Health Net Reviews

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.

The website makes no sense and is poorly built and riddled with errors and sloppy coding. The service people can't seem to keep records straight. It was the cheapest plan my employer offered so I went with it, but do yourself a favor and stay away from these guys.

Health Net is a scam. Worst health insurance I ever had!! One star is too strong a rating. I have been waiting for authorization for a surgery I need, since February 2018. The doctor's office has been trying to get the precertification pushed through since then, as well as myself calling repeatedly to get information. I am never, ever able to speak to someone that seems to know anything about my case, even though they certainly must have the information on file and have been contacted by myself and the doctor's office dozens of times since then. I believe this type of service borders on criminal.

This is hands down the great scam artist company I have ever encountered. My work switched me to this “health plan” and it is absolutely awful. I purchased their Platinum PPO plan and they have denied absolutely every single claim, doctors request and prescription I have attempted. $800 per month and they cover NOTHING! They should all be in prison! Here’s to praying the earth opens up and their headquarters are swallowed up whole! Every senior management member of this company should be indicted for fraud.

Health Net sent a letter to its customers explaining that a Health Net vendor had been hacked and that hackers got customers' personal information. They are careless with customer's data and need to take more IT precautions. I cannot recommend Health Net.

Having dealt with the healthcare system since I was 14, I am not stranger to how awful of an experience it can be. However, Health net's lack of compassion, and constant arguing with my doctors is unique. They are limiting my use of a medication is previously used 3 times a day down to 1 AGAINST THE MEDICAL ADVICE OF MY PRIMARY DOC AND SPECIALIST. These people do not know kindness or reason for that matter, I encourage anyone/any family with consistent medical problems to steer far clear of them.

The worker said I wasn't found in the system. All rude and argued with me instead of listening to me before I could even get a word out. I was trying to ask a question about my membership. Because I saw I was ENROLLED on your website but instead she was rude and hung up in my face. I will be calling corporate.

Referrals are usually denied. What you have access to are terrible, unavailable doctors. Most care is denied, the clinics you can get referrals to go to are horrible walk-in style places that won’t make appointments and have limited availability. It’s virtually impossible to get an appointment anywhere even with your PCP. Had to pay out of pocket for emergency dental care I desperately needed because Health Net decided that it was unnecessary. This insurance is the absolute worst. I have a serious condition I haven’t been able to get help with for months even after finally qualifying for Medi-cal because it has been an absolute nightmare trying to get the care I need because this insurance puts up walls between me and providers that can help at every possible opportunity. I cannot state enough how awful this insurance is. It’s like having none at all but your life is twice as frustrating and difficult. Don’t choose this plan please.

I was seen by my dentist who was not the network of Health Net. She wrote me a referral to see oral surgeon including TM joint problem. I called Healthnet member services which waited over half an hour and got answer of asking my PCP for referral for my TM joint. I called Healthnet dental member services and informed me there was orosurgeon network for healthnet. I booked appointment of the same orosurgeon who is both TM joint specialist and orosurgeon. But they said the referrals were not right and told me to call Healthnet again who told me to ask my doctor and dentist to call for pre authorized referrals. I called my PCP who said he was busy and couldn't have time for preauthorized referral...and didn't make sense to ask for authorization of referral..

Do not use Health Net, pay more if you have to, read reviews. Call member services all you want, issues which you will surely have will not be resolved. This company is your typical "we are experiencing high call volumes" company. Service is non existent. A disaster in every sense of the word, from billing to pharmacy to getting medical cards to getting on member portal. A "customer is an inconvenience attitude" is the norm.

As of beginning of this year I changed my plan from Blue Shield to Health Net. What a big mistake. Even the primary dr that they assigned me Doctor ** didn't accept my insurance. I called three times. Every time they give me new doctor something went wrong. Thank god I have still chance till March 15 to change them.

6 days in for my mom's insurance. Couldn't find a urgent care facility using the 4-in thick book that they sent me. So I called but nobody answered the phone except for the nurse hotline then they asked me 10 different questions and said that my mom didn't have insurance there. Transferred me to someone else to ask the same 10th questions and said we don't have insurance. Transfer me to a nurse who said that she wasn't a nurse, you had to look it up the account who finally found it. And they said they can't find urgent care facilities near us but we're in a big city.

I was contacted by a representative for Healthnet because of this review, and although it took over a month of back and forth and escalating the issue through customer service, they did (FINALLY!) resolve the issue in my favor. It was still a PIA, but I am staying with Healthnet because they still are less $$ than the other PPO options and I like my primary care physician. Meanwhile, I give ConsumerAffairs five stars all the way! :)

Updated on 12/08/2020: It has been over three months now trying to get our refund. They responded to our review on this site saying they want to help, spoke with two supervisors and still nothing. Even left a voicemail for Lori ** and she never called back. We were emailing with Irene who told us we were denied the refund after three months of doing exactly what they told us to do, and they promised if we did what they asked which was basically doing their jobs for them, we would have our refund. Now it’s denied. They say we are with covered California yet we are only with Health Net and called covered California four times and they told us we are not in their system. They are blaming them so they don’t have to send our refund. I am disgusted with this company and will continue posting reviews with their names and speaking with attorneys. So sad what this world has come to.

Healthnet/Centene takes contracts for lower income Americans in billions of dollars, but they deny care. They will never give you a referral. I had to go the ER 9 times in the last 4 years because they wouldn't send me to a specialist and my health got worst to a point where I almost died. They will try to delay Important things like MRIs, Specialist appointment's etc, to expand their profits. I am shocked how State officials are still giving these greedy people contracts. There's reports of people dying. One man who died of colon cancer because he could not see an specialist for years, another woman died of kidney disease. But guess what. Centene's stock went up and the CEO just took gave himself an extra 25 million dollars in compensation. I am shocked that human life has no value to these people on money.

I spent 5 days trying to determine my dental insurance coverage. Spoke with several agents in the process and received several varied responses regarding my coverage. Finally contacted them with my agent (which recommended them) on the line and although they had differing opinions about what the contract stated at the start of the year, it seemed that the coverage changed during the course of the year. I wouldn't recommend Health Net to anyone. It's too bad I didn't do my research and read through the reviews listed. Stay far far away from Health Net.

I owe the hospital over $13,000 dollars due to an emergency room visit that was apparently not covered. My credit score is currently over 700, but now I will have a HUGE hit and flag on my record because of a mistake make by their unqualified representatives. Every year the provider changes to some random doctor after you re-apply. So it’s a scramble to keep anything and everything going on, medically.

HealthNet gave me a random Primary Care physician for my daughter, even though I selected her regular Dr during enrollment who is listed as in Network. Fast forward and I realize the error when it’s time to get my Daughter seen for a knee injury and I can’t get into to her regular Dr. No problem, I change her Primary Care Dr online and then call the next day to follow up. The customer service rep tells me 10-14days, the following month before the change takes effect. After an hour over the phone, he then tells me they will backdate for the current month, but they need approval and they will call me back. I never get a call back.

1.5 years after a claim was processed and paid by Healthnet, Healthnet retroactively took back the money from the medical provider and the medical provider billed me in full in the amount of over $1,000. Healthnet claimed they were not the primary insurance provider, when in fact they were, which I've proven on multiple occasions and at least one rep has admitted to.

HealthNet changed out insurance and we were sent a new plan with a different primary physician. We were under the assumption we weren't able to have who we had chosen. I called them to confirm the details on my health insurance card. I went to the dr on my card to get a referral to a specialist. I received a bill from them with ridiculous charges, like a strep throat test which was NEVER administered etc. I called to advise that I have active insurance and they advised they had changed my primary card dr to whom we initially requested. I advised we were not notified nor sent a card with new insurance details, a letter, a notification and I had even been advised by a representative to go to who was on my card. It was in the same group (Canopy Health anyway) so was advised I should file a complaint to have this covered and it should be paid.

My dad passed away in June 2019 and Health Net was still debiting his account. In December 2019 I called to have the debit stopped and a refund of $2,332.40 sent to my Mom. I am still waiting for the check and have contacted Health Net each month since to be told the check was on the way, however, no one could ever give me a check number and the date of mailing. I was given Louis name and ** telephone number and assured I would receive the check in 7-10 business days. He no longer returns my calls and the check has not been received. This is April and I am still waiting for the check for my Mom who is 86 years old. This is elder abuse holding on to funds for this long.

I have an underlying condition that requires surgical treatments. Despite knowing this, I've been denied these surgeries. On my hand which is virtually unusable I was told to go to 6 weeks if OT. I went once, and the OT provider said she could do nothing and surgery was required. It has still not been approved. For my full knee replacement, the first was denied and PT ordered despite bone on bone arthritis. I've not even tried for the second full knee replacements.

Updated on 5/25/2020: Don't go with Health Net even if their prices much better, you will end up paying everything from your pocket!!! I wrote my previous review on 23rd March after loss of hope that I could get my situation resolved. Health Net contacted me urgently. However, it was the most useless month of conversations. They wanted me to persuade Covered California to Cancel my Health Insurance (which is not related to my concern at all) for the past 2 months and only after that I can get my payment refund. Just the money I have paid for services I was not able to receive.

I have never experienced such difficulties with a representative (and I am one myself). I have been trying to receive coverage on a daily basis I have been charged for twice, but the representative takes days to respond and says there is no proof that I have applied. Therefore, I have been charged by a company without receiving the service (getting robbed). I have sent her countless pieces of proof that I have applied correctly (excluding the payment, which in itself is a proof). If you want a headache, join Health Net. :)

As a provider for over 2 decades, I have never had to deal with a more horrible manager. Besides significantly cutting provider payments to laughable rates, they actually billed us for "over-payments" along with interest we allegedly owed them for clients on our caseloads prior to the unannounced cuts. There's no speaking with them. They clearly couldn't care less if providers leave. Feel very sad for our vets, but apparently the Pentagon "awards" to the lowest bidder.

Healthnet, I usually like your service. However, this is not the first time I had this experience with an insurance company, but I am calling you guys out on it. First this poses a threat of 2 laws is what I believe. The first is subscription to a service without my consent and the second is my HIPAA law. I had called in @ 12/18/2020 because I had a bill from you guys that had automatically signed me up for 2020 without my knowledge and charged for me. Called @ 12/18/2020 and cancelled with my credit arriving 5 business days back. I got a bill back on Jan 18. Charged again except for 2 months now. Called again, refer to interaction code of **, of your business. Employee indicated that it was not cancelled because I had not provided proof that I was insured for that time and that I am still subscribed to the service.

My insurance was cancelled and Healthnet wants to charge me for months that my insurance was cancelled. The last bill I received said I owed nothing and now they want to charge me. I have called numerous times, each time helped by a different person who knows nothing about what is going on. Being placed on hold for hours and after being on hold for an hour and a half, they hung up on me. If I were in better condition financially I would look for a better provider,

I have received close to 100 calls in the last 48 hours just asking for a quote. I got what I needed but the calls keep coming. Based on these reviews it sounds like this is all just a scam at best and unacceptable coverage at the least. I'll look elsewhere.

They don't pay attention to their notes from previous calls. I have talked to at least 6 people regarding a bill they keep sending. We almost didn't get to see a specialist because they said we were not paid up. I finally got ahold of a man named Eric on 8/16/19 and he called the specialist and told them Health Net was at fault we were paid up. We went through all the payments and he saw we were paid up. This has been going on for over two years and are still getting bills. We were told at one time they would do an audit and never heard back. I have kept notes and reference # for all calls and the person's name I have spoke to. I have spoke to billing and customer service and have been run around with no end insight. They are giving me high blood pressure and more anxiety than normal. Pretty sad for a Health Care Company to make people sick. This has been since 2017. It's just sad.

As a very new member with a PPO plan, it has been frustrating and stressful just trying to get information about in network providers and facilities. Would NOT recommend Health Net plan to anyone considering it! Some of the customer reps are very nice and helpful (I had those rude ones too) and they themselves are surprised by the inconsistencies or errors in their system database and have said to me “this is strange. Will have to report this”.

Updated on 01/15/2020: I have noticed that many Health Net reviews on this site are followed up by a response from Health Net claiming that they "want to help," and requesting communication. My own previous review (cf https://www.consumeraffairs.com/insurance/health_net.html?review=7435853#review-7435853) was followed up by the response "We want to help, Benjamin. Please check your private messages."

I have the right to file an appeal for denial of medical services and the employees at Healthnet keep telling me that they do not know how to file an appeal to help me. They tell me to call again later after having me 1.5 hours approximately on the phone asking over and over the same questions and/or on hold. This situation (between the request of services, denial and trying to file an appeal) has been going on for approximately 3 months. I need medical services and even though I am a medical member they keep being denied to me. I need to be seen by an endocrinologist.

I have the Health Net HMO plan and I'm writing this to hopefully help inform anyone who is looking into healthnet as their primary insurance. I cannot emphasize enough how useless and absolutely frustrating dealing with this company has been. You will be on your own if you have any sort of accident or medical emergency. This is a long story, but I feel it's important to tell it in it's entirety as it depicts the tediousness and wastes of DAYS spent just trying to get the care I needed.

Have submitted several claims, only to have them "lost" and have to re-submit, returned for further information at least twice, and after calling and being on hold for 45 minutes, was told it will be reviewed, only to get yet another denial. Not a single claim filed for "out of network" has been accepted. And I went with their "Platinum PPO". My previous plan was a Not-For-Profit and was excellent. This is awful.

I’ve interacted extensively with Health Net after a trip to the emergency room in late 2018. Everyone I’ve spoken with has been kind and helpful, but the process, and Health Net’s actions, have been anything but. Health Net has denied the claim several times for different reasons. The hospital made repeated attempts to submit a claim and contact Health Net in the week after the ER visit, but Health Net only acknowledged receipt of the claim seven months later, shortly after the expiration of the “timely filing period”. After much digging on my part, the hospital resubmitted the claim with proof that they filed it in a timely manner. I was told by Health Net that they received the documents and would process the claim, only to have it denied again for being out of network.

Health Net Dental issued my refund check on behalf of Lakewood Family Dentistry, so the issue has been resolved.

Tricare recently switched to Health Net and we have had nothing but problems since. We received thousands of dollars in bills because Health Net said we went to an out of network ER. When we asked where should we have gone it took them an hour of them searching and they referred us to a rehabilitation center. This was an incorrect referral. Turns out the ER we went to was in network, Health Net's records were incorrect. We've used their website to update information/enroll and received confirmation letters. After a few times of my children being seen it was recommended we CALL Health Net to verify everything is correct. Turns out our records were changed by a Health Net employee. We were never notified and now we're stuck with the bill. Health Net stated the letter we received didn't matter. Their employees are unprofessional and lack the knowledge to appropriately assist their customers.

Since 7/9/2019, my husband has been trying to receive treatment for extreme pain in the lower back and upper piriformis muscle. His pain is debilitating and he has seen his doctor and a chiropractor on an ongoing basis. 7/15/2019 He received an X-Ray that showed significant bone on bone in L5, F1 space. Both his Dr. and Chiropractor believe it is either a bulged or blown disc in his lower spine. His Dr. then recommended physical therapy. Which we tried to do, but Health Net had entered his birthday incorrectly and informed us that we needed to go through Covered California to fix it. 3 weeks went by and still no physical therapy approval. The pain was now beyond unbearable, so we return to his Dr. on 9/5/2019 for some kind of relief or further treatment. His Dr. recommends an MRI to determine the correct diagnosis and course of treatment and or surgery. The MRI request was sent to Health Net.

Health Net cancelled my daughter's health insurance because I paid late 3 months in a row. It was my understanding that I was allowed to pay late, just not be 3 months late. I called to verify this and was told that, yes, I can pay late as long as I'm not 3 months behind. Well, I paid late 3 months in a row (NOT 3 MONTHS LATE, ONE MONTH LATE FOR 3 MONTHS IN A ROW). On the third month, without notice, her plan was cancelled. Now I am having a hard time re-instating the plan because they just don't care. If I had any idea this would happen, I would have paid the late premium on a credit card and dealt with that later. This company is heartless.

I simply wanted a rate for coverage. When I understood the rates I let the rep know I wasn’t interested. After that in one day I have received 100 calls literally back to back no matter how many times I have said I’m not interested, put me on the do not call list or let me speak to the manager. They rudely hang up in my face and call right back. Next step BBB.

Tricare Health Net Federal Services since they took over from United Health care has cause me nothing but problems. First there were delays in all my referral for me and family. Then they started send my referrals to a Base that was 80 miles away when it was out of area telling me I had to go there for care. My co-pays were always coming up different for same service on TRICare Prime Option I had to call to correct often. Then the latest was getting a much needed referral authorized for a procedure for my wife out of network because my network group could not preform the procedure. I had to pay upfront getting it done. Now I have my congressman fighting for me to get reimbursed.

After reading numerous BAD reviews (not at all surprising) I find that I can relate to every one of them in some way through my own unpleasant experience with Health Net. I’ve had endless problems from day one. Customer service reps are absolutely worthless and a total waste of time. I almost always have to go through two or three “supervisors”, all of which usually have different answers or EXCUSES. I have collectively spent DAYS on the phone with these people trying to get answers and correct wrongs and inconsistencies, most the time, almost always, with NO RESOLUTION.

Like the insurance but wish it covered eye care and hearing aids and testing. D coverage is great. I have a PPO policy, so I go to whichever Dr I choose regardless of their location. This is so much better than my former HMO with the same company.

After been assaulted with knife in Dominican Republic in November 2018 at my vacation and spending 5 days in intensive care unit after surgery on my lung, I am still waiting for Healthnet to pay for emergency services around $15000. They refused to cover it using different ludicrous excuses: they never received my claim (I did sent it 3 times to them), I did not translate the hospital bill from Spanish to English, I don't have coverage (I am making auto payment every month on 29th for last 3 years),

Have had Health Net for about a year and never really used it. My old primary wasn’t a part of their provider list so called in to ask about choosing a new one. The person I talked to gave me a list and I chose one. Booked an appt with my new primary for a women’s well check. Arrived at my appt and the lady at the front desk was having trouble with my insurance so she called Health Net while I’m present. Everything is cleared and I go in for my well check.

My wife provided with 2 different incorrect insurance cards for 9 months resulting in denials of service. Customer service seemingly not trained fully enough to be cognizant of the consequences and taking a lackadaisical and unprofessional attitude. Company is not proactive in informing insureds on limitations of service vis-a-vis approved testing facilities for their individual plans, resulting in my wife getting unpaid medical bills through denial of claims as well as denials of service from potential providers. Company should snail mail list of approved "vendors" but prefers to be passive and let consumers find out "the hard way". I know of someone who was once trained to work in their call center and, therefore, I have "inside information" of their inadequate training procedures and harsh attitudes to their own employees.

I had a callus on the bottom of my foot peel off & left a open wound the size of a silver dollar. Spent 5 days in the hospital I had to have a picc line put in to administer IV antibiotics daily to avoid bone infection & removal of more toes. Wound care was necessary twice a week. Unable to drive with the wood boot & the wrapping it's the right foot. Health Net refuses to pay for wound care. Says it's not an emergency? Really? 8 1/2 hr drive to our Primary Dr. What are we supposed to drive to CA twice a week? Not only did Healthnet screw us around getting a Dr til June now this? Are we supposed to never go out of town/state for vacation?

I will NEVER use this company again. I sell health insurance for a living and will also NEVER recommend this company to any of my clients. They do not cover anything even with a PPO plan and in network facility. This is the worse company that I have ever had to deal with. Save yourself any agony and expenses and stay away!!!

Been with Health Net for just over three years. A result of Obamacare takeovers. I found them okay for generic purposes like getting prescriptions and such but when it comes to hospitalization and Home Care beware. I found my case worker which represents Regal and ASAP to be far from professional. I received a registered letter today which informed me that I was not cooperating with doctors by attending Network appointments one of which was just tentative to start with presuming I didn't get hospitalized which I was. The problem is when I was hospitalized for amputation the hospital gave me different instructions from that which Health Net thinks I should follow. I was informed that failure to cooperate what network doctors could lead to being dismissed from ADOC. I had an infection as a diabetic which resulted in the severance of the large toe which meant I was now being seen by a hospital podiatrist not in Health Net Network.

My aunt was recently diagnosed with cancer. Doctor ordered PET Scan, Health Net is refusing to cover. They tell us to call Medicare who in turn tells us to call Health Net back because they should cover her. So here we are almost 2 weeks later and still waiting, in the mean time my aunt has to wait to begin treatment. The way I see it since it’s not their loved on they DON'T care, but they sure are quick to take her monthly fees every month. They also refuse to speak to us. They want to speak to her, so they not understand she is SICK and doesn't have the energy to be dealing with this.

I had problems with Health Net since day one. Is always one thing after another and no one seems capable of helping. I decided to cancel this insurance but even after I cancel they keep sending me bills non stop each month. I’ll keep on calling asking them to cancel my insurance and they keep on telling me to call Covered California because they weren’t authorized to cancel my insurance so I called Covered California and they told me that the problem was not in their end but in Health Net so I continue to call back and forth with the same response each time. This insurance is ridiculous. And to make things worst I am receiving a bill from a doctor visit from almost a year ago and the thing is that I already paid a bill for this doctor visit. I have receipts and all proof.

We have been going to the same doctor the whole year of 2018 and out of 8 claims, one is being refused to be paid and processed out of network when all the other appointments were processed in network. They are not consistent. Sometimes their system says in network for the same doctor and sometimes it says out of network for the same doctor. Called in so many times and spent hours. I am going to bite the bullet and pay the retail price and stop wasting time on calls and time that get nowhere. I will never use Health Net again!!

I was sent to an off-site facility after my two surgeries at the hospital, Health Net refused to pay the facility from 7/21/2019 in which we're fighting for an appeal process. They never returned my phone calls. They had not never returned my doctors peer-to-peer call request. They never paid the facility which had me go home on 7/27/2019.

We did our homework before going to a new doctor for preventive care and had the doctor's office call Health Net prior to going in to confirm that our plan indeed covers the procedure. We explicitly told the provider that we would not proceed with the appointment if we didn't receive confirmation that we were covered. The Health Net rep confirmed that we were indeed covered and so we went ahead with the procedure.

Like random incorrect claim denials and 25 minute hold times? Like having to call your insurance company on a weekly basis? Like getting multiple EOBs FOUR AND A HALF YEARS LATER?! HealthNet is the company for you! I ran as fast as I could from Health Net to Blue Cross in 2016 after some health issues started for me in 2014. Funny thing about Blue Cross? You don't NEED To call them because the insurance works like it's supposed to. On the SAME DAY from HealthNet, I received an approval letter for an upcoming surgical procedure expressing I would have coverage... and a denial letter in separate envelope saying the SAME procedure wouldn't be covered. Huh?

I have been with Health Net PPO plan for 2 years, so far, the doctors are not accepting the Health Net PPO plan. I chose PPO plan because where I live, don't have Korean doctor and that's is why I chose the PPO plan. Yet, no doctors accept the Health Net PPO. What problem with Health Net? Now, my wife is pregnant and she need to drive for at least one hour to doctor who accept the Health Net PPO, if I am lucky to find within one hour drive. Consider that if my wife needs to drive with big belly, will cause the problem to the baby inside womb. I want to choose my doctor as normal PPO plan where close to my home.

I have multiple sclerosis and need to be on a new medication for treatment but Health Net won't cover it unless I try two other drugs. The issue is the two other medications they want me to try I cannot due to preexisting conditions but they won't listen. My neurologist office was on the phone with them for over an hour and half trying to explain that but they wouldn't budge. They don't care about the individual, just bottom line money. I'm going to look for a new insurance when open enrollment opens.

I've been a Tricare member since my retirement in 2014 and I've had the same provider the entire time. My wife is on her second due to her initial provider moving. We both recently received letters telling us that our PCM has or is changing. No reason was given and I had to play detective to figure out what happened. This is the second time it happened to me, the first time I was never told about it and I only found out because a referral my doctor wrote for me was rejected. I was able to revert back to my original PCM but I was still frustrated what had happened. This Friday I looked at my milConnect account and found that my wife's PCM had already been changed and my was set to change in the future.

My friend has Health Net Silver 87 Community Plan and has been hospitalized 3 today in the past two months. He is ready to be discharged but needs to go to a short term Skilled Nursing Facility as he is too weak to go his me with no help. Our Hospital Caseworker is saying she is having a hard time getting Health Net to place him somewhere!!! It’s on his plan so why is he having problems.

My wife is pregnant. We scheduled an appointment with a doctor and double checked we were covered. Turns out we aren't after the fact and we are stuck with thousands of dollars in bills. I went to a routine check-up. Verified doctor is covered. One year later I get a bill for $350. Health Net covered nothing, not even the 50%. My wife had an emergency surgery last year. Finally we get a bill. Guess what... All out of network again of course. More money, more wasted time following up. Just about every other hospital visit charges are incorrect and we spend hours on the phone with both the hospital and Health Net sometimes getting charges to be corrected. Biggest hassle. Biggest scam. Expect nothing to be in network. Expect no one to tell you what is in network.

I joined Health Net through Covered California in 2019. I chose them over Kaiser, which I previously had, so I might have the option of different doctors. Big MISTAKE. This has been the worst experience I have ever had with a health provider. The first doctor I chose, her office was filthy. The office did not have medical filing cabinets, but rather just stacked all of the patients files on a desk and shelf in a back room and shuffled them around when looking for someone's file. The medical receptionist had no idea what she was doing and could not pronounce basic medical procedures. They did not send referrals in, lied about, and when they did do, they did it incorrectly. I called Health Net, as this was all very concerning. They advised me to switch PCP, which I did.

I chose Health Net PPO California for our covered California plan back in 2017. It took effect 1/1/2018. It was the biggest mistake that took until April 2019 to finally get resolved. Their claims department processed all of my claims as out of network. Including my general practitioner who is on my medical card as a recommended doctor and others that I got directly from their website. After making a 2 complaints to the Department of Insurance and working with the legal department for Health Net, all of my claims finally got paid minus a $15.00 Co-pay that the Charles in the legal department said the only thing I could do is file a grievance. So I will be paying this final $15's just to finally be done with this company. I would have given 0 stars but it won't let you.

My Son was born on 10/26/2018. On 10/27 I purchased Health Net insurance for him. He had his first check a few days after leaving the hospital. Unfortunately I did not have a policy number to provide to his doctor so I paid $125 out of pocket for the visit. I submitted the form for reimbursement and was told a check was issued and sent to me on 1/25/2019. I never received the check. I was told that the check would be issued. I have to talked to numerous reps and supervisor each time getting the different answers. The last supervisor I spoke to said that they are confirming the original check has not been cashed before they issue a new check. That was 3 weeks ago. Still no check. 5 months of run around. I think they want to you give up so they can keep your money!

I am pregnant and therefore need to find an OBGYN and hospital close by so that I can have prenatal care and plan for labor and delivery but Health Net is putting me through hell and back before they can figure out what is in network for my plan. Using my Health Net online account I found an "in-network" doctor and confirmed with Health Net on the phone that they were in network. After visiting the doctor I came to find out I am out of network. The discrepancy seemed to be because the enhanced care PPO is a smaller network, but whoever I spoke to didn't confirm that and the website search that I have access to through my account is inaccurate. Since then (5/10/19), I've been trying to figure out how to get that doctor contracted or find which doctors and hospitals are in-network through customer service, but it's been non-stop trouble and a waste of time for me.

Having problem with this insurance. I did let them know that my plan had been terminated since March 31 2019 through Covered California, but my desperate effort to inform this insurance that I have another insurance, they keep sending me bills and pressuring me.

This is by far the worst health insurance I've ever gotten. The networks are TINY, it's impossible to find a doctor nearby who can get you in for appointment in less than a month, and in my current medical group there are ZERO gynecologists. How is that possible or even legal? The website is useless, the communication is horrible, the customer service is completely useless. I've never been so upset with an insurance provider before in my life, and I've had some bad insurance before. But never have I been compelled to write a review about how bad it was until Health Net.

My husband has been dealing with one problem after another with Health Net. We see a specialist and then they send in an authorization for referral to another specialis or procedure and we hear nothing for a while then we are told the authorization was denied. This has happened over and over again. The Health Net patient portal is useless. Half the autnorizations listed are not active links so you are left guessing what is going on. Every time we call we have to push our concerns to a Supervisor because most of the general staff that answer the phones have no clue.

More expensive each year with less coverage and outrageous prescription coverage. Ambulance bill I had I paid 350.00 and ins paid 77 dollars. The RX Gold card gets about the same discount as insurance and it costs nothing. We had better coverage at no additional charge before Obamacare but that was cancelled when Obamacare came out and we were forced to only one option. It should not even be called insurance anymore. I no longer trust any insurance co. When you have paid into something all your life and you get to an age where it would be helpful it is not much help. I live in a County where the options do not exist and because I had a hospital visit last year I no longer qualify for anything better. HUH!!??

Incredibly unprofessional and shady insurance company, called for coverage twice for a program and they said we are covered but when the bill came they retracted what they said and I'm stuck with the bill. Never had any one that could actually help me. Even no apology for lying.

Unfortunately, it seems my experience is similar to many others. My daughter received services through an Urgent Care in February 2018. After many hours on the phone and filing two grievances, I am still having to call every few weeks and have still spent hours of my time trying to get the matter resolved. Even after finally receiving a letter from appeals in January stating my case was reviewed and approved to be In Network, it is still pending. Every time I call I receive the same information... it is still pending. This is absolutely ridiculous that this has to occur in order for anything to be resolved. We decided to switch our daughter's insurance this year because of this. Health Net is no longer getting our money and not surprisingly, our insurance broker said that many others felt the same way about the terrible service and unresolved claims, etc.

I've had a few major accidents. Had to file claims with the the California Dept. of Insurance continuously in order to force them to pay claims that were rightfully their obligation. Including ambulance charges. I was told" she no longer works here" when I requested to speak with the one person who was willing to do her job correctly. 100's of hours wasted while simultaneously fighting for my life battling with Health Net's team of demons during the 8-9 years I was under their "care." The fact that Health Net still exists baffles me.

I had Health Net insurance coverage in 2017, it has been the worst ongoing experience. PCP visits were paid as specialty, the doctors office would then bill us twice the copay stating it was the health insurance, stating it was the coding at the doctors office, error were never corrected and we were expected to pay. Many times they deny claims due to network issues and they have to be called and shown where the provider can be found in-network on their website, be prepared.

Benefits - eyewear. I had been with Health Net for five years. I received email from Health Net On April 18, 2018 about a reimbursement (you pay the money and mail us the reimbursement form). I did and mail it but they are denied. There is no documentation that was wrote. Health Net will NOT PAY if go out Network in this matter, I already switched to Aetna. I already told my relatives, friends and any person I knew about this and I advise them choose Aetna, Cigna or Blue Cross Blue Shield. NEVER CHOOSE HEALTH NET.

I was covered for the entirety of 2018, and had paid every month, but when a sudden bill for $460 appeared in October that year, I was perplexed. Multiple calls later with a host of different representatives, and nobody was any wiser, and every single person I spoke to kept referring it to the auditing dept, and promised to call me back within a couple of days. Those calls never materialized. When my plan was terminated in January, I made several calls with Health Net and on their advice also to Covered CA. It was there that someone spotted that I had moved homes in August, which would have changed my premium, had I moved out of district -accruing the $460- except my zip code hadn't changed. Apparently, when I updated my information with them on the phone, someone at Health Net had made a typo from 92036 to 92037.

Today is April 8th, 2019 and I called Ambetter twice and their system was down. I have written six complaint letters to Ambetter concerning their terrible services and none have been answered. I have been denied services and prescriptions after having paid my premiums. I have had to call a total of nine times to establish a primary care physician. Each time I call the representative it is always an incompetent human being who is unable to remember the reason I called or that I had already established a primary care provider on a previous call weeks ago. A supervisor whom I escalated the issues to was rude and nasty to me.

I have called 4 to 5 times and the story is really long. This insurance is the worst I have ever had the displeasure to come across. After having an allergic reaction while at work in Sacramento (I commute from San Joaquin County) I dropped by the urgent Care to make sure I was ok and to get some allergy medication... WOOPS! Even when I called Health Net and asked at the counter (they said my insurance covered the bill) lo and behold I get a bill for over 200 for my 10 minute visit and prescription. I talk with Health Net. They say they fixed it. I get another bill. My mom calls Health Net and is positive they have fixed it... She gets the reference number of the urgent Care and Health Net. Lo and behold another 2 months later we get another bill (this time with a late fee on it)... We call Health Net!

There is no vision coverage for Tricare Select Retired that is frustrating. I have attempted to get my eyes checked several times and found out there was no coverage. Also, if you are retired you are obviously on a fixed income or lower income than when we were active duty so why would the copay be higher for retired members and their families.

I have been with Health Net for three years and can't say one good thing about them. I was pregnant in 2017/2018 and had to fill a continuity of care form to deliver at an out of network hospital since I was already far into my pregnancy. It was approved but after 15 months, I am still battling claims that were denied that are a covered benefit. I have filed appeals, which were approved but still have not had resolution. I pay my premium and do my due diligence with reviewing my policy. And then I am told that the forms we receive that explains our coverage and covered benefits, don't mean anything and that the provider doesn't have to accept the contracted rate of payment when the claim in processed... WHAT?! I would never recommend Ambetter to anyone. It has been a nightmare and I don't see an end in sight.

I was insured all of 2017 and was due to have my second child in February 2018. I was informed my coverage would change and my OB and hospital I chose to deliver at were no longer going to be covered as of 2018. I was offered the opportunity to fill out a continuity of care form so that I could finish out my pregnancy and deliver at the hospital of my choice. My care manager informed me that I was approved and granted a prior authorization for these services. It has been OVER a year and my claims have still not been paid.

Updated on 04/02/2019: I previously posted a review on this website about dealing with the Claims Dept for over a year about getting a claim resolved. They sent me a private message saying they wanted to help and to contact them via email. I did and was told the name of the person handling my issue as well as her contact number. I called because nobody had reached out to me, and not only did she have no idea what I was talking about, she just told me to contact their main line as a solution. Again, such a complete scam. They don't want to help you, they want you to GIVE UP.

I have no doctors in my area, call then and always refer me to the outdated list. Finally a representative took her time to find me a Nurse Practitioner as my primary Dr. She told me she was going to send me the new card. She never did, the N.P. is billing me because she is out of the network. I call and I call. Sign a grieving and they never call me... No solution...

I paid for the month of January 2019. I did not get insurance cover and they didn’t refund my money. It has been over 2 months and no one will take the time and help me to fix the problem. They just keep transferring me from one to other or hanging up on me. No one know their job over there.

Claims from 2018 show as paid per EOB but nobody can show proof of payment to doctor who continues to bill me. There are now 6 claims to the same pathologist that they have not paid going back to October 2018. Reached out of pocket maximum for 2019 on January 7th and they processed 2 more claims since them showing I still owed more money. Sadly this is to the same pathologist from 2018.

They will not cover any of your costs, even for very basic checkups. Their business model is to create so much red tape only a team of highly paid lawyers could actually find a way to get them to cover any costs.

Just got on Health Net, and in two months already having issues. Getting a prescription filled is an interesting experience, you may not get what you need even with a doctor's prescription. I need to take my medicine twice a day, however this awful company only will cover once a day. Nevermind I'll be spitting up stomach acid and blood with this level of dosage, as long as they can save a couple bucks they'll do plenty of harm to you. We need to shut these third world country type of operations down.

I called customer service to ask for some assistance regarding my wife. She had a heart attack and was rushed to the emergency at Oro Valley Hospital for treatment, following several days in ICU she was released and told to get a follow up appointment with the Cardiologist. I called her PCP but he has moved somewhere and the group that he was associated with told me they do not have any forwarding information. I know that she will need a PCP referral to go to see the Cardiologist so I called Health Net customer service and explained the problem to their associate that I was connected to and she told me that she would need a referral or otherwise Health Net will not pay for any of her Cardiologist appointments. I told her that our PCP had vanished and his office staff could not help me so what can I do to get a referral? I asked her if she could offer me any help or suggestions and she replied NO.

I am the Surviving Spouse of a Marine Corp. Veteran. TRICARE PRIME used to offer me wonderful coverage, but they changed insurance carriers over a year ago and I have had to leave my previous Primary Care Manager and attempt to find one in Health Net's NETWORK DIRECTORY. The directory is full of outdated listings that stated they were taking new patients, yet every Physician's Office I called stated "We aren't accepting new patients," or "We don't accept Tricare or Health Net insurance." Many of the phone numbers didn't work or the doctors had relocated.

I have been with Health Net for two and half years, and if you don't have anything urgent this could be a fine plan for you however if you by chance have an accident and need immediate treatment you can't count on Health Net. Every time I called I was given different information by the staff which delayed getting a referral approval. Too many employees who don't keep their word and follow up. I spoke with someone who sound so efficient and said he was calling my provider and call me back by end of day, nope never happened. But even worse I called the next day and they tried to connect me to this person and had me on hold and said I guess he isn't at his desk and the person on the phone couldn't help me since he had the keys to the file.

I have been with Health Net for 10 years, the last year has been absolute hell. I checked online to see if my insurance covered chiropractic, it did. Yet it's not being covered and there's no record of claims on my file, despite my Dr's office sending in the claims and getting the denial of claim back, which I have seen with my own eyes. Problem #2- they pre-authorized a MRI for my daughter. She had the MRI and the claim was denied. $1200. It is being resubmitted for the third or fourth time right now. Problem #3 - I have never had a deductible. Only copayments. Until this year, unknown to me. Until I received the bill from my Dr for my daughter's appt thats in the hundreds. I was on the phone today for 2 hours and got nowhere. I am still going in circles and dont have anything figured out yet. I am beyond livid.

I signed up for Health Net PPO minimum coverage Jan 2019 through Covered California as a downgrade from my more expensive previous medical insurance. I paid my first payment and made an account using my subscriber number, no red flags yet. Fast forward a couple weeks I receive my card in the mail. I notice it has a hospital listed on it as my main doctors, when I never chose a specific one, and I’ve never seen that listed before. I want to look for a doctor in my area so on the website I search very specific results 20 mi radius, my specific min coverage PPO plan through CC and I notice it says 3,500 doctors in my area (red flag) and I’m thinking there’s no way and every single one says accepting new patients.

Buyer Beware!! In 2018 my premium was $30.00 a month and my 3 tier prescription was $35.00 a month. One year later 2019 my premium went to $104.00 and prescription went to $85.00. I can understand and increase but this is highway robbery to increase this much!! Thank goodness I go on Medicare and get rid of Covered California and Health Net in March. This is why Obamacare will implode by itself. It will price itself out of the average person affording it.

The problems I've experienced have gone back and forth between them and Care1st, one always forwarding me to another. Me, often getting stressed due to a clerical error on their end -- the last one over Christmastime was corrected as it wasn't my fault. Well now I'm dealing with even more liars and agree with every bad review on this site about them! I've had to call and wait only to get no one on the other end or people that were entirely unhelpful.

This is the worst medical insurance! My husband was diagnosed with cancer on January 23, 2019. He had us biopsy on January 21st but Little Company of Mary wanted to ensure that they received their $500.00 deductible prior to the procedure. His primary doctor scheduled an appointment on January 23rd to check his BP, when we had an appointment to see the doctor on January 25th to get the results of his biopsy. Needless to say, my husband was given his diagnosis on January 23rd, how messed up was that? He paid $20 to find out that he had cancer. We have been waiting for a referral to a thoracic surgeon since January 24th. The first thoracic surgeon scheduled my husband for surgery before receiving the PET Scan results. The primary doctor, Dr. Stanley ** sucks!

Tons of problems with this HMO. They sent me four incorrect membership cards to wrong doctors. The website and member services people indicated a doctor was accepting new patients but the actual doctor's office informed me know that was incorrect, so I had to reschedule and get a brand new doctor. The doctor I finally got prescribed the wrong dosages and wrong quantities for my medication, forcing me to write two letters and make 10 phone calls. They charged my credit card incorrectly for medication. The website is difficult to navigate and constantly goes down. You never get to talk to the same person twice to solve issues, so you have to explain over and over again with different people. I left this HMO in 30 days and returned to one that I've had for over 10 years.

I had Health Net and every time I called to report a problem they keep transferring me to different people or giving me different numbers to call or simply the phone call gets disconnected. I am already fed up with all this incompetent health plan. It should not exist. When I finally got to talk to someone to fix the problem she make everything worse for me. My health plan went up to the point I couldn't pay anymore. When I realized their mistake and called them they say it was not an error from their part and that I have to pay the premium.

In 2018 I was in California, out-of-network, and broke a rib. Went to ER to be treated. Claim was sent to Arizona Priority Care as requested on the back of the insurance card. Turns out APC doesn't handle out-of-network so it should be sent to Health Net/Allwell for them to handle. Hospital had to search for the correct address and resubmit the claim. HealthNet denied it, no reason. Every time you call to get the reason you get another agent that only can take notes and forward them. Can never talk to a person that can give an answer. Now I'm afraid they will eventually deny it due to time limit exceeded. If you signed up with them for 2019 you have my sympathy. If you have to go out-of-network be sure to stay in close contact with the doctor/hospital to keep on top. No Star! One star because I have to.

Confusing website - didn't recognize my subscriber number. Created an account, didn't recognize my password - tried to change password, didn't recognize email or subscriber number. Way too frustrating and didn't even get into website yet.

Had an emergency overseas. Plan says will reimburse up to $50,000. Submitted a claim in July 2018. No one can provide any information as to why the claim was not been processed. No one ever returns a call. They say they will return. Worst plan ever.

This company doesn’t deserve to exist. It doesn’t respect the customer, and the doctors. Right now I’m trying to call them and for the second time it got disconnected. They simply didn’t process any of the claims correctly. Most of my EOBs were wrong, and mistakes are for example, I only go to providers and they send the EOB saying that the doctor is NON Network provider. It’s very irritating!!! I have to call them almost every other day to complain. Don’t buy their health insurance! I have a good PPO, I pay good money and have no respect whatsoever! ZERO STARS!

This contractor is a disgrace to our veterans and families. Active duty service members go to military clinics so they may not be as affected by TRICARE Prime outside of the facilities. But our veterans and families are! Worst contractor yet. Provider directories are very inaccurate. Most doctors within the directory don’t exist or don’t even accept Tricare. Also, if you do happen to find a provider you realize that they are very incompetent and don’t even know how Tricare works. I haven’t had care in a long time, due to these issues. It’s almost like I don’t have insurance at all. I can’t even imagine how many other families are affected by this. I really hope something changes because having this type of substandard insurance for another 5 years is just inconceivable.

We have Health Net Health Insurance through Covered California. The specific plan is called Hill Physicians Enhancedcare PPO. My husband severely injured his lower back on August 28, 2018. He went to his primary care physician who ordered an X-ray to determine extent of the cause. The X-ray showed severe damage to his lower spinal discs. The PCP referred him to 4 different spine specialists who ended up not taking our insurance. We found out that there is not a specialist in Sacramento who will take the type of insurance we have. There was one specialist who did see my husband and recommended an MRI, but could not see him anymore after it was determined that their practice does not take our insurance. That wasted 8 weeks of time that my husband was in severe pain and unable to work with no income.

Wife & I live in Oregon and signed up Dec 2017 for Health Net Violet 2. Jan 2018 noticed that their medical claim dept in Calif had our mailing address wrong. The drug claim dept (at the same address in Calif) has our correct mailing address as does the billing dept who sends us our monthly statements so they get their premium payments! Numerous calls to their customer service over several months and even e-mail to their corporate office has resulted in no correction or even a callback.

This is the worst Tricare provider yet. Just last month, they informed me that my insurance was canceled retroactive to Jan 1, despite me paying all the premiums. Health Net is insane! Terrible customer service, terrible billing department. They are incapable of solving the smallest issue, except taking your money. Good luck getting them to cover anything. Wife's pregnancy related bills have been resubmitted multiple times, Health Net refuses to pay. Getting ready to go to collections, this is the worst insurance in the world. Prepping a lawsuit, the only way to fix this.

5 days and several hours on hold. Supervisors saying they will call back "within 24 hours" because the hold times are so long and then they never do! ESCALATE: Call corporate: 818.676.6000. They will send you to the executive response team. Good luck. HealthNET is pathetic.

When Anthem/Blue Cross left the California Covered plans this year (2018) I was forced to choose another plan. Health Net was recommended to me and I was told that the EPO, a newer kind of insurance, would be good to have. Worst insurance mistake I have ever made. Doctors were running from them when I tried to make appointments! They would not ever cover a flu shot. I called in advance for doctor's visits to get approved and told what my co-pay would be. They repeatedly told me that doctor was contracted with them, and the doctor told me they were contracted with them, but the billing kept being returned to the doctor's office as unpayable.

I am SHOCKED at the poor service and even worse customer service!! I was being referred after having chest pains to see a specialist. After two weeks of NOT hearing something to set up an appointment I checked online to see if anything was approved. It had been, so I called the Dr. they set the referral up for and was told I was not in the system as nothing had been received. In other words, no follow up with the provider!

Have had Health Net Ruby for Four years. A good experience until this year. It started when we started receiving EOB’s that were not coded right. First, I tried their website without success. So I had to call them to get them to revise the claims. The customer reps that I spoke to were inexperienced and didn’t seem to be able to help me. Finally I called the local agent and after many conversations was able to get these claims revised. Since June we have not received one EOB but, apparently, our provider has because we getting statements that say we owe them money. We have paid all of our copays. Now, the local agent has not been able to resolve this problem. I would not recommend Health Net.

I signed up my family for the Health Net IFP Enhanced Care PPO plan in San Diego, California because our insurance broker advised us that Health Net had started this new PPO for Scripps Health, where all of our physicians are. We received our cards with our treating primary care doctors names and addresses on the cards (all Scripps doctors). We used these doctors for annual check ups, visits, labs. Then we started receiving EOB's for the provided services. Health Net is claiming all of our doctors are not in network and will not cover any of the charges. We appealed.

Policy cancelled on 8/23. Marketplace informed me that Ambetter has 30 days from that date to send letter. The letter is required to get new coverage. Have spoken to several employees. Was even told issue was escalated. As of 9/26 still no letter. My 5 year old and I are without coverage due to Ambetter's negligence. Rep from 9/25 stated the letter was sent on 9/11 and she would try to email a copy. Never heard back from Donna the rep. I will continue to press this issue and escalate until this is resolved and if something happens to my child due to this matter not being handled properly pursue legal action.

Ambetter from Health Net - The doctor I wanted to use didn't show up as in being in their network according to the search. So I went to cancel and see another doctor. While all along the doctor WAS in the network, but not listed. Then I went to make an appointment with a specialist who was on the list and when I called to make the appointment, the doctor's office said, "NO", we are not in their network. THE MORAL OF THIS STORY IS: FIND ANOTHER INSURANCE COMPANY AND SAVE YOUR SANITY.

I received a bill of $1,287 that was Health Net's fault and they even admitted it. They said they would pay all of it but didn't. It's been 7 months now. I called 4 times before seeing my doctor and going to a lab to make sure everything was in-network and that I would not receive a bill. They confirmed that it would be fully covered. Surprise surprise, a month later I received a bill from Labcorp for $1,287. I called Healthnet and they said it was their mistake and that they made a mistake on their billing end. They said they would reprocess the claim and that it would be done in a month or so. It has been 7 months now. All they do is tell you lies so you would stop calling them. You can do everything right and still receive a bill that was not your fault.

I'm POA for my elderly father who has dementia. Coverage was canceled after they arbitrarily canceled his bank draft. Didn't find out about it until his MD sends a bill for $9000. Petitioned to have it reinstated and paid all back premiums. Finally get autodraft reinstated and they withdraw over $5700 from his bank account with no explanation. Can't get statements from them because they can't find the POA I faxed to them 3 times over the last 4 months. And they are happy to keep the $5700 if I want to pay upfront premiums for... the NEXT 2 YEARS!!!

Oh my what a racket! Enrolled in a plan for 1 particular Dr. His name was on this plan. Health Net changed our plan after we enrolled and told us to read disclosure. It states they CAN change your plan at any time! Paying 100.00 a week and still paying every time full price of Dr. THEY SUCK! Will be cancelling!!!

Ambetter commits fraud regularly. First, they decided that $8,900 is less money than our $3,000 deductible so we owe everything. They don't comply with federal regulations to provide breast pumps to mothers. They then reprocess your claims to put some money toward co-insurance instead of the deductible so you owe more money and they owe nothing. This isn't how insurance works. They work the Better Business Bureau automated system, saying they're looking into it and then because you don't respond BBB closes the complain. They claimed because my deductible changed after my son was born that his deductible wasn't met. This doesn't even make sense. Ambetter scams health care providers, too, so it's difficult to find one that even accepts Ambetter.

This company keeps calling multiple times a day even after we have told them to stop and block every number they call from. I have even called corporate to complain and got the whole I'll send a notice. Next step is a lawyer for harassment.

DO NOT use HEALTH NET. I enrolled in Health Net for the first of April and sent in the binder payment. On the first of May I read a letter from them saying they didn't get the binder payment and I was going to be cancelled. I paid a second time online, on the first, and called explaining the situation and asked to be reinstated. I called the person who signed me up. I got a 3 way.

I did not answer the dozens of Healthnet (caller ID) calls that I was receiving towards the end of 2017 because Healthnet had developed a nasty habit of having nonmedical employees calling to discuss personal and private medical issues. I got tired of telling them that my medical needs are between me and my doctor. I now realize that these were probably sales calls pitching some new "Allwell from Healthnet" $26 a month scam to 'provide transportation to and from the doctor, should I need it'. IOW, I never received any notification of ANY KIND, that, beginning Jan 2018, I would have to pay an extra $26 monthly premium to Allwell from Healthnet or face cancellation of my health insurance. After spending HOURS on the phone thru DOZENS of calls, I was told that my Healthnet coverage (of over 10 yrs) had been "migrated" to a new policy that has the stupid, unwanted and unnecessary "transportation to the Dr." service!!

As many other people on this Consumers Affairs site have expressed the various Health Net health care plans that specific doctors are supposed to accept are NOT and to make matters worse they are either knowingly being sold by Health Net via their website and their salespeople or just false information. After jumping through many hoops to change my plan via a "Special Enrollment Period" (SEP) from a Health Net "Enhanced Care" plan (should more honestly read as "Restricted Health care plan" not "Enhanced") that I enrolled in Starting Jan. 1st, 2018 I spent several weeks (taking time off my job) working with a Health Net sales specialist to make sure I found a health care plan that my doctor and Health Net accepted. Not too much to ask, right?

I was a member of Health Net insurance for 4 years. When I signed up, Health Net assigned me to a Dr. Carmel **, DBA Sierra Medical Group, Lancaster, CA. In the 4 years I've been a member, I went to this doctor's office 4 different times AND never saw a doctor!! Instead, I saw 4 different people and their identity is still a mystery since none of them identified themselves or their title! What they were is RUDE!!

I have never been mailed a Health Net ID card despite filling out their online form, contacting them by telephone, being hung up on four times, and being put on hold for more than 30 minutes (literally, not an exaggeration). It seems there is nothing I can do to get my ID card in the mail. I am paying too much for my prescriptions because I have no ID card to show. I shudder to think what will happen if I need hospitalization.

I am thoroughly dismayed at the incompetency of Member Services, and Health Net Sales agents.1) I enrolled in an "enhanced care" PPO plan with a hidden "secondary" network (separate from the main PPO network). My doctors ended up not being "in network" despite reassurances they would be; I was unable to disenroll & reenroll in another plan. 2) The premium situation never gets straightened out: was assigned 2 different start dates!! How is that possible?? I am constantly "owing" premiums to them, despite being caught up. 3) There is no form for reporting any secondary insurance to Health Net, whereas every other insurer has one; thus, "coordination of benefits" is a tricky issue with Health Net. Overall, D minus for totally "dumbfounded". A bad policy.

Healthnet California PPO - family plan - I've had private health insurance for 30+ years and without a doubt Health Net has been the worst insurer ever. The year started badly enough - website crashes, member ID that didn't work for most providers (I've been told the member ID was changing, but still can't get a member card with the "new" member-ID). However, the biggest issue by far is that several of my doctors are apparently not on the plan, despite the fact that Health Net's website says they are and the doctors say that my plan is included.

I started an online application and before I even finished my phone began ringing like crazy. I received about 7 calls in 5 minutes after attempting an online quote. Most of them hung up quickly when I told them I just wanted to sign up online. I finally agreed to talk with the 6th caller and verify my information. She transferred me to a "manager" who gave me some proposed plan prices. As soon as I voiced some dissatisfaction with her quotes she said, "this isn't the 50's anymore" and got very rude. That's hilarious to me because I wasn't born until the 70's. Then she said, "Ok, OK , OK." And hung up on me. All that just because I asked some questions about the price. I had no raised voice, no cursing, no rudeness, on my part. She was just a young obnoxious salesperson who couldn't handle a few questions. Stay away from this company!

I signed up and paid the first installment with HN during the 2017 Open Enrollment period (Nov) and decided to cancel it soon after. Called CS to cancel and was told that my refund would arrive in 20-25 days. A month later, nothing. Long story short, it was ridiculous what we had to go through. It took 3.5 months of endless phone calls, being on hold for hours, conversations lasting up to four hours, having to repeat myself and our circumstances with each person we talked to, empty promises, endless and insincere apologies, and being told lies.

Medi-Cal Health Net is not an equal rights insurance company. In the state of California they claim your family land as repayment for medical services. This includes all of your genealogy to be left homeless, starving, tormented tortured and under direct distress from past State Medi-Cal precipitant. My own grandmother work for United Domestic Workers they had Union Insurance being the state Medi-Cal. Her last 3 months of life she needed hospice so the State of California chicks for three properties.

With Tricare (military), and Health Net is the new contract (prior to '18; United Health). Prescription costs have risen; in one instance from $3 to $50. Co-pays have doubled at the hospital (learned this for an upcoming routine procedure). Dr visit co-pays have almost doubled. Since Jan; I've spent over 2 hours on hold for 3 different calls (before speaking to a live person). Still waiting for them (and United Health; who was the previous contractor) to "decide" who has a record of paid premiums for '17... United says all databases were sent to HN, HN says United has it.

Health Net will do everything possible to avoid authorizing service and payment of claims. I have recurrent stage 4 ovarian cancer. I receive care at Stanford Women’s Cancer Center. In April 2017, I was prescribed **, a newly FDA approved drug. It took two months and threats of lawsuits before Health Net was forced to approve this medication. Stanford said that Health Net was the only company that engaged in such delaying tactics. This is an expensive drug. It seems to me that Health Net likes to play a waiting game, hoping that the consumer dies before they have to pay for the medication. In addition, they again engaged in delaying tactics in 2018 to pay for mental health/substance abuse care for my son. Thankfully, we now have a new insurance company and have not experienced these delaying tactics.

Worst administrative staff I have ever seen. Now the end of February 2018 and the website has still not been updated for 2018. The website still has the information for 2017, including my ID #, Doctor, and Coverage. Every time I have to see the Doctor it is a hassle. Every time I call Health Net I get the runaround and empty promises.

RACISM TOWARDS ** MALES IS EVIDENT AND OBVIOUS AT HEALTH NET DENTAL GROUP AND ITS PROVIDERS and must be investigated by an impartial party who has power to prosecute this matter. This is an appeal of denial attached hereto. Appeal of denial for crown or any kind of restoration for tooth #31 after this same insurer approved a root canal for tooth #31 and that was performed a perilous 5 weeks ago! First, I have noticed many things about these places where my primary dental treatment is provided. There are no ** working there whatsoever. None at 1067 C street in Galt and none at 430 Pine street in Galt. The dentists and staff at 1067 were extremely rude and highly incompetent and have no compunction whatsoever about lying right to the patient’s face.

Where can I begin? From day one, when after hours of trying to speak to a human, and being transferred and disconnected over and over, brothers and sisters I knew we were in trouble. I have been trying to figure out my co-pay costs and whatever else I owe since an epidural over a month ago. My doc said it may be months until Health Net figures it out. The Tricare contract with Health Net is a disgrace and betrayal for all of us who served.

Health Net is the most incompetent healthcare company I have ever dealt with. I have spent three hours during the past month trying to select my primary care provider. First they told me to set up an appointment with my doctor and that would automatically complete the process. My doctor is on vacation for a month, so that didn't work. Then they sent an email saying I need to select my PCP. So I got online to follow the instructions and the screens online don't match the directions.