that doctors are contracted with your insurance company or another covered provider network.

The physician’s office indicated on the billing statement that these treatments should be contacted if you have questions about them.

Online Bill Payment

You may pay your account online using an e-check, debit, or credit card if you have debt after discharge. This is a simple, safe, and completely free method of making a payment.

Pay your hospital bill by clicking on the Pay My Bill button once you’ve followed the Pay Hospital Bill link.

You may find your Account Number and Access Code on the top section of your Texas Health Resources billing statement if you need to make a payment.

From 7 am to 6:30 pm, Monday through Friday, you may make a payment by phoning our customer service department at 800-890-6034. To complete this transaction, your bank account number will be required.

Customer Service

If you have any questions or concerns, please don’t hesitate to get in touch with our customer care staff.

At 800-890-6034 or CustomerService@TexasHealth.org, we’re available Monday through Friday from 7:00 am to 6:30 pm. Please provide us with your account number so that we can help you.

If you need assistance with any of the following billing services, please get in touch with our Customer Service department.

  • Pay Your Bills
  • Discuss Payment Methods
  • Request a breakdown of your bill.
  • Resolve Issues Related to Coverage and Insurance
  • Ask for Financial Help

You may access these billing services through TexasHealth.org/MyChart or TexasHealth.org/PayMyBill, in addition to a 24-hour/seven-days-a-week automated phone service that is accessible at any time.

Benefits to the Community: An Annual Report

Texas Health Resources files a Community Benefits Plan for each calendar year with the Bureau of State Health Data and Policy.

When the Texas Department of Health points out the Community Benefits Plan, it is public information and can be obtained by contacting the Department at the following location.

Bureau of State Health Data and Policy Analysis, Texas Department of Health Care Services

Location: 1110 W. 49th St. in the Austin neighborhood

Is it standard procedure for patients to get itemized bills?

No, the patient receives a summary bill. Your MyChart account, TexasHealth.org/PayMyBill, the business office at 800-890-6034 from 7:30 am to 6:30 pm Monday through Friday, or you may contact CustomerService@TexasHealth.org to get an itemized bill summary.

Is it possible to set up a time to meet with a representative in person to discuss my bill?

Yes. From 7 am to 6:30 pm, Monday through Friday, you may reach the business office at 800-890-6034 or email CustomerService@TexasHealth.org to make an appointment.

My question was not included here. Is there a way for me to receive the information I need?

Call 800-890-6034 from 7 am to 6:30 pm, Monday through Friday, or email CustomerService@TexasHealth.org to contact a business office personnel.

How can I make a payment?

Alternatively, you may pay by phone with a bank check or credit card. Monday through Friday, you may call 800-890-6034 to pay over the phone or explore additional payment methods between 7 am and 6:30 pm.

At Texas Health facilities, which health insurance policies are accepted for payment?

Many health plans have agreements with Texas Health. Click here to see a comprehensive list of insurance companies we accept.

If you have any questions or concerns, please get in touch with us. Please check with your health insurance provider to be sure that a facility is still participating in your network.

My bill may have a mistake on it.

Please get in touch with the business office at 800-890-6034 from 7 am to 6:30 pm Monday through Friday, or email CustomerService@TexasHealth.org if you have any questions or concerns concerning your account.

What is a “co-payment,” and how does it work?

Members pay a predetermined amount to service providers when they get services. Visits to the ER, hospital stays, doctor’s appointments, and other medical care are all subject to co-pays, and the price is often relatively low. Before any services are performed, the patient should know the co-payment amounts.

What does deductible mean?

Patients must meet a certain level of medical expenses before being eligible for assistance. Insurance or other coverage plans will only pay out benefits when the patient has paid and accrued $500 in deductibles, for example.

The insurance or different coverage plan typically covers a portion of the payment once the patient has reached their deductible. The unpaid portion of the bill is the patient’s responsibility.

It is customary to begin deducting in January of each year. To learn more about your deductible, speak with a representative from your insurance company or another service provider.

How does co-insurance work?

It is a kind of cost-sharing, and co-insurance falls under this category. A portion of your medical expenses will be covered when your deductible is reached, and the patient is responsible for the balance, referred to as “co-insurance.”

Why was just a portion of my charge covered by my insurance?

Deductibles, co-insurance, and co-payments are standard features of most insurance and other types of coverage plans.

Why am I being billed so much for my hospital stay?

In the emergency department, anesthesiologists, radiologists, primary care physicians, and other professionals are all self-employed and independent contractors.

A separate charge is issued for their services. If you have questions about these charges, please get in touch with the medical office or provider mentioned on your billing statement.

Why do I need to contact the insurance company when they don’t pay?

The Central Billing Office will work with your insurance company or third-party provider to address any outstanding balances on your account.

We may occasionally require your help if we can’t get your carrier or other coverage to fix the problem.

Is the therapy I need to be covered by my health insurance?

Ensure that your insurance plan or other coverage is accepted at the facility where you are getting treated.

Although the same firm may have the same insurance plan or additional coverage, it may not cover the same therapy as another plan or coverage.

Texas Health Resources facilities are not required to be authorized for all services just because they participate in a program. Verify whether or not your insurance plan or other coverage covers your therapy.

If I cannot pay my bill, what should I do?

Texas Health offers a variety of payment alternatives if full payment is not attainable. Please refer to your final bill for online services.

From 7 am to 6:30 pm, Monday through Friday, you may reach Customer Service at 800-890-6034 to speak with a representative about your payment choices or to apply for Medicaid or Financial Assistance.

If you’re interested in learning more, click on the following link.

Texas Health Family Care Lake Worth

The address of Texas Health Family Care in Fort Worth is 6100 Lake Worth Blvd. Fort Worth families can rely on our primary care doctors for various services.

You can depend on our Fort Worth physicians to provide thorough treatment, whether physical or ear infection. Thanks to our accessible location and caring medical approach, your health and well-being are in good hands.

Texas Health Family Care Rockwall

At 2701 Sunset Ridge Drive, Suite 200 in Rockwall, you’ll find Texas Health Family Care, previously known as Harbor Heights Family Medicine.

Families in Rockwall may rely on our primary care doctors for various services.

Our Rockwall physicians provide comprehensive treatment that is individualized to meet your specific requirements, whether you need a physical, have an earache, or are dealing with a chronic ailment.

Your health and well-being are in good hands with us because of our accessible location and approach to treatment focused on compassion.

Texas Health Family Care Richardson

7517 Campbell Road, Suite 616 is the address of Texas Health Family Care in Dallas. Our primary care doctors in Dallas are experts in all aspects of family health care.

Dallas physicians can treat anything from a sore throat to an earache to a chronic illness, and they do it in a way that is specific to your requirements.

You can rely on us for all of your health and wellness needs, thanks to our accessible location and compassionate approach to treatment.

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