Resources
Specialists
HealthTexas has a comprehensive specialist network, all credentialed with UnitedHealthcare. While the list is extensive, HealthTexas routinely refers to specialists based on several factors:
- Board Certified
- Expertise
- Insurances Accepted
- Patient Satisfaction
- Bedside Manner
- Location
We highly refer to specialists who provide routine feedback to our PCPs and treat our patients as they would their own families and friends!
Below is a list of the most common specialist practices HealthTexas collaborates with to provide specialty care to our senior patients:
- Advanced Gastroenterology Association of San Antonio
- Allergy Asthma & Immunology Associates
- BHS Physicians Network
- Cardiology Clinic of San Antonio
- Central Texas Pain Center
- Central Texas Pain Institute
- Consultants in Pain Medicine
- Dermatology San Antonio
- Diabetes & Glandular Diseases Clinic
- Diabetes and Metabolic Wellness Center
- Lone Star Heart & Vascular Clinic
- Oncology San Antonio
- Orthopedic Performance Institute
- Precision Spine & Pain Management
- Pulmonary & Sleep Institute
- Pulmonary Consultants
- Renal Associates
- Renal Associates
- River City Cardiovascular of San Antonio
- San Antonio Orthopedic Group
- San Antonio PM&R Physicians
- San Antonio Vascular & Endovascular Clinic
- San Antonio Vascular Specialists Corporation
- South Texas Allergy & Asthma
- South Texas Oncology & Hematology
- South Texas Orthopedic Specialty Group
- South Texas Spinal Clinics
- Spine & Pain Center of San Antonio
- Texas Digestive Disease Consultants
- Texas ENT Specialists
- Texas Institute of Gastroenterology
- Texas Liver Consultants
- Texas Medical & Sleep Specialists
- Texas Oncology
- Urology San Antonio
- Wound Tech of Texas
Referrals & Authorizations
Patients on a Medicare Advantage HMO Plan are required to obtain a referral to see a specialist. At HealthTexas, patients who need a referral will receive a printed copy at discharge to the specialist.
Understanding the difference between a Referral and an Authorization and sometimes be complicated, but at HealthTexas, this is how we define the difference.
- Referral: a recommendation from your primary care physician (PCP) to see a specialist or receive certain medical services.
- Authorization: the approval from your health insurance plan to receive medical services or medications. Authorizations confirm that the insurance plan will cover the cost of the service.
HealthTexas is a UnitedHealthcare (UHC) Delegate. This means we have a department that acts on behalf of UHC and has the authority to authorize referrals up to 14 business days. This department, the Central Referral Unit (CRU), currently authorize referrals within 24-36 business hours.
Many referrals that do not require an authorization. The following services, for Initial and Follow-Up Visits, do not require an authorization – but remember they always require a Referral!
Specialists
- Allergy
- Cardiology
- Dermatology
- Endocrinology
- ENT
- General Surgery
- Gastroenterology
- Gynecology
- Hematology/Oncology
- Infectious Disease
- Nephrology
- Neurology
- Ophthalmology/Optometry (STTEC)
- Orthopedics
- Palliative Care
- Podiatry
- Pulmonology
- Rheumatology
- Urology
- Vascular
Labs / Procedures / Diagnostics
- Colonoscopy
- CT Scan
- Dexa Scan
- Doppler Studies
- Duplex Scans
- Echo
- EGD
- EKG
- Mammogram
- Routine Labs
- Stress Tests
- Ultrasounds
- X-rays
PT / OT / ST / RN (outpatient)
- Initial EVAL plus 5 additional visits of PT
- Initial EVAL plus 5 additional visits of OT
- Initial EVAL plus 5 additional visits of ST
- Initial EVAL plus 5 additional RN visits
DME
- Ankle & Knee Braces
- Cane
- Crutches
- Diabetic Shoes
- Nebulizer
- Walkers/Rollators
- 3-1 Commode
Supplies
- Foley Supplies
- Ostomy Supplies