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General Insurance and Payment Policies
Marble Falls Minor Emergency accepts most of the major insurance carriers with special attention to the insurance providers of our local employers. Even if we don’t participate in your preferred provider network, we are still happy to see you as an out of network provider. We will even assist you with the paperwork that you need to get reimbursed from your insurance company.
Payment in full (except for contracted insurance payments) is expected at the time of service unless special arrangements are made.
MFMEC offers a 20% "prompt pay discount" to those paying in full at the time of service. We accept cash, major credit cards and personal checks.
If you would like us to try to contract with your insurance so that you can receive “in-network” benefits, please have your employer’s personnel (or benefits) supervisor contact your insurance company or contact us us at: mike@mfmec.com
To see how your health plan stacks up see: "Health Plans are Failing Patients", from the Harris County Medical Society.
Current Contracted Insurance Plans*
Benefit Planners – Hill Country Memorial Hospital Employees
Texas True Choice / Ethix Southwest
Employee Benefit Administrators (EBA)
Health Smart Preferred Care (HSPC) - Includes Time Insurance, Golden Rule and many other insurance companies.
Llano Memorial Healthcare / Sid Peterson Memorial Hospital (Direct Employer Contracts)
PHCS (Private Health Care Systems)Includes Scott and White Health Plan members, many CIGNA members and many other major insurance companies. Check and see if your card has the PHCS emblem.
Texas Municipal League (TML-IEBP)
Superior Health Plan / Texas CHIPS Program
United Healthcare PPO - No Longer Accepted
*As of January 2008, these are the plans and networks with which MFMEC has a direct or indirect contract to provide services. Many other health plans pay benefits for services delivered at MFMEC. Depending on your coverage, usually you will have some out of pocket cost with any medical care. The terms of your health plan specifies how much your co-pay and deductible will be and which particular services are applied to your deductible. Remember you are responsible for your portion of the expense at the time of service. Please call the number on your insurance card to inquire about your co-pay and deductible. You may also call Marble Falls Minor Emergency Center and we will do our best to assist you with questions about your insurance and help you determine whether you will be using your in-network or out-of-network benefits at MFMEC.
**Most insurance policies apply surgical procedures such as sutures and care of fractures to your deductible. Therefore, these are most often applied to the deductible. Patients should be prepared to encounter these cost. Only a few policies will cover these procedures at 100% after an office visit co-pay. Please contact your insurance company for the details of your plan or refer to your policy. The staff of MFMEC will do their best to help you determine what benefits you can expect from your insurance company.
Please Call 830-798-1122 for questions.
