Insurance and Legacy ER & Urgent Care
The health insurance landscape is constantly changing. Legacy ER & Urgent Care is always working to create the most efficient and cost-effective relationships to benefit our patients. If you do not see your insurance below or have questions, please don’t hesitate to call your location and speak with a specialist. 1-888-862-7788
*Legacy ER & Urgent Care currently does not participate with Medicare & Medicaid.
Are you covered?
Insurance We Accept
Legacy ER & Urgent Care is fully equipped to treat you, whether you have a potential break, sprain, shortness of breath, cut or laceration. Our on-site care experts, imaging and labs mean we have what you need, all in one place.
In-Network Urgent Care Plans
Complete list of In-Network Urgent Care Plans
- Aetna
- America’s Choice Provider Network (ACPN)
- Ancillary Care Services
- BaylorScott&White Health Plan
- Blue Cross Blue Shield
- Cigna
- Evry Health
- Humana – Choice Care Coventry
- Claritev/PHCS
- Political Subdivision Worker’s Comp
- Sedgwick
- Three Rivers Health Plan
- Tricare
- United Health Care
Emergency Care
Complete list of In-Network Emergency Room Billing
- Aetna
- America’s Choice Provider Network (ACPN)
- BaylorScott&White Health Plan
- Blue Cross Blue Shield
- Cigna
- Evry Health
- Claritev
- Sedgwick
- Three Rivers Health Plan
- United Health Care
Required Posting for Emergency Room Billing
The Facility is a freestanding emergency medical care facility.
The facility charges rates comparable to a hospital emergency room and may charge a facility fee.
The facility or a physician providing medical care at the facility may be an out-of-network provider for the patient’s health benefit plan provider network.
A physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient.
In-Network Emergency Room Plans
Patients will receive an Emergency Room Billing Disclosure once deemed stable
- Aetna
- Blue Cross Blue Shield
- Cigna
- United Health Care
- Claritev
- America’s Choice Provider Network (ACPN)
- Sedgwick
- Three Rivers Health Plan
Frequently asked questions
Learn more about pricing, paying bills and how the combination model works.
What is an emergency room vs. an urgent care?
An emergency room treats illnesses and injuries in need of immediate attention, some of which include chest pain, abdominal pain, dehydration, complex fractures and much more.
An urgent care typically treats acute and chronic illnesses and injuries that are non-life-threatening; some of which include common colds, flu, strep throat, lacerations and more.
What is the difference between my Explanation of Benefits (EOB) and my invoice from Legacy ER & Urgent Care?
An Explanation of Benefits, or EOB, is something the insurance company sends to the patient to explain what is allowed by their policies and what the associated charges are. It is not a bill, but rather a communication from the insurance company to the patient. It may or may not correspond directly to what the final bill is from Legacy ER & Urgent Care.
What is a New Patient designation?
All health care insurance, including Medicare, set a distinction for first visits in an office or urgent care setting. The new patient charge is typically reimbursed at slightly higher rates than all following visits to the same location, due to the additional work required to set up new accounts and obtaining all the necessary details to make this happen. Established patients are those that have been seen at the office or urgent care in the past three years. The charge for an established patient visit is typically less than the new patient charge.
Will I ever be considered an ER patient without knowing?
No. Legacy ER & Urgent Care is a fully licensed emergency room that offers a unique approach to billing. During urgent care hours (7 a.m.-9 p.m.), we may provide the benefit of courtesy urgent care billing if a medical provider feels urgent care services are appropriate. The final billing classification (emergency room vs. urgent care) is determined based on the resources utilized in your care. This ensures patients receive the appropriate level of care while potentially benefiting from reduced costs when urgent care services are sufficient. You will be informed of your billing class before you are discharged from the facility.