You have questions. wE have answers.
Thank you for choosing Alexandria Emergency Hospital for your emergency medical care. We understand that some patients may find the billing process confusing or overwhelming. To better serve you, we want to make the billing process simple and transparent. Your bill may be different from other medical bills you may have received from hospitals or physicians.
At any point, if you would like to speak to our Billing Department, please call 713-357-2535.
In an effort to protect patients, the federal government issued the Federal No Surprises Act (NSA). The NSA addresses several different points. The most notable point is the NSA serves to prohibit surprise billing. A surprise medical bill is an unexpected bill, often for services received from a healthcare provider or facility, that a patient may not have known was out-of-network with their insurance until a bill is received. Simply stated, an out-of-network provider cannot send a bill to a patient for any amount outside of their yearly in-network deductible and co-insurance. This does not apply to amounts paid directly to patients by their insurance provider for services rendered rather than paid to the provider. In those cases, a patient may receive a bill for full charges until the insurance payment amount is provided or paid over to the appropriate facility by the patient.
The Federal No Surprises Act was issued after lawmakers passed a law to base emergency services payments on local median in-network rates, also known as QPAs, instead of usual and customary rates. The law enacted a system where insurers and providers negotiate the correct amount to be paid. Once in agreement, the bill can be settled through an independent dispute resolution process. Insurers must now disclose how they come to the QPA-median in-network price and if they down-coded the claim for any reason.
Alexandria Emergency Hospital accepts most private insurance plans. 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 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.
Alexandria Emergency Hospital is classified as out-of-network with many insurance companies; however, Alexandria Emergency Hospital does honor all in-network deductibles and benefits.
Workers’ compensation is a legal remedy whereby an employee who is injured on the job may be entitled to certain benefits. The benefits can include medical care for the injury, indemnity wage benefits, vocational rehabilitation services, and/or death benefits. These benefits are the obligation of the employer and are paid directly to the employee by the employer or its workers’ compensation insurer. Every employer, unless statutorily exempted, is responsible for the medical care and the payment of indemnity wage benefits to any employee who is injured while in the course and scope of his or her employment.
For more information on workers’ compensation, visit this page.
For all cases deemed emergent, Louisiana 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 Louisiana 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 Louisiana Department of Insurance (LDI). For more information about this process and the Louisiana Department of Insurance visit http://www.ldi.la.gov/