PATIENT INFORMATION

• Your doctor will provide specific instructions tailored to your procedure. Below are general guidelines to help you prepare:
• Your provider will discuss the procedure details and necessary preparations.
• Expect a call to confirm personal and medical information.
• Standard fees cover most services; additional fees may apply for the surgeon and anesthesiologist.
• A surgical consent form must be signed before treatment.
• Arrange for a responsible adult to accompany you home after surgery.
• Avoid smoking 24 hours before and after your procedure.

The Night Before Surgery: Preparing for Your Procedure

• Do not eat or drink anything after midnight unless instructed otherwise.
• Follow your doctor’s specific instructions regarding medications.
• Inform your provider if you may be pregnant.
• Report any recent health changes, including illness or exposure to contagious diseases.
• Avoid alcohol consumption for at least 24 hours before surgery.

Morning of Surgery: Final Preparations

• Do not eat or drink anything after midnight.
• Take only medications approved by your provider.
• Inform your provider of any last-minute health concerns or symptoms.
• Avoid alcohol and tobacco.

• Rest & Recovery: Do not drive, sign important documents, or make critical decisions for at least 24 hours.
• Activity Restrictions: Avoid operating machinery, power tools, or engaging in strenuous activities for at least 24 hours.
• Alcohol Avoidance: Do not consume alcoholic beverages for at least 24 hours.
• Follow-Up Call: A representative from the center will contact you after surgery to check on your condition.
• Post-Operative Care: Your provider will give you specific instructions regarding diet, rest, and medication. If you experience any difficulties or complications, contact your provider immediately.

At Texas Advanced Surgery Center, we are committed to guiding you through the billing process and ensuring you receive the maximum benefits available. Our experienced billing team can assist with verifying your coverage, explaining any out-of-pocket costs, and coordinating with your insurance provider for a seamless billing experience.

Questions About Your Insurance Coverage?

If you have any questions about your insurance benefits or need help understanding your coverage, our knowledgeable billing team is here to assist you. We provide the information and support you need to make informed decisions about your healthcare.

For insurance-related inquiries, please contact us at: (281)-937-2967 

Our billing team is available during regular business hours to answer any insurance-related questions or concerns.

For your convenience, we offer an easy and secure online billing portal where you can view and manage your bills from Texas Advanced Surgery Center to access our billing portal and make a payment, please click the link below:

At Texas Advanced Surgery Center we uphold the dignity and respect of every individual we serve. We adhere to all applicable federal, civil rights laws, ensuring non-discrimination based on various factors such as age, race, color, religion, sex, national origin, handicap, disability, or source of payment and any other protected characteristic under federal, state, or local law. At the time of admission, Texas Advanced Surgery Center shall inform each individual of their rights and responsibilities. Copies of the patient’s rights and responsibilities are provided upon request and can be downloaded below.

Patient rights and responsibility

When you receive medical care, you may have certain out-of-pocket costs, such as co-payments, coinsurance, or deductibles. If you visit a provider or facility that is not in your health plan’s network, you may have additional expenses or be responsible for the full bill.

Out-of-Network Providers & Balance Billing

• Out-of-network providers have not signed a contract with your health plan. They may bill you for the difference between what your insurance pays and the full charge for the service—this is called balance billing.
• Balance billing may result in higher costs and might not count toward your annual out-of-pocket limit.
• Surprise billing occurs when you receive an unexpected balance bill, often in emergency situations or when an out-of-network provider treats you at an in-network facility.

You Are Protected from Balance Billing in Certain Situations

1. Emergency Services

• If you receive emergency medical care from an out-of-network provider or facility, the most you can be billed is your plan’s in-network cost-sharing amount (e.g., copayments or coinsurance).
• You cannot be balance billed for emergency services, including post-stabilization care, unless you give written consent to waive this protection.

2. Certain Services at In-Network Facilities

• When you receive care at an in-network hospital or ambulatory surgical center, some providers there may be out-of-network.
• Providers such as emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeons, hospitalists, or intensivists cannot balance bill you.
• You cannot be asked to waive your protections for these services.
• If you receive emergency care or are treated by an out-of-network provider at an in-network facility, you are protected from surprise or balance billing unless you voluntarily waive your rights in writing.

Your Rights & Protections Against Balance Billing

• You never have to waive your balance billing protections.
• You always have the option to seek care from in-network providers.
• Your health plan must:
  • Cover emergency services without requiring pre-approval.
  • Cover out-of-network emergency care.
  • Base your cost-sharing on in-network rates and reflect this in your explanation of benefits.

Count what you pay for emergency/out-of-network services toward your deductible and out-of-pocket limits

The No Surprises Act and Texas law protect you from surprise medical bills (also called balance bills) in certain situations. These protections apply when you receive:

• Emergency services, even if the provider or facility is out-of-network
• Non-emergency services at an in-network hospital or ambulatory surgical center when one or more providers involved in your care are out-of-network
• Certain ancillary services you cannot choose (such as anesthesia, radiology, pathology, neonatology, assistant surgeon)
• Ground ambulance services for most state-regulated health plans (Texas-specific protection)
• Air ambulance services (federal protection)

In these situations, you cannot be charged more than you’re in-network cost-sharing amount (copayment, coinsurance, deductible).

Texas Department of Insurance

Federal No Surprises Help Desk

Balance billing occurs when an out-of-network provider bills you for the difference between: their full charge – what your insurance plan pays.

Under Texas law (for state-regulated plans) and the federal No Surprises Act, this practice is prohibited in the protected scenarios above.

If you are covered under a Texas-regulated health plan (your insurance card typically shows “TDI” or “DOI”):

• You cannot receive a balance bill for emergency care or for most services at an in-network hospital or ASC
• You only owe your normal in-network cost-share
• You cannot be asked to sign a waiver unless you knowingly and voluntarily agree, and even then, certain providers cannot use a waiver
• Your insurance must count your payments toward your in-network deductible and out-of-pocket maximum
• Emergency services must be covered without prior authorization

Texas also has a state dispute resolution process between insurers and providers, so patients are not involved in payment disputes.

Your Protections Under Federal Law

The federal No Surprises Act applies to all states and covers:

• Emergency services
• Non-emergency care at in-network facilities when an out-of-network clinician treats you
• Air ambulance services
• Good Faith Estimate rights for uninsured or self-pay patients

Your federal rights apply in addition to Texas protections.

Good Faith Estimate (For Uninsured or Self-Pay Patients)

Under federal law, if you are uninsured or choose to pay out-of-pocket:

• You have the right to receive a Good Faith Estimate (GFE) of expected medical charges before you receive non-emergency care
• Your GFE must include all expected services
• If your final bill is $400 or more above the estimate, you can dispute the bill through the federal dispute process