Insurance Information Call us at (903) 417-0886

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Insurance Information

How Can Quality Care ER Help You?

We understand that dealing with healthcare bills and your insurance company can be confusing and frustrating. We are always here to help you learn more about the process as well as answer any questions you may have from insurance claims to questions about your bill.

Please contact our billing department (903) 417-0886 or by filling out our online form with any questions you may have. We truly look forward to serving you.

What Can You Expect Regarding Cost?

Because of lower overhead, our emergency room prices are often less than those of a traditional hospital-based ER—even though we have the same capabilities, equipment, and experienced doctors and staff.

Using Insurance

We understand that dealing with a health insurance claim is often a frustrating experience. Understanding the process of medical billing and the details of your specific policy—individual and family benefits, co-pays, deductibles, and co-insurance—can be rather confusing. Knowing the details of your specific policy can help you make informed decisions regarding your medical care.

Our friendly staff will gladly answer any questions you may have, clarify what you actually owe, and will work with you each step of the way to make the experience as easy and convenient as possible.

Other Payment Methods

For patients who do not have insurance or do not want to use it, we offer a substantial discount when payment is made in full at the time of service. Quality Care ER accepts all major credit cards and can also arrange scheduled payment plans or third party financing options for qualified patients.

Billing & Insurance FAQ

For any billing or insurance questions you may have, please contact our billing department at (903) 417-0886. We look forward to serving you.

Do you accept my insurance?

We welcome all major private insurance such as Aetna, Blue Cross/Blue Shield, Humana, Cigna, United Healthcare, and others. Unfortunately, at this time we do not accept Medicare, Medicaid, or TriCare.

What will I pay if I use my insurance?

As with any emergency room, urgent care clinic, or doctor’s office, we collect a copayment (copay) at the time of service, which varies in cost based on your specific policy and whether you received treatment in the emergency room.

After your insurance company has processed your claim, any additional out-of-pocket expenses you may incur are based on the specific terms of the policy you purchased. For example, you may be required to pay a deductible or co-insurance they deem is your responsibility. Knowing the details of your specific policy can help you make informed decisions regarding your medical care.

How are claims processed?

On your behalf, our billing specialists will submit your claim to your insurance company. After your visit you will receive an “Explanation of Benefits (EOB)” detailing the benefits paid out based on your specific plan and what they claim you owe—including amounts applied to your remaining deductible or any co-insurance. You may even receive more than one EOB, such as one for the facility and one for the physician. It is important to know these EOBs are NOT bills, and you may not actually owe what is indicated.

Please call us upon receiving your EOB, so we can check the status of your claim and ensure it has been processed correctly. The claims process can take time, as appeals may be made to negotiate reimbursement. Our friendly staff will gladly answer any questions you may have, clarify what you actually owe, and will work with you each step of the way to make the experience as easy and convenient as possible.

What if my insurance company denies my claim?

If your insurance company refuses payment for your visit, you can file a grievance with the Texas Department of Insurance. Please visit www.tdi.texas.gov to learn more. In addition, our billing specialists will file an appeal with your insurance company on your behalf and will handle the entire appeals process for you.

I received an Explanation of Benefits (EOB) after my visit. Is this my bill?

After your visit, your insurance company will mail you an “Explanation of Benefits (EOB)” detailing the benefits paid out based on your specific plan and what they claim you owe—including amounts applied to your remaining deductible or any co-insurance. You may even receive more than one EOB, such as one for the facility and one for the physician. It is important to know these EOBs are NOT bills, and you may not actually owe what is indicated.

Please call us upon receiving your EOB, so we can check the status of your claim and ensure it has been processed correctly. The claims process can take time, as appeals may be made to negotiate reimbursement.

How do I pay if I don’t have insurance?

For patients who do not have insurance or do not want to use it, we offer a substantial discount when payment is made in full at the time of service. All major credit cards, such as MasterCard, Visa, American Express, and Discover are accepted.

Are freestanding emergency rooms more expensive than hospital-based ERs?

Charges for care in both facilities are essentially the same. Senate Bill 425 relates to healthcare and fees charged by freestanding emergency centers. Quality Care ER is a freestanding emergency medical care facilities that charge rates comparable to hospital ERs and may charge separate facility fees. Patients may also be treated by physicians who are out of network and/or may be billed separately by the physician providing medical care. Quality Care ER Emergency Center complies fully with this law.

What is a facility fee and how is it different from a professional fee?

A facility fee is a service fee charged by a healthcare facility to cover the cost of operating and staffing the emergency room and hospital 24/7/365. These overhead costs allow to provide our services to include but are not limited to utilities, supplies, providing and maintaining advanced diagnostic equipment, employing qualified nursing personnel and support medical and administrative staff, as well as the facility itself.

A professional fee is the cost for services provided by the physician.

Calculating Your Bill

Quality Care ER is committed to helping you understand and prepare for potential out-of-pocket costs related to medical services you or a loved one may receive at our hospital, and we have resources available to assist you. Please contact us at (903) 417-0886 at any time to discuss your specific care needs and the potential associated charges.

In addition, as required by the Texas House Bill 2041, passed by the Texas Legislature during the 86th Regular Session, our facility has provided a complete list of charges for all services and items provided by our facility.

The amount listed is not necessarily reflective of your actual financial responsibility. The amount collected by our hospital can be less than the amount on this list for a number of reasons, including discounts negotiated with third-party payers like Medicare, Medicaid, and commercial insurance companies as well as patient-specific discounts based upon financial need and other considerations. We recommend that all patients contact their insurer or our Patient Advocate at 903-900-5888 to discuss their individual situations and determine the potential out-of-pocket costs of their care.

Texas Senate Bill 425

Senate Bill 425, passed by the Texas Legislature during the 84th Regular Session, requires all FECs to post notice of the following:

  • This is a Freestanding Emergency Medical Care Facility
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee
  • This facility or physician providing medical care at this facility may not be a participating provider in your Health Benefit Plan provider network
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to you

Texas House Bill 3276

  • If we are not in-network with your particular health plan, Federal law requires insurance companies to process your ER visit at the in-network benefit level.
  • We are not yet recognized by Medicaid. If you would like to assist us in being able to accept these insurance plans, please contact your legislators.

Texas House Bill 2041

House Bill 2041, passed by the Texas Legislature during the 86th Regular Session, requires all FECs to post notice of the following:

  • This facility is a Freestanding Emergency Medical Care Facility.
  • This facility charges rates comparable to a hospital Emergency Room and may charge a facility fee.
  • The facility or physician providing medical care at this facility may be an out of network provider for the patient health benefit plan provider network.
  • A physician providing medical care at this facility may bill separately from the facility for the medical care provided to the patient.

Patient Reviews

Opinions That Matter Most
    Quality is The Best Name For This ER

    “I received top-notch care from the moment I was registered. I walked to a room, vitals taken, Covid test completed, received results, and was back in my car in less than 30 minutes.”

    - Tandi C.
    Very Clean Facilities & Great Staff

    “Very clean facilities, great staff that sit down and listen to you, and treatment and advice I trust.”

    - Terri H.
    Very Professional

    “The staff helped me quickly and I was inside on a walk-in appointment within 20 min. Very professional and took all the necessary precautions.”

    - Dylan T.
    Staff Was Very Friendly & Professional

    “The staff was very friendly and professional. I was in and out very quickly with the treatment my symptoms warranted.”

    - Amanda B.
    The Best, Fastest & Kindest

    “Hands down the best emergency room in Paris, Texas. Thank you for always taking care of me and my family.”

    - Kristin
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Contact Us

Always open to serve you 24 hours a day with no wait! Please call us at (903) 417-0886 or fill out the form below to contact us today. In the event of an emergency, please call 911.
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Quality Care ER

Why We're The Right Choice
  • Open 24/7 With No Wait Time
  • Inhouse Labs, X-Ray & Scanners
  • Services Available in English & Spanish
  • Board Certified Emergency Physicians