For routine visits they're fine. Anything beyond this that may require specialized care be forewarned. In this instance,you should have health insurance coverage out of network that allows you to make this choice without their approval.
She'll deny your requests at all costs. However, if you dare succeed in getting your loved one to the best of care facility that's not within their little network, but still within coverage she'll do everything in her power to derail the process. My friend fought to get her mother transferred to an excellent facility, covered by the same exact insurance, just not within this practice circle of providers. The facility contacted Nora Buckley many times to arrange the transport, however she proceeded to not answer her phone for several days and give an approval for the patient to be transported. She was describe by many staff at the new facility as being spiteful and vindictive The best of this is that, ultimately she cost the insurance $4500.00 as they had a life support ambulance waiting.