Texan Plus HMO
Too long to review referrals and inappropriate denials for needed health care

My mother has a compression fracture in her back. She went to her primary care dr on July 23rd when this was determined using X-rays. A referral was requested for a back specialist.instead she was referred to a pain management specialist. She was notified of the approval in 7/29. She saw him on the 30th. Note: on 7/28, she was able to walk with no assistance. On the 30th she needed the assistance of a walker. This is a significant degradation of her walking over the period of a few days. The pain management specialist prescribed both an MRI and a back brace until they were able to treat any issues found on the MRI. The back brace was not approved until 8/6. Up until 8/5 Texan Plus implied that the referral would be approved. On 8/8, I talked with Texan plus and they advised us that her Dr would would notify us about treatment and that it was stll pending. This was at the same time they advised her Dr that the referral had been denied.By this date, my mother is unable to walk with a walker and must use a wheelchair due to severe pain in her lower legs when she stands. The delay by and focus on profit by Texan Plus has robbed my mother, at least temporally, of her ability to care for herself. If this is a permanent situation, in my opinion, Texan plus is responsible for placing profit over needed health care.

Company: Texan Plus HMO
Country: USA
Address: P.O. Box 741107 Houston TX 77274-1107
Phone: 8662302513
Site: sctexas.com

  <     >