Health Net Reviews

I huge pet peeve I have with Health Net, besides what other people have said is their lack of releasing prescriptions until you only have two days left of your medicine. I called them today about one of my prescriptions **. I was told by my pharmacy that I could order on the 18th of this month. I run out on the 21st. I get my prescriptions delivered for free from my Health provider. Health Net said they could only let me order on the 16th. Five days before it expires. This medicine only cost $3.45. I told them that date is on Saturday, my pharmacy is closed on the weekend. They said there was nothing they could do. I have different times for all my refills. I don't get it. Some are 10 days, some 8? I never had an issue with any other insurer before. That is just on issue in a long list of other but super annoying. R

HealthNet is a terrible company. They deny claims and delay payment as their typical MO. The claims department won’t even return my calls three times to the case coordinator two times in the general appeals number just goes to voicemail. Not one phone call return, our daughter's emergency c-section birth last summer, six months ago and the bill still has not been adjudicated. I’m going to the state now for arbitration because I have no other recourse. Any legal advice? Health Net won’t even return our calls, buyer beware, do not buy this insurance product.

Health Net customer service and website are nonfunctional. I spent weeks trying to select my PCP for 2024 and the website kept throwing an error. A week after it finally went through there was no response. I spent 1/2 hour and three phone calls to get a general timeline for when this would be complete. They were so unhelpful that I changed insurance on the spot. Luckily I'm still in open enrollment and not stuck with them for a year. I have had Health Net twice in the past and figured they were better now with such transparency and competition. They're worse. Get Blue Shield.

I am trying to get paid for a claim since May. I appealed 3 times. The dispute department in Farmington MO is useless! They keep on printing the same letter of denial without reading the letters that I am sending them explaining why they are wrong. Every other department I called they get it that the Appeal unit is wrong but, they say, "There is nothing we can do and there is no one you can talk to. We are sorry we are wrong, but we can't do anything about it and there is no one else you can talk to." What type of insurance says this, what type of business doesn't have a resolution to an issue they are wrong about? This is terrible! The worst experience EVER!

This complaint from my Sept 2023 Dr. visit out of network was resolved. I was notified approximately 3/10/24. I normally have to pay within 30 days of the visit. They took nearly 5 mos. from the visit to finalize. The amount was within the 70% out of visit per the contract. This seems like a long time to pay for a routine hospital visit. I did not believe it would be paid after that long.

Updated on 12/02/2023: I previously posted here. Then Health Net posted - "we want to help." Health Net has NOT helped in any way. I was still not able to obtain any of the benefits. In fact, regarding my knee, I recently had a Dr appointment with my orthopedic surgeon, he said that he called Healthnet directly with a peer to peer call and my Dr said it would be helpful for me to get the shot. The person at Healthnet still denied the shot for my knee. I have chronic knee pain with no attempt from Health Net to help.

New employer with new options. I see our primary is in network, so we sign up. They assign us a Doctor in an entirely different county that’s about 80 minutes away through a dangerous canyon road, as opposed to our primary who is 15 minutes away in town. We go on the web site and select our doctor and it says to wait 3 to 7 days for approval. So we cancel our appointments and wait 10 days because we heard nothing back - nothing! Then we call and the lady says that the web site doesn’t work for changing doctors but that she can fix everything.

My Doc ordered a CT scan on a Monday, and it's Friday, and still no approval. I called several times myself and was told it was passed along to the National Image Association. They could not find my account until yesterday and now say there are 1-2 days to input my info. My Doc thinks I my have pneumonia or a clot. I am still waiting as of Friday. This is unacceptable!

Updated on 05/31/2023: My previous review goes over exactly what you may experience dealing with these people. If you are considering Health Net or already have them, please read it and stay far, far away if you care about your health and mental state. What I wanted to bring up just for fun is after 40+ communications to them that went unanswered in the past when I had health issues (I have e-mails and have documented all of these), Health Net magically appeared in this thread and stated "We will have a representative call you." This was over a week ago...guess what hasn't happened. HAHAHAHAHA! I wouldn't be laughing if I still had them for health insurance but fortunately I don't. Of course they didn't call back when they said they would here JUST like they didn't over and over and over when I had them as my provider.

Started with Health Net this year. My wife and I went to our primary care provider for the first visit and paid the 45 dollar bill each which is the correct amount for a regular doctor. Then got a bill for 40 dollars more each from Health Net (like my doctor doesn't know how much to charge for the visit). Since I got the erroneous bill I have spent hours and hours on the phone to straighten it out. It's beyond fixing. My doctor is listed as a specialist in the billing department but not on the providers list and this is an ongoing issue that HN doesn't fix. I was told everyone that has Health Net and my doctor gets overcharged and is an ongoing problem. The customer service is the worst. They are a total waste of time and you won't get anywhere with them.

Every time I call the customer service line for help with my insurance, it always ends up the same. I call for a simple question or request and each time I’m on the phone for AT LEAST an hour. They have me input all my information prior to being handed to an agent but when I reach the agent, I have to repeat everything again!

I am appalled by the terrible of customer service, misinformation and incorrect information given, and my money being taken and used to put towards a payment I did not authorize and a flat out refuse to refund me, which is illegal. I have spent close to 20 hours in the last 2 weeks on the phone between this terrible company and Covered California. Everything they were saying to me turned out to be incorrect according to Covered California. Their response to everything was they couldn’t help me, they couldn’t do this or that, and instead I had to ask Covered California. Each time Covered California was confused and would confirm this information was totally incorrect.

Worse health insurance I have ever had, by far. I can't believe this is supposedly a PPO plan. My doctor ordered a test to rule out a serious medical issue; Health Net took WEEKS sitting on the request before denying it, insisting that a different test was needed instead. It took me probably 15 calls and at least that many hours on the phone with Health Net just to get that answer. My doctor told me she was "shocked" that they denied the claim, but agreed to the alternative test so that we could move ahead; the tests are necessary to determine a course of treatment. Fast forward and now they claim to have "no record" of the new test being ordered, despite assuring my doctor on the phone that it would be promptly approved.

It's currently December 2022 and I've been trying to change my assigned healthcare office since August 2022. HealthNet has assigned me to one 50 miles from my home while my husband is 1 mile from our home. After being on the phone for HOURS (3 different calls), they STILL can't get it done. Not to mention that one of the supervisors by the name of "Jean" hung up on me after I waited on the line for about an hour. My strong suggestion, go with Kaiser or Blue Cross. They get any requests done at the first call. BEWARE HEALTH NET. They are horrific. At this point I'm sure Medical is better.

This health insurance is awful. I'm a nurse myself and choose to pay out of pocket for insurance (I pay around 500 a month for insurance) because I want to work per diem. Their provider list is not updated online so when you call Health Net to ask for a provider/specialist, they give you providers that may not even be covered by your insurance. I just now called Healthnet for a retina specialist and the lady on the phone had no idea what I was talking about. She also transferred me to eye med even though I told her I didn't need an optometrist (I already have been on the phone for 45 mins) and eye med told me they do not cover eye specialists. So now I have to call back and potentially wait another 45 mins. This is just one of the many complaints I have about Healthnet.

I have had the unfortunate opportunity to do business with this insurance company over the past 5 years. Although I was not contracted with this company they were under the umbrella of MHN for mental health services. They also unfortunately fall under a secondary insurance for Medicare and MediCal patients. FIRST: What I know about HealthNet is that if they want something on a patient, they know how to contact you by phone to obtain a patient's personal and protected information. Second: What I just discovered is the following and this is directed to providers. I have 20 claims since June 2022 that were submitted as secondary insurances for Medicare patients which have not been paid by HealthNet.

No matter what, Health Net will not approve a claim. I had a Covid test that was over $100 so submitted a claim. After 6 weeks went by I decided to call to check on it and they said they never received it. The 2nd time I sent it I sent it with proof of receipt so they could not say they did not receive it. That time they said I wrote in an incorrect member ID but after looking at the form I submitted, my member ID was correct, but they wrote down my member ID wrong. They eventually never approved it saying I needed a certain claim # that the tester did not provide. Recently I submitted another claim for an OTC covid test. Again they said they never received it. I asked if I can just submit a claim through email and they said no. I'm guessing this is to substantially reduce the amount of claims that they have to approve.

****Health Net Will Deactivate and Activate Your Insurance Without Ever Notifying You**** I have had ongoing billing problems and didn’t have eligibility with a couple of doctors despite having paid the premiums. My monthly premium was $430.82/mo and was being billed automatically to my credit card. However, I was billed $1,173.12 in May. Called and they corrected the issue. Was later notified that my new premium amount would be $453.35/mo effective June 2022. In June they billed my credit card $906.70, 2 months worth of premiums. I did not make the July and August payments. I also called and said I would like to send a monthly check in lieu of having premiums overcharged to my credit card.

This has gone on for 3 years!!!! Really bad business practice!!! They do not contact you (the insured). They need to cancel and require a signature before being able to re-insure!! And who are they billing!!! The state of Oregon paid my premium??

Say no to Hnet. I have had every referral, every procedure denied, sent 30 miles from my residence. Most recent mental health referral approved for provider who does not even take Hnet. Being killed by healthcare.

They put every possible barrier in your way to receive help, hold times are ridiculous. In their defense the entire country has a EXTREMELY WARPED view about health care! When are we going to fix it? It’s absolutely insane that we as American citizens have to STRUGGLE and pay obscene amounts of money to get basic health care!

I have never had such a terrible experience with a health insurance provider. I opted for the UC Blue & Gold HMO plan, thinking I'd have access to great physicians. Instead, I have been trying desperately (and ultimately unsuccessfully) to find a neurologist to address nerve pains for the past three months. Health Net's provider list is out-of-date, some physicians there have left the region years ago. In other cases, I found specialists that were listed as "accepting new patients," but as soon as I got my referral to them, they disappeared from the provider list. Other times, the phone numbers do not correspond to the current workplaces of doctors. Customer service has tried to help, but everyone has access to the same outdated and pretty useless database.

Health Net is by far the worst insurance I ever had. Comically bad. The company is a scam. It's taken me a year to try and get a single COVID test reimbursed. They make multiple mistakes, customer service gives conflicting and incorrect information, they LOST my documents and claim forms TWICE already. They also made a mistake by reimbursing completely unrelated and incorrect hospitals/clinics...ALSO TWICE! Dealing with this unreliable company is an unbelievable headache. I literally have never had such a bad experience with any company, ever, in any industry. Unbelievable.

I’ve already reported this to CID, which I recommend everybody else does right now because I’m going to tell you, no representative is any help, they will continue to offer you assistance rather than forwarding you to a supervisor/manager, but their way of helping is putting you on hold for 1-2 hours in order to delay the issue, it what this company is known for. I simply just wanted a cancellation and I was also informed by representative Diana and Shawna that I have 1200 in compensation.

This insurance company is built to piss off the customers. I am confident that Health Net is the WORST insurance company in the world regarding customer services. Every time I call the customer service to make a payment, I realize what a worst phone response I have ever experienced. I don't know why the recipient is talking like a ** while she is receiving salary with the money I pay.

My domestic partner has been trying to cancel her policy since October 2021 and she is still getting charged. She has insurance through her employer and no longer needs this policy yet she is getting charged for a policy she does not need or want. Every time she calls the attendant can see all of her attempts since that time and they assure her that it will be corrected but it never gets corrected. She has asked to speak with a supervisor and they always say that their supervisor is in a meeting. How convenient. It is clear to me that Health Net is not a good company.

I purchased covid19 self-test kits, they are covered for reimbursement by Federal Law. I called Health Net to know the procedure to have the covid19 test kits reimbursed, the customer service representative on the line made me wait for over 2 hours on the line to tell me the correct form, he wasn't educated on the issue. I filled out the form and put the receipts, and mailed them out to the address on the form. The form was received within 2 days. I called Health Net to have a payment date, since it has been over 15 days that they received my claim form and I've been in the line with Supervisor Jed L. for over 2 hours, they are saying that they didn't receive the claim form. In 2 hours that I have been on the phone, the supervisor above is going in circle and is making me wait for over 30 minutes at a time for me to give up and hang up the phone. Very frustrating and stressful situation without a resolution.

I have 4 root canal needs, when the doctor sent request to Health Net to apply authorization, I was denied 3 of them, It took me a lot of time to appeal with healthnet, they finally Deny my APPEAL, eventually I have to change my medi-cal insurance to strict Medi-cal, and another dentist who applied to Medi-cal directly and got approved all the teeth root canal authorization immediately. I was so angry and confused about Health-net, I want to let everybody know that never choose health net dental, they are not really want to help people in need, never choose healthnet, terrible experience for me, my teeth have had pain for a few month only because of their irresponsible deny decision. It's really a nightmare for my dental experience.

Healthnet is by far the worst insurance I ever had. I experienced discrimination, billing, and neglect issues.

By far the worst insurance experience I have ever had. I never write reviews but I hope this might help future prospective customers. The only claims were for Covid-19 tests, which were incorrectly processed. The customer service calls are wired to a remote call center and the service is abysmal. I was told claims would be resolved and they were not reprocessed on multiple occasions.

RUN, dear God RUN, and do NOT think about using this ripoff "insurance" company. They stole $895.16 out of my autopay, with NO explanation at all. REPEATED calls to them got me hung up on 5 times, disconnected 8 times and then a blithering blathering "so sorry this happened to you - NO REFUNDS!" My Medicare kicked in and CALCOV stopped. With NO WARNING, they took ALL that money from my account and WONT REFUND IT. It is for coverage in January. this account was ended a week earlier, with the help of my CAL covered REP. Health Net is a RISK they don't pay on time and you cant talk to reps without being hung up on. My DOG had better health coverage, 20 years ago, than these lying stinking weasels can provide

I have been searching for Supplemental insurance to cover IVF treatments. I paid $645 to get started with it with Health Net on a multiplayer with Valiant and Aspire 500. The conversation was recorded, I provided all the codes for all the procedures, and I was assured by a "licensed insurance rep" that every code was covered 70% and in addition up to $2000 per occurrence for surgery, including egg extractions. I Also confirmed with the insurance rep that the clinic that I was going to Participated with the insurance plan.

The registration process is a complete joke. I signed up for insurance in May but it is December and I still do not have access to my account to search for a provider BUT HealthNet has no problem taking my money for services I fully able to access. It took several months MONTHS to receive my ID and get entered into the system. Then, I tried to access my account and my birthdate was wrong which required hours of waiting on hold, filling out forms, and waiting for the system to be corrected. Now, I am trying to register my account but my account number and DOB is not recognized by the system.

This insurance company is a pure scam. They are taking people's money and providing nothing. None of their online/app interfaces work, the people on their 1 800 number gave no clue what they're doing. If you call a Dr and mention Health Net you'll get hostile responses, I guess no one wants to deal with them. My husband broke his arm, Health Net told my husband to get a referral from Urgent Care to see an Orthopedic Dr.

They took big government pp loans but take money and do not treat the community. It's a scam. Leave while you can. I will try my best to expose this place. It takes funds but no one sees a doctor for several years if you still alive. Trust me, it's a scam.

I need to have a very serious surgery and Healthnet is dragging its feet. In about a month or two I'm going to need a blood transfusion if my surgery is not authorized. My Dr's office is appalled that Health net is dragging their feet on an URGENT AUTHORIZATION because I'm slowly bleeding out due to abnormal sized fibroids and an enlarged uterus. It also doesn't help that I suffer from MS. Last Dr visit to my primary was extremely scary. She made it clear that I'm not producing blood properly. My Dr already had to cancel my scheduled Sept 28th surgery. Still no word and I had to go through another period that had me bedridden. Dealing with this company has become a detriment to my health.

Do not get Health Net as your health insurance provider. They lie about the PPO, I called in advance and spoke to a very rude person who told me that I can go to any doctor since it is a PPO, she said that it is out of network I will just have to pay the co-pay. I scheduled the appointment with the Dr. and when I checked in they told me that I have to pay cash because Health Net does not pay them.

I have Tricare Prime insurance, which is linked to Healthnet, which changed from United Health Care. This company has continually denied my claims to get my vascular surgeries done, even though I desperately need it. I have nine leaky veins, causing blood to flow away from my heart, causing pooling in my lower extremities. They still consider my issue to be cosmetic. I’m at a potentially serious risk for blood clots, and nobody, including anyone at my doctor’s office, or even at Tricare is willing to help me. I was told that it’s not a covered benefit, so I may have to go out of pocket.

If you’d like a health insurance company that loves to make you work hard to overturn for errors THEY made, steal your money, time and sanity then this health insurance company is right for you! Dealing with a medical claim for the past 5 months for a medical coverage I was recently denied only to be told it was actually covered after the procedure. They then denied me my refunds, make it absolutely HELL to go through the strict reimbursement process and called customer service numerous times for help only to be told “sorry can’t help you”. Not to mention their plans are denied to me at almost every medical facility. I’m getting out of this crap of insurance provider and taking my business elsewhere. Health Net needs to be shut down for GOOD.

Beware: I've experienced too many providers who have problems getting paid by Health Net. I have been told by my next provider, If we don't get paid for the first 2 hours of your treatment, your insurance has left us no choice but to discontinue servicing you. There is all I care to share.