TexanPlus Health Care
Reviews and Complaints

In general, I am pleased with the services of TexanPlus. I just received a survey, however, that had a computer-generated voice. It asked me about general health issues and problems. It also said it was a Medicare-required annual survey (which I have never received before and I've been on Medicare for years!).

The problem with the survey is in two specific questions:
1. It asked: "Who is the current president of the United States: Bill Clinton, George W. Bush, or Barack Obama?" What? It IS 2019 and Donald Trump has been president for over two years now! After the fifth time it asked this question, I finally said "skip" and it did, thankfully.

2. It asked: "What language did I prefer to speak in? English, Spanish, or something else?" My reply was "English, we DO live in the United States!" It took the answer but I hope that someone heard the response because, honestly, shouldn't any American citizen receiving Medicare speak English? I mean, if they entered the country the LEGAL way, anyway!

I fell and broke my hip and feel like i have laid on the floor since dec 19, 2018...I have spent hours on hold and tried multiple phone numbers for hours and hours...and the only time I was able to get help was with an off shore call center that had no idea how to answer my questions... i need questions ask as like i said no one has even help or answered my quetiona

Texan Plus is the worst insurance available. You receive better care with absolutely anyone else.
This is the third time I've attempted my complaint. The Texas Insurance Board is also receiving a complaint about you.
My Mother (Elvia Witt DOB 10/28/31) has requested that I complain about her horrible insurance. As POA and daughter of a completely independent person, I begged her to change back to straight Medicare for future use. Texas Plus is only good when it's not used. In October if this year she had an Ischemic Stroke and was denied Acute Inpatient Rehab which she has clear Medical necessity which was recorded and given to you and Appealed twice. The last appeal didn't even get a response.
Since the stroke she has continued living alone but gave up driving. Last week she fell and has a fractured hip. Surgery was completed last Wednesday and as expected a denial was received yesterday. I started an Apoeal yesterday. She needs this Acute Rehab right now without further delay.
If she had not been denied her right and need for Rehab in October she would not be in this position now. Without Acute Rehab her independence will be tragically limited. This is a real problem with Texan Plus. I've been a nurse for over thirty years and a Case Manager/Denials Manager for over twenty. Do not insult me with Medical Necussity or Medicare Regulations, I've tauhht many classss on them. You have received clear records this time as well as in October.
Here's hoping your mother is not treated in the same agreeous manner that you have treated mine.
At this time you will need to overturn the denial for Inpatient Acute Rehab.
Otherwise I'm delighted to spread the word about Texan Plus to any media willing to print or listen. As the board looks into not only my complaint but others, hopefully they will curb your behavior or better yet close your doors.

I have cancer and tried to get into M. D. Anderson to find out they do not accept TexanPlus! Web site sucks as it does not have a list network hospitals. Called TexanPlus and got a woman in the Philipines! I asked for an American and she transferred me to Idaho. She could not tell me anything so I hung up. I live 40 minutes from Houston. It infuriates me that I can not reach someone local who would probably know something to help me out.

The web site leaves a lot to be desired. I feel they should have a list of participating hospitals in their network.

I just make an application to Texan plus HMO but I find it 's not convenient to me because I cannot keep my doctors, I decided to cancel it immediately because my pharmacy inform me that my medicare plan was changed so I cannot have some necessary medication. The texan plus sales representative paly rick to me, I told him that the plan will be effected on 01/01/2018 but he activate the plan immediately ! Please cancel your plan

Johncao Hien, DOB 06/15/1944 I have no membership number

My mother's doctor faxed/submitted a prescription to Texanplus for a walker in December 2016. She didn't expect to wait 6 months for the product to arrive. When it did arrive it was Fedexed, no technician was available for proper instruction and it was too tall. She called to request a shorter walker which will probably take another 6 months. I dont understand the Texanplus system. It would be faster and less complicated if customer could personally take the prescription to the medical supply and get evaluated by a technician.

Texan plus sucks!
If you can at all afford anything else, do so. My mother had surgery on her hand. She was sent home to recuperate. She lives with me, my husband and 2 sons. She had a reaction to the pain meds and was hallucinating. We called dr and we're told to go to er. She was admitted. We requested that she be discharged to a skilled nursing facility temporarily. She is a fall risk, cannot dress herself, she cannot get herself to the bathroom or "tend to her needs" once there. So I have to stay up at night to take care of all these things.In the nights after surgery I was up until 4 every night. My husband would wait to go into work so I could nap. I was barely functional for my family. That was why we asked for her to be discharged to skilled nursing until she could do these things better. They have an appeal process.
They send me a form. I fill it out and send it back.In 30 days we will have an answer! So, she will be discharged to home and I will get to be a zombie for my family. Thank you for nothing!

This is my first year and my last. The Doctor that was assigned to me is no longer with Texan plus so therefore I am without a Doctor. When I requested a new Doctor their was no one of quality in my area; so I had to take what was available. When I called to request a new PCP I had to go through several people before I was able to speak to Hezekiak ( I believe that how to spell his first name) who I believe was able to handle the problem can't tell for sure until, I get the results. The representatives were all very courteous but limited. I do not put blame on them. The System is not working. I also request a hard copy of the Doctor Director two ago and have received nothing.

I have been seeing a cardiologist, who is out of their network; for 5 1/2 years.For the past 4 days i have been attempting to obtain permission from texan plus to see him again for an annual check up.The staff are mostly rude and have zero authority not even the supervisors.I have been getting the run around being passed around from one incompetant person to another and provided with conflicting information. Clearly no one has any interest in assisting me.In obtaining continuity of this critical issue which is potentially a life or death matter.I need an out of net work referral.

I started to get phone calls from Texan Plus HMO. They automated voice informed me to renew my prescription and not forget to take my medicine. I tried to stop these phone calls, but nothing helped. I’m really annoyed with their phone calls. I wonder if there are other people, who had the same experience. Let’s share views about this website and maybe someone will help me to stop these calls.

A relative with a spinal injury is in the process of being kicked into a custodial nursing home by TexanPlus HMO. They are refusing the rehabilitative therapy that I am told by the hospital social worker would be approved without question by traditional Medicare. Without that rehabilitation, he won't be able to live at home and will be committed to a nursing home - WHICH TAKES HIM OFF TEXANPLUS' BOOKS since custodial care is not covered.

Clearly, the bottom line has trumped health care.

Dr. Mischke wrote a prescription to change my dosage on my nifedipine which I take every day for blood pressure. Texanplus Insurance company would not authorize approval for pharmacy to fill prescription without approval from Doctor. Three different occasions Texanplus agents faxed approval form Dr. Mischke's office for him to sign and fax back to TexanPlus agents the approval form to fill my medication. I also have problems with staff being rude and being Impolite.

I called the [protected] number and got some young girl or woman that could not speak enlish where I could understand her. I told her I needed help getting a walker and she asked me for my medicines. I gave them to her and the mg dosages as well. I still did not get any kind of help from her regarding a walker. I want to speak to someone in the good old USA not some foreigner that cannot understand me and I can't understand them.

Since April 9th through the 22nd, we have followed every request of the Insurance company, the pharmacist, and doctor and have yet to receive the medicine needed. This all happened because of a prior auth medicare part d was filed and it should have been a prior auth for medicare part B. The insurance company receieved the prior auth today; I am out of medicine and they still say it will be 48 hours before they will receive the prior auth. This is due to their lack of knowledge and incompetency. I should not have to deal with this issue. I should have my medicine to keep me healthy and help me live.