Join the Movement Against Insurance Company Denials

JOIN THE CAUSE,

TOGETHER, WE CAN PUT A STOP TO INSURANCE DENIALS

Anyone who has had to deal with an insurance company knows firsthand of all of the obstacles that they put up.  These excuses, scare tactics, and misinformation which are a common practice in spite of the fact that they go against Texas Law.

Don’t let Insurance Carriers Put Profit Over Patients. No Texan should ever be discouraged from seeking emergency care at the nearest ER. Do not make the mistake of denying yourself access to the best possible emergency care if in the absence of medical attention your health will be seriously jeopardized.

We are on your side.  Texas Freestanding Emergency Centers Save Lives and we will continue to do so. Join the My Emergency My Choice Moment by Signing the Petition below. Tell your legislators to vote for your emergency care to be covered.

SIGN THIS PETITION

TO ADD YOUR VOICE TO THE FIGHT AGAINST INSURANCE COMPANY EMERGENCY DENIALS.

[contact-form-7 id=”15784″]

Altus Emergency Centers Texas

is Here for You 24/7

Altus ER. We-Have-Dedicated-Specialists

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

Prudent Layperson Standard, GET THE FACTS, KNOW YOUR RIGHTS!

Prudent Layperson Standard,

GET THE FACTS, KNOW YOUR RIGHTS!

If you have ever had to deal with a health insurance company, you know first hand that they have a reputation for using scare tactics to prevent users from fully benefiting from their health insurance plans.

The latest attack on the public’s wellbeing was initiated by Anthem BlueShield BlueCross, the largest health insurer in the country, who unilaterally has decided to deny coverage to emergency room patients based on the final diagnosis rather than evaluating the symptoms which prompted the visit in the first place.

This decision is unlawful as it goes against the Prudent Layperson Standard, which Congress extended to apply to individual and group market health insurance plans in 2010.

What is the Prudent Layperson Standard?

Before 1997, insurance companies could deny emergency department claims based on the final diagnosis instead of symptoms. This meant that anyone who visited the ER complaining of chest pains which was later determined not to be a heart attack, or any other life-threatening condition would have to be responsible for 100% of the cost of treatment.

This forced patients to contact their insurance company during a moment of crisis to ask for permission to visit the ER, a policy which clearly placed the health and wellbeing of the individual in jeopardy.

As a result of these dangerous and unfair requirements, Congress enacted the Prudent Layperson Standard in 1997 which stated:

The term “emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate medical attention to result in:

 

  • Placing the health of the individual (or, in the case of a pregnant woman, the health of the woman or her unborn child) in serious jeopardy,
  • Serious impairment to bodily functions, or
  • Severe dysfunction of any bodily organ or part
  • Serious disfigurement

Originally the Prudent Layperson Standard only applied to Federal Health Plans such as Medicare and Medicaid, however, as of 2010 thanks to the Affordable Care Act, the standard was extended to include all private healthcare plans.

The great state of Texas adopted this Prudent Layperson definition in 1997 through Senate Bills 385. Section 1301.155.

PROTECT YOUR RIGHTS!

How Can Insurance Companies Deny Claims if It’s Against the Law?

This is the questions we are all trying to answer, in fact in March of 2018 two U.S. Senators sent a letter to the secretaries of U.S. Department of Health and Human Services and the U.S. Department of Labor requesting that they look into potential Prudent Layperson Standard violations by health insurance companies.

The truth of the matter is that the Prudent Layperson Standard is a federal law, and any attempt by a health insurance company to deny coverage based on final diagnosis rather than the symptoms present at the time of arrival to an Emergency Room is unlawful.

What Can Patients Do to Protect Their Rights?

Any person who experiences acute severe symptoms needs to receive an emergency medical evaluation to determine the cause and to receive proper treatment.

Nobody who is not medically trained should be forced to determine if their symptoms are severe enough to go to the ER. The Prudent Layperson Standard was explicitly drafted to ensure patients receive the emergency medical services they need when they need it.

This means that anyone who believes they are experiencing a medical emergency should visit the nearest Altus Emergency Center for evaluation without any fear; our Patient Advocate will help you every step of the way and file a claim on your behalf.

If your claim should be denied, our Patient Advocate will file an appeal, and even request an external review by a third party if necessary.

You can rest assured that at Altus Emergency Centers we will fight to protect your rights!

MY EMERGENCY, MY CHOICE!

Altus Emergency Centers Texas is Here for You 24/7

Altus ER. We-Have-Dedicated-Specialists

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

SIGN THIS PETITION

TO ADD YOUR VOICE TO THE FIGHT AGAINST INSURANCE COMPANY EMERGENCY DENIALS.

[contact-form-7 id=”15784″]

Top Seven Holiday Medical Emergencies

Top 7 Holiday Medical Emergencies & When to Head for the ER

We all know how crazy the Holiday Season can be, with relatives coming in from out of town, finding that perfect gift, getting your home decorated, and preparing that unforgettable holiday meal.

With the all the commotion and parties to attend, the risk of suffering an accident, increase during this time of year.  Then there is the question, “Should I visit the ER for this emergency?”  Holiday medical emergencies are a serious concern, especially during Christmas and New Years Eve.

There are about 250 injuries a day during the holiday season. These are the top 7 reasons why people visit the ER during the holidays. Get the facts and signs of alert that you need to visit your nearest emergency center.  If you get quality ER treatment fast, you may be back in time to enjoy your holidays with your friends and family.

Holiday Decorating Injuries

Our first of our holiday medical emergencies believe it or not involves holiday decorating. The U.S. Consumer Product Safety Commission (CPSC) estimates that Emergency Rooms across the country attend some 15,000 injuries involving holiday decorating during November and December each year, and the number of injuries is on the rise.

Out of those estimated 15,000 cases:

  • 34% involve falls
  • 11% are from cuts and lacerations
  • 10% are due to back strains

Head for the ER if:

  • You fall from a ladder, stool, or roof. You have a broken bone or an internal injury
  • If you have cut yourself and bone or tendons are visible
  • If you lost consciousness after a fall, you might have a concussion
  • If you have severe pain or mobility issues

Alcohol and Drug Abuse

It is not a surprise that alcohol and drug abuse is on our holiday medical emergencies list. Emergency room visits for injuries related to alcohol usage continue to rise according to a study by researchers at the National Institutes of Health. The investigation revealed that Emergency Room visits for acute or chronic alcohol-related treatment rose by 61 percent between 2006 and 2014.

 

Out of all the drug and alcohol-related injuries treated by Emergency Rooms each year:

  • 17.1% occur on New Year’s Day
  • 10.1 occur on Christmas Day

 

Severe alcohol poisoning could lead to death if you see anyone displaying the following symptoms bring them into the ER immediately:

  • Metal Confusion
  • Vomiting
  • Slurred speech
  • Slow breathing
  • A blue colored tint of the skin
  • Low body temperature
  • Seizures
  • Unconsciousness

Trauma and Car Crashes

We encourage to drive safely every day of the year but especially during the holidays as trauma and car crashes are among the top holiday medical emergencies.  According to information from the National Highway Traffic Safety Administration, the month of December can be especially dangerous for motorists.

The week between Christmas Eve and New Year’s Day is considered one of the most dangerous and deadliest weeks of the year for drivers. More people on the roads, stress, weather conditions and alcohol consumption are all contributing factors for road accidents.

 

  • 40% of deaths during the last week of the year involve at least one drunk driver
  • Drivers between the ages of 21 and 24 tend to be more often involved in fatal crashes related to alcohol use. The second highest age group was drivers between 25 and 34 years old.

 

Any person involved in a car crash regardless of whether alcohol was involved or not should be brought in to our Emergency Room immediately for evaluation. Remember insurance companies are required by law to cover ER visits for car crashes.

Sprains, Broken Bones and Concussions

It seems the number of falls increases during the holidays, from falling while putting up Christmas decorations, slipping and falling while running errands, to kids falling off their new bikes, and skateboards, the truth is at our Emergency Centers we see a fair share of sprains, broken bones, and concussions during the last few days of the year.

 

You should pay us a visit when:

  • You suspect you or a loved one has a broken bone
  • You have fallen and hit your head and lost consciousness, are feeling dizzy, have trouble remembering things, have difficulty speaking, as you may have a concussion
  • If you have difficulty walking or are suffering from severe pain

Overeating

We are all guilty of overindulging during the holidays. Those special dinners and Holiday treats, however, can give us some nasty scares and some real problems. In fact, the CDC has stated that abdominal pain is the single most common reason that American patients visit the ER, accounting for seven million visits per year

According to a study by the American Heart Association, overeating makes you four times more likely to experience chest pains or worse suffer a heart attack.

 

Additionally, people who overeat during the Holidays:

  • Are 10 times more likely to visit the ER
  • Run the risk of requiring emergency stomach procedures
  • Increase their risk of having food stuck in their esophagus

Whenever you experience chest pains, shortness of breath, or severe abdominal pain you should rush to the ER for evaluation, don’t wait it out.

Allergic Reactions

During the Holiday Season, people who suffer from allergies are exposed to many triggers, from Christmas trees, mold, scented candles, and of course food.

For most of us allergic reactions are mild and can be treated with an over the counter antihistamine, however, in some cases, our immune system’s response can be severe enough to cause an asthma attack or a life-threatening anaphylactic shock.

Severe asthma attacks or cases of anaphylactic shock require immediate medical attention, all Altus Emergency Center locations will be open every day during this Holiday Season to attend such emergencies.

Kitchen Related Injuries

There’s a lot of food preparation that goes on during Christmas and New Year’s, and in our eagerness to create those spectacular meals, we could end up cutting or burning ourselves.

Hopefully most cuts and burns will be superficial and won’t require medical attention, however, if your wound is deep enough as to where you can see bone, cartilage, or tendons you need to come in for stitches, and if you have second or third degree burns you must come in to the ER immediately.

 

Altus Emergency Centers wishes everyone in the communities we serve a Merry Christmas and a Happy New Year. And we would like to remind you that we will be available to treat any medical emergency that arises.

Altus Emergency Centers Texas is Here for You 24/7

Altus ER. We-Have-Dedicated-Specialists

Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies.  We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!

24 Hour ER Services – Best in Texas

Looking for the best quality 24 hour ER services?

We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.

Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times.  After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.

Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process.  We are here to help you get well and stay well!

HEALTH NEWS, EVENTS & MORE.

Online Medical Technology

heartBEATRed

🦟 ⚠️ The @TexasDSHS recently confirmed the 1st human case of the West Nile Virus for 2019.
🔎 https://t.co/KjOWZsVWde
👨‍⚕️ Learn how to Prevent Common Mosquito-Borne Illnesses.
🚨 Recognize any Symptoms?

🏥 #AltusERCenters Open 24/7, No Lines.

🇺🇸 GOD BLESS AMERICA! Land of the Free, Because of the Brave!
🎇 Have a Healthy & #HappyFourthOfJuly From All of Us!
🏥 At #AltusERCenters, We're Open 24/7, No Lines through the 4th of July Weekend over all of our four locations.
👨‍👩‍👧‍👦 Accepting TRICARE.
#HappyIndependenceDay

4

Facebook

1 day ago

Altus Emergency Centers

SUPPORTING OUR HEROES, FIRST RESPONDERS. 🚑🚓🚒

👏 We had the honor of attending the Greater Angleton Chamber of Commerce's Salute to First Responders Luncheon.

👩🏻‍⚕️Two of our nurses Heather and Rhonda attended by representing Altus Emergency Center in a "THANK YOU" to our first responders!

🏥 #AltusERLakeJackson Open 24/7, No Lines.
... See MoreSee Less

View on Facebook