Texas Medical Association: 25% of patients say insurers denied physician orders

About a quarter of registered voters in Texas have faced insurance denials for treatment that a physician ordered for them, according to a survey published by the Texas Medical Association.

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The survey, commissioned by TMA, asked 800 voters questions about insurance denials. Nearly 26 percent of survey respondents said that in the past year, an insurance company “refused to cover a medicine, procedure, test, or scan that a doctor ordered” for either them or a family member.

For the people who saw their orders denied, 30 percent said they paid for the medicine, procedure, test or scan out of pocket. Fourteen percent said they appealed and the insurer changed its decision. Ten percent said they or a family member had their symptoms worsen or diagnosis delayed.

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