Health Net

Health Net...don't offer to contact me regarding this review. I am done with you and will never change my opinion. Hopefully others can see this utter lack of care and follow-up that your organization provides and choose someone else. Maybe you should spend your time actively calling your actual members back instead of being so fast to respond to any complaints on this website (and then you still don't get back when you say you will).

Original Review: Long story somewhat short as this could be a novel...stay far, far away. I wish I had read my own review prior to signing up with this "business". A few of the lowlights:

- Any general that you go to will haw and hem when you tell them you have Health Net. Good luck getting anything done that is pertinent and needed for your health.

- Customer service...HAHAHAHAHA! I have a chain of e-mails that literally has 25+ e-mails from me asking to talk to a supervisor. This went on for months where every single time they said "I have forwarded your request to my supervisor to contact you." nothing ever happened. They also have individuals with made-up names (you can tell that they are made up as they exist nowhere on line) that are part of their "Appeals" departments that also never answer phone calls.

I changed to another provider and WOW...what a difference. Please for your own health and well-being, don't touch this company with a 10' pole.

I was told by my medical group to change doctors is the only way to fix the problem so I called Health Net to do that and they failed at that also by telling me they were going to call the doctor to see if they had openings. But Health Net already told me there were openings and the agent told me he would call me right back and as it always goes with Health Net failed to call me back and confirm my new doctor. FAILURE at EVERY level. Don't waste your money with Health Net. They can't do anything right and their customer service is ANYTHING but customer service. Health Net is truly hopeless. I'm having to change back to Kaiser due to the series of failures from Health Net. Completely INEPT!!

They also outsource their customer service reps and because of this, they don’t understand me half the time! I have to be spelling EVERYTHING out, I feel like I’m in a damn spelling bee. Then they bombard you with the same questions and when you finally get to ask your question, they put you on hold! And the hold music is AWFUL. And awful whistle music that gets a higher pitch each note. I’m positive they make the music awful to make you hang up. After the “brief” hold, the agent always runs into some ** of an issue that makes your call basically meaningless. The reps are soo USELESS. Can't spell, can't understand, and can’t resolve any issues. This is the worst insurance I have ever had and I will switch the second I get the chance.

Healthnet cancelled my insurance after their auto pay failed, they also stopped accepting credit cards from abroad for payment (probably because they switched to a new banking system) so I was unable to use my card from abroad (I’m an English national living in America and have been using my English Visa card for the last 10 years in america without problem). They said they would ‘try’ and reinstate me when my payment to them had failed and my plan terminated. They suggested I make a payment to make sure I would be reinstated. I understood this was for the the next month, as we were already at the end of the current month. They took too long to give me a response so instead I had to go to a different healthcare provider.

When they did get back to me they said they could not reinstate me and said only covered California could (which is not true). I told them cancel the reinstatement. And please refund me for the payment I made for the next month. Instead they took that money and applied to to the month that was missed in payment - which I did not want or authorise. Covered California said definitely they should refund me for it. But healthnet refused the refund. All of their representatives (apart from one) were foreigners abroad, a simple request of ‘can I please speak a a supervisor’ lead to a 3 hour expedition of being referred to several other departments - none of which were supervisors.

Initially I was even told I was not allowed to speak to a supervisor (?). The ‘supervisor’ I spoke to I suspect was actually the customer representative I had just spoken to prior, I also suspect he made up a western name for himself. I was told nobody had the authority in any department to offer me a refund - how is this company running? It sounds like a complete scam. I was told they would make a complaint on my behalf. I said I wanted to make the complaint myself so I’d be sure it went through and what was actually being said. I asked for a number, email and mailing address for me to contact the complaints department and they said they did not know what this information was, and apparently this of tomato on either doesn’t exist or nobody knows where to get this information from.

So there is nobody at all you can contact to complain or get a dispute heard. When I was transferred to the ‘supervisor’ I did previously ask what is the supervisor's number and what is the escalation teams number so I can reach them directly and I was told ‘they don’t know’ again, and that they would ‘call them to ask them what their number was’ - this is beyond a joke at this point. And they never did that, I never did get any contact information. They are unfortunately not to be trusted with your money and you will not be helped if you have a problem. I would strongly urge anyone considering this company to go with another company instead.

It has now been nearly two months and I'm still waiting for approval for a basic test that could rule out several serious medical conditions and let me move on with a treatment plan. If you add up all the customer service hours wasted talking to me on the phone, I'm positive that it would have been significantly cheaper to just do the test as originally ordered.

They are disorganized, unhelpful, inefficient, and deny approval medically necessary tests and procedures. When you call you just get kicked around to different agents, none of whom know what is going on. They give you phone numbers to call that are not even functioning phone numbers. I feel like I'm trapped in a bureaucratic maze with no way out. I'm a tough person, but I've cried multiple times after wasting hours on the phone with Health Net. If you have the option, run, don't walk, to a different insurance plan.

They also do not have TMJ specialists close by (they had one but they were located in San Diego) and I live in LA. I had to pay out of pocket for my tmj specialist so I've spent thousands of dollars on tests/oral appliance/sleep study, etc just because Healthnet did not have a provider to treat me and they also do deny claims. Healthnet is corrupt. I would never recommend this insurance to anyone.

My billing person called them today (10-24-22) and asked why they had not been paid. Here is their response, they were paid but they had all been returned undelivered because they had been sent to a previous office location which has been closed for the past 4 years. Did they contact me regarding this undelivered mail. No. They were happy to keep the money that rightfully is owed to me for services rendered.

Anyone who knows anything about providers knows that insurance companies incessantly hound us almost monthly for our locations, and hours of service by mail, email and phone. We also report our addresses, phone numbers and hours to governing agencies to gather our information quarterly. Not to mention that as providers we all report our information to many different entities to make sure that we are located. These days anything can be found on the web just like my looking for reviews on HealthNet which is why I decided to post this. Thank you for listening.