Health Net Reviews

Health Net discriminates against and punishes patients and pharmacist for not using their Mail Order Pharmacy or CVS. I have had Mail Order Pharmacy with Group Health. There was constant problems. Ranging from medication errors to meds stolen off the front porch. Health Net requires its patients to use only their Mail Order or CVS pharmacies to receive a 3 month fill/refill of medications. If not a patient can only receive 1 month at a time of medication. I have over a dozen medications which means multiple trips a month to my local pharmacy. They have removed the role of the pharmacist from the patient health care team. I and my family have devoted our lives and careers to Teaching Hospitals and Emergency Medical Care. I am disgusted at the money grubbing insurance and pharmaceutical companies and the ** of health care!

This is the worst health insurance I have ever had in my 30 years of employer provided healthcare plan. Impossible to find a doctor who takes the insurance, and then 9 times out of 10 they deny the claim anyway and you have to wait on hold for extended period to try to fight it and get it straightened out. I would dump it if I was allowed to go without insurance.

This is the worst health care provider that I have ever used. When you need help with insurance questions they are not open, and when they are open, the computers are down and they can't help you. They switched doctors on me and I went to my appt to find out that I wasn't covered by Health Net anymore and can't receive a referral. I have been lied to by the phone operators on multiple occasions. The frustration is not worth the price of the cheap insurance. Stay away!!!

Provider trying to get claims information - This is the worst company I have had the pleasure of working with. Customer service is non existent. Spent 4 hours on the phone on hold yesterday only to be cut off when someone finally picked up. When you do finally get through after hours of being on hold, they can only help you with 2 patients maximum. They are a typical government run agency and that is not a compliment.

My experience? I almost got ** by a Dr in Downey Ca and my health care Dr female, see her for more than 20 years and knowing my health issues for such long time she could not diagnose my symptoms and on Nov 4 of 2016 and due to the fact that I requested a test by myself I was diagnose with pancreas cancer and tumors on my liver? Nothing to do and get cure. Do not trust those Drs that work for this groups. They do not know when something is going wrong with you.

Health Net changed my primary care Dr without my consent. I have tried for 7 weeks to get my Dr back and Health Net keeps lying to me. My card for my Dr says one name and on their computer verification system I have another Dr. I am paying $350 a month and cannot see a Dr because Health Net will not fix the problem. The Dr they assigned me is not taking new patients! This is the worst Health Ins company I have ever used. They are taking my money and getting away with keeping me out of having a Dr who can see me. Health Net This has got be illegal.

The worst Ins. company I have ever had. They deny all your medications, and do not pay them. They pay anything they like and want you to switch your medications with whatever they think is ok with their budget. I will drop this Insurance. Please reconsider to go with this ins co. They are scam.

Be sure to video tape and record what the agent says your coverage is. Also they don't even honor their docs for how much my co payment is 10 bucks??? They have me paying full price for a generic prescription. Really??? Epic fail and they take 220 out of my checks for insurance. Why am I paying for this? It's even worse when you call the 800 number. They don't listen and they just talk down to you. I've called multiple times and they've hung up. I've looked for a sound answer. All I got was dead air nonsense from these people. I don't recommend them to anyone. I hope that Health Net gets shut down. They are horrible. They make it difficult for the working class to get affordable medications while the lazy bums get free medications. The ratings should be negative not on positive scale.

Health Net should be ashamed for how poorly stitched together their system is. I can't begin to explain all of the trouble I had with them, I will just focus on the current issue that so infuriates me that it drove me to go out of my way in order to review this terrible company. Due to the overall dissatisfaction I have had with Health Net, I decided to join my wife's insurance group through her employer. I cancelled my plan in December, successfully, so that coverage would end 1/1/17. That part was fine. The problem is, Health Net is continuing to debit funds from my bank account. That's right, Health Net is charging me for coverage that does not exist.

Health Net has not been able to handle keeping information correct, and not taking care of appointments for veterans. When you try to call and get thing corrected they say that things are taken care of or you will get a callback. But you never get a callback, and things are never taken care of. To where appointments get cancelled because they will not get the correct information. This was suppose to help veterans but it has made matters worse. Health net need to be put out of business, before someone dies due to their incompetence. I will not rate them. They don't deserve to be rated at all.

Stay away from these people. I was shopping to renew my insurance in November. Already had Health Net and received a letter that if I didn't make any changes during the open renewal I would be re-enrolled without having to do anything. Went online to check premiums for the plan I had. Heart almost stopped when I saw my plan was now 400.00+. So called Health Net who assured me that the price was a mistake because of the new regulations for 2017. She assured me that my premium would now be 1.00 with the same coverage. Sounds great but too great. So called them again. Another person reassured me it would only be 1.00. Went to pay it today and made a 12.00 payment for the year. Called to confirm that they received it. The lady told me that was wrong I owed 400+ and Health Net had cancelled me because I didn't pay on the 1st. Went round and round and she finally got someone else on the line. He confirmed it was indeed 400+.

This company Health Net is the WORST I have ever had to talk to. They changed some dates on coverage and when told about it, they kept saying it was discontinued yet they (Health Net) kept sending letters stating that there was coverage. The left hand didn't know that the right was doing. So glad that we changed health coverage...

I created an account here just to warn all of you how bad these guys are. They canceled my company's coverage the day after payment was due because they hadn't received the check in the mail, never mind the fact that they hadn't told me about their online portal to automate payments. I've never missed a payment and the check was dated long before it was due but coverage was canceled nonetheless and they wanted a $100 fee to reinstate, even after they had received all money owed. On top of that, I have spent the better part of an entire workday on the phone with 8 other people on 6 different phone numbers trying to resolve the issue. It has yet to be resolved. The people on the other end of the lines were also rude and short with me. Save your time and go with someone else.

I am extremely frustrated and not sure what to do regarding this issue. I canceled a policy with Health Net quite some time ago, via phone initially. When I continued to receive a bill I once again contacted their customer service only to be told that a plan could not be terminated via phone, it had to be submitted in writing. Why did the operator to whom I spoke initially lead me to believe that she could cancel my policy in the first place?? Regardless, during my second phone call I was given a fax number that I could use to facilitate my request. Still kept receiving bills even after this. Made another phone call to a surly customer service representative who informed me that apparently there is no one in the Health Net system who checks faxes for this number.

Had Obamacare and was glad to have it rather than having nothing, after a $50,000.00 hospital bill the year before! But Health Net became my worse nightmare and still is. I wish I knew about them before Signing up! Staying on the phone for 1 or 2 hours and the person finally comes on and has no idea if insurance will pay for what I am having done? "What" don't you work there? Then tells me to call back later to talk to supervisor. Is one not there? No! Ok give me a direct line. "I cannot do that." OMG really I must spend another 1 to 2 hours to reach her!!! And she might be on a call, can she call me back, No! This is awful service...

Health Net used to be a good insurance but unfortunately now they have one of the worst coverages and approval processes out there. I have been ping-ponged getting a knee injection medicine called **. First they denied the specialist's request for the medicine. After several months delay they authorized it but the Pharmacy (CVS/Caremark) was not releasing the medicine claiming they are not allowed and all special drugs should be sold by Acaria (a different pharmacy that has contract with Health Net on certain drugs!).

As if the care at the VA is not horrible enough this makes it even worse. FYI, to all of you that call them or they call you the veterans healthcare system is giving them ALL of your information. When I say ALL of your information I mean ALL of your information. Your medication lists, your service connections how much and what for, the progress notes and all of it! You may as well print off your medical record and hang it on your front door. They lie to applicants and the employees and say it's a 'federal job' in a 'federal building'. It's a joke!

Health Net ca has denied my 5 year old daughters cancer treatment. They have denied our appeals and our daughters doctor even called the senior medical director who is md and spoke to him personally submitting evidence of why it is standard of care. Shame on you Health Net like brain cancer in my five year old is not enough to deal with.

I am a Medicare Health Net subscriber on their HMO Plan. I get denied with everything from this "Junk" Medical Plan from medications to facilities. They will do nothing to really help you or see that you get the proper medical care you need. My last denial was to see a facility for a procedure of which is on their plan and list but not in my area. I live in Central CA and wanted to go to a facility that I have been to in the past and feel more comfortable with. I have been treated and visited all Health Net's doctors and facilities in my area and two of them actually worsened my condition. Since the facility is on their plan I did not see a problem here but I forgot I am dealing with Health Net and this "Junk" HMO! I will not be renewing my Health Net HMO plan this year and recommend to anyone thinking of using this plan beware and do not sign up for this "Junk"! You will regret it!

I paid almost $700 a month for Health Net HMO coverage from July through November of last year. I have injuries from a fall that need addressed. But by the time I went to a PCP, got a referral to see an orthopedic surgeon, got a referral from him for an MRI, had the MRI, then got a referral to a neurologist, the neurologist could not see me until February of 2016, two months after my contract job would end and I wouldn't know if I'd have another job. It took me a month to see a specialist, then took a month for the MRI, then took a month to see my specialist again. The office staff for my specialist told me that they double book. The waiting room was always overflowing and I had to wait two hours each time I saw my specialist. Ridiculous.

Your company is contracted to set up appointments for the VA and it has been months and they still have not made an appointment for my husband to receive physical therapy. I've called the first group many times and they send the information to the people who schedule. After many call the 1st group has repeatedly told me they put urgent on the request because it has taken them so long to make the scheduled. Your company should be ashamed at this terrible service. I worked in a doctor's office for 20 years - making an appointment for a patient is super easy. Please do not take on a contract with the VA when you can't do what is asked of you. Who is the CEO of Health Net and what is the phone number. You all should be ashamed of what you are doing,

Health Net for our veterans is a completely disaster for our veterans. I have spent the better part of a year trying to find just one specialty doctor, who will accept The Choice Program under Health Net, and in my case thirty five doctors have turned down the VA Choice program, because Health Net is a third party insurance company with requirements that are too stringent, and many many doctors are not getting paid. So, this joke of a VA program by a Secretary of The Veterans Affairs is simply pandering to his personal cronies in the healthcare insurance industry, leaving our veterans to have to go to the VA Medical Centers, where surgeries are delayed, denied, and botched. My advice to veterans is to go online, and look up all of the Inspector General reports at your VA medical center in your area, to see how many veterans are truly at the mercy of many incompetent doctors, and nurses within the surgical center.

Last Oct, open season. I was told my plan premium and deductibles would not change. In Jan they did mislead to renew with them. Now I pay deductibles for insulin and much more. While straightening out 50-day supply instead of 90, they sent me drugs from Jan and Feb without a deductible being charged. Thought they would bill me, they. Mar didn't need but in Apr needed to renew my prescription. Made sure it was 90 day and what the cost was to pay $101.

Having insurance through the AZ Obamacare exchange in AZ is worthless. Banner refuses to accept this. It is like being on welfare. Terrible terrible Obamacare = insurance not quality medical care. Top doctors and hospitals will not accept this insurance. Might as well have no insurance. Inferior care, service.

The only good thing I will say about Health Net is that when one of my family members needed intensive treatment for an eating disorder, Health Net gave us a single-case authorization for the best facility (that was out of network) and even covered residential treatment. On every other front, they have been absolutely awful. I was in an accident last October, and was referred for a CT scan. I waited 3 weeks for a prior authorization from Health Net for a CT scan, and it finally was allowed. But then they only paid the claim for the scans themselves, not the $78 bill from the doctor who read the scans! Four months later, I am still trying to get them to pay it, meanwhile pleading with the radiology lab not to send the bill to collections.

Last November I went to ER. FOR A KIDNEY STONE. I was there for four hours and I'm getting charged $8,000 for been there for four hours. I used their hospital and still they came out with this amount of money. After deduction I have to pay $2,400 out of my pocket. What if a need surgery? It will cost me thousand out of my pocket. What's the point of having insurance? I asked Health Net to send me a details of my policy in regard to emergency needs. I never received the details of my policy.

My wife has been battling breast cancer for the past 10 months and I have unfortunately had to make far too many calls to Health Net. I will start out by saying that their pre-authorization unit has been excellent to deal with and in general they have paid most of the claims properly. But beware, if there is a problem or claim issue, you will be frustrated beyond belief. Unfortunately their customer service and claims departments are a joke. First you have to endure an endless phone tree. Then you get a person in India that asks you the exact same information you had to enter by phone. After you then explain the issue they then tell you that they cannot help you and will have to transfer you to the claims department. After a wait ranging from 10-32 minutes, you are transferred to another person that will also be very hard to understand. You then have to explain everything again.

Even though they have been good about paying for medications, I definitely have a few complaints. I just found out that they denied a referral to a much-needed specialist appointment, for what seems to be baseless reasons. I see my PCP in a little over a week, and MAYBE based on getting a physical, and repeating an ultrasound, they will approve the referral.

This is the most inefficient company I have ever dealt with! Payments are not posted for 7 to 10 business days, which can show past due. My payment was mailed 3/1, cleared my bank on 3/5 and on 3/16 was told that it had not been received. When I advised C/S rep that it had cleared my bank, I was told it probably was not posted as yet as it takes 7 to 10 days to post! On another occasion the payment was short posted by 11.00 thereby indicating partial payment, took nearly 6 weeks to correct. We were not notified of an increase in premium, again thereby showing partial payment. Calls are not returned. How many complaints have to be received before something is done to correct such inefficiency? I am filing a complaint with broker who represents HN for my husband's company.

Health Net is incompetent. You know what happens to incompetent businesses, they fail. I plead with the rest of the United States, DO NOT PURCHASE HEALTH NET. If you don't buy, they go under and leave us alone. Do what I did, get another health insurance company (pick any other one). Next year, I am purchasing health insurance directly from the provider. I don't like government in my business or my health care, do you? Look at the current political climate... do you want any of these morons choosing the hospital, the doctor, the scalpel? I bet you they don't have a health degree, or even care for your health!!!

I recently applied for a Health Net ppo policy at the suggestion of a broker in Glendale named Armen and Health Net has put the application on ice but have received so far 3 payments towards the policy from me. They ask me to pay the first payment so they can activate the policy and they lie. When we call Health Net, the representatives have given us the runaround and I recently found out that when you call Health Net you are actually talking to someone in Mexico. Just across the border, Health Net has their call center where they don't know much about what you're talking about and they probably pay them pennies an hour. Health Net is really trying not to pay and purposely stall you so that you give up getting the policy you need. They are driven by pure greed.

There is so much wrong with Health Net I cannot list the ways. I help my disabled son in many things. He lives off a meager disability check. He has cancer, verified in all manner of ways. In trying to get HN to pay toward our costs for a recent surgical procedure which they cover in other cases, the phone representatives have been rude, vague, misinformed and/or kept me on hold forever plus simply hung up. In general, HN consistently loses documents, have required a Power of Attorney (POA) when one not needed; their own "Patient Health Info" form/PHI is more than enough--it's been on file at HN for nearly a year.

The local VA had to outsource me to a local allergist. The process began on January 6th 2016 when I watched the VA doctor input his referral. He warned me to be patient, as the company which manages this outsourcing for the VA - Health Net - was notoriously incompetent. After a week, I called my local VA and was told I would be contacted by Health net. On January 26th, I called health net because I had heard nothing. I was told by "Elizabeth" that it would take another 5-7 days to schedule the appointment.

Health Net discontinued my PPO on January 1st without giving me any notice, although they falsely claim to have sent notices. I only found out about the PPO ending when my secretary called to ask why we had not received their February bill. They received my January payment and said nothing, although apparently it was not deposited. I am now without coverage until a new plan can kick in on March 1st. Also, this company has terrible customer service. They have failed to send materials as requested, failed to process claims. Terrible experience for me.

Terminated my coverage effective 1-1-2016 yet Health Net has deducted my bank account for a January and February 2016 premium. Yes, they are charging me for insurance I do not even have with them! I received a termination confirmation letter from Health Net on 12-10-2015 and have called them numerous times regarding the situation. I get nowhere. Last month I had to request a refund to get my money back, received a check, and then was deducted a week later for February's premium. The most frustrating thing is that no one at Health Net knows how to fix this situation. They don't even see a problem with it! This isn't even legal, yet when I ask to speak to a supervisor I get another employee that I can barely understand. Does anyone know how to get someone in America on the phone?

Tried picking up medical prescription on two occasions and was told I had no insurance. Had to purchase medication as cash buyer $470 out of pocket. I filed a claim and have not received my refund. Health Net claims says no such claim ever filed. Tried filing new claim and CVS says my prescription was covered by insurance. This information showed up as cash purchase when I first filed. My guess, Health Net filed claim with CVS and received reduced amount therefore getting my overage cost and not sending me my money. I call claims and explain. They then say "you're not in claim department" and put me on hold forever. Even had one lady slip up and say she was claims, after holding for 45 mins for claims. Crooks.

I've had the worst experience with Health Net, their customer service representatives are not helpful nor knowledgeable. I've tried to change my plan several times and have had no luck. I've tried to make an appointment only to go down to the office and see that the medical office was closed that day. I've had Blue Cross Blue Shield before and have never had so many issues in years of service that I've had in one month with Health Net. I would highly discourage anyone from getting health insurance with them.

If I could give them a minus star rating I would. We had Health Net insurance for years in Lancaster, CA, and never had a problem with coverage or care, so when our retirement company offered it in Tulare County, we jumped at the chance. It was the worst mistake we have ever made. We filled out forms, chose a doctor from the HN Seniority Plus website, and were sent cards verifying our doctor and coverage. We went to the doctor and were quite pleased with her and the office staff. My husband got a referral to a cardiologist, and when we called our group to verify this coverage, we were told our PCP was not in Health Net Seniority Plus.

Paid premium with proof from my bank. Denied coverage by Health Net. Called numerous times to resolve. Got different answers every time. 'Ca Covered' (market place) for state of CA verified 'coverage and contract' with Health Net and to me... Health Net denied coverage in spite of payment in full and confirmation from Ca Covered (State Marketplace). The worst experience I've ever had. I was denied health coverage by the Insurance Company in spite of doing everything by the book. Paid premium on time through 'Ca Covered' and my doctor wouldn't see me because Health Net cancelled my coverage due to 'non-payment' and/or cancellation of contract by 'Ca Covered' neither of which is true.

They are the absolute worse company to deal with. They don't care for the people and I been getting ** by them for the last 2 months. I've canceled with them in December and it's been verified with a manager. I'm still getting billed.

I have been stuck with Health Net insurance in order to keep my PCP. I have never had more issues with a website before. I have had to create multiple online accounts because the website is unable to merge different policy numbers for 1 person, despite the fact that I was forced to change policies because mine was no longer being offered. After creating my third account, I was unable to access anything on the website other than my approved application. After being told that initial premium payments could not be made online, I called in, paid my initial premium, and was told that I would be able to make all future payments online. To my utter frustration, I am still only able to view my approved application and nothing else. I am unsure how a company this large survives with such a lacking and dysfunctional website in an era where internet seems to be everything.

I have pages of incident numbers, names, dates, length of call... In the past 3 weeks I've been dropped, added, dropped and then I'm being told account is active. Their web portal is not reflecting this and each call I've had with these people is an hour, MINIMUM. I suffer from some significant health issues and these incidents ramp up those issues and I suffer. I have had to take time off of work to try and resolve their issues. I have assurances that issues are resolved and they are not.

Unlike many of the reviewers on this website, I do not have a specific medical concern or issue that has caused me to despise Health Net. My review is based on two years working with Health Net through CoveredCA. In every single aspect, Health Net is a sorry excuse for a company. Customer service is the worst I have experienced in about a decade. Each time I call Health Net, I am connected with one of two types of people: (1) a non-native English speaker who mispronounces so many important health-related words that it is nearly impossible to have a conversation, or (2) a native English speaker who is tired, frantic, nitpicky, and largely disengaged from the needs of me, their paying customer.

I switched from Kaiser to Health Net and so far it has been horrible. Customer service is HORRIBLE. The people on the phone have no idea what they are talking about. I just want to see a doctor. I hate the US and its insurance policies. Too expensive and terrible service. What a great combo.

I have spent over three hours on the phone with a person who barely speaks English. His accent is so heavy I can not understand him. I have had to get another person in my office to help to understand this person. We have previous approval for office visits and follow-up testing but were told to make sure through this company. I asked multiple times to speak with a supervisor and Porsira refused to let me. The website states this company does not serve Georgia. I was unable to get information through the website. I have spent the entire time on the phone repeating (multiple times) every bit of information he has asked for.

Become a drug addict because I could not get physical therapy. Confusion we have to go thru Health Net is a nightmare. Call them 2 hours on phone several times, no good. Then they set me up with a non-participating provider, no good answers available. I told the same story to at least 5 people plus the VA hospital in Ann Arbor Mich. I dropped out, easier to wait the 90-day wait than to deal with Health Net. The government should look into this mess. Someone is making a lot of backroom money on this failed veterans choice program. Hope VFW helps us as I can find no answers as I suffer with pain.

Received a letter on 12/23 saying that me and my family are being dropped as of 1/1 because they no longer offer it. I was away and didn't receive the letter time. Called customer service who sent me to Exchange Billing who sent me to Sales. Sales guy Edgar was great but we got Member Services in Philippines and they said need Accounting which is closed. Only option now is to change and not be covered for Jan. The worst.

While I was in San Francisco and used Health Net they were great. Mid Oct. 2015 I started the paperwork to end my policy as of 10/31/2015. I was moving to the East Coast and my policy there was to start on 11/01/2015. It is now 01/04/2016 and I just received a letter from Health Net saying that my policy was terminated due to lack of payment. I have a file an inch thick from all the calls that I made and the documentation that I sent them. Last week after I received a bill for $400+ they denied having received my paperwork, once again after I told them when and where the letter was picked up, I had my letter certified. They then said all was taken care of and now I get this letter that can ruin my credit and standing with all healthcare companies. Every time I speak to someone there doesn't seem to be any notes of what's going on with my account. I have now spent countless hours and postage and still don't have this resolved. Help!

My former Dr couldn't tell me whether or not they accept PPO plan - too confusing to them!!! Advised to go to website which was not working. Spent over an hour with someone in the Philippines. My own Dr is out of network, yet I am paying more in monthly premiums. What an inept mess and scam by our government. Not able to discover MDs accepting of this until after I signed up. Disgusting nightmare!!!

I would never ever anyone sign up for this insurance company. I have been dealing with them since 2014. I went into the hospital with a heart attack. I did not have insurance at the time so I went through the market place and they gave me H.N. as a provider. I sign up. All was fine until I was picked up with ACCCHS here in Arizona. As soon as I was I called to canceled my insurance with this company thinking it was all taken care of but they never followed through with it. It was such a mess. All my bills were being denied by ACCCHS because they said I was covered with Health Net when I had my surgeries. I had surgery for breast cancer August 19th 2014 so none of the bills were getting paid. I've went back and forth with this company, never once getting the problem solved by them.

I am a First Health provider in Mass, and have spent 4 hours and am no closer to finding out where to send billing, and what my client's mental health benefits are. No one at Health Net can seem to find the correct plan manager's name! There is apparently no way to actually speak with someone at First Health. I tried to speak with someone again today, and asked for a supervisor and was put back into the main menu! When I called back yet again, the office was closed!!! I have never experienced such a terrible system, and have been in this field for 32 years!

I will give this company ZERO rating. It will takes 25 minutes to get someone on the phone to help you, and if you get somebody they are rude and very arrogant the way they talked to you. This person I talked to name Liz & I expressed to her that she is rude on the phone & right away she just ask me if I want another representative to talk to, and of course I said YES. But after that I'm on hold for another 25minutes. So I decided to call another 800 number listed on the website. Well another nightmare. I was literally talking to a person in the Philippines, who will ask about everything from a federal ID number to your NPI number and at the end of that they still cannot get the information you ask for. I was on the phone for over an hour & the worst part is they will keep asking you the same thing over & over again, like this person asked for the date of birth and I gave him e.g. **. And he responded: Can I get your date of birth?

By no means am I knocking President Obama and what he is trying to do for our country. I am simply stating facts from previous experiences when paying for Dr. or hospital visits. My biggest complaint is that if you carry insurance your bill is extremely higher than if you do not have insurance. Now this is the same procedure done so why should it be twice and sometimes more expensive? If clinics and hospitals are charging insurance companies so much more that kind of explains why insurance prices are sky high and not affordable for so many people. I make good money, so they want $600 to $1000 per month with still a high deductible. I may go to the Dr once a year if that and if I do my bill is considerably lower without insurance! Why would I pay those ridiculous premiums when I can pay the hospital or clinic monthly payments way lower than the monthly payments to an insurance company, and still have to pay an outrageous deductible?

Remember you can keep your insurance and Doctors? You are a liar! Health Net is the worst insurance company and covered California is just as bad. I thought it was against antitrust laws to force me to use a company's pharmacy. I am being told that Health Net is denying refills unless I go to their pharmacy and the prices are ridiculous. It would appear this is something out of a science fiction movie but NO THIS IS REAL. I am paying over $1000 a month and sometimes more. HELP!!!

I had to call Health Net's collection department a couple of times to sort out a miscommunication between Health Net and Covered California of my coverage. What struck me was that the two ladies who I spoke to were extremely unempathetic. Rather than focusing on sorting out the case, they would pick on the terminology I used when I was relaying the resolution from Covered California.

My boyfriend has Health Net through Obama care and he was referred to a cardiologist after tests showed he had a problem, this was in Oct. 2014. He was referred to and went to a cardiologist who accepted the insurance but was not associated with any hospital covered by Health Net. Why was he ever given a referral to this doctor? At this point we knew he needed a triple by-pass but yet had to wait for another referral to a doctor that accepted the insurance AND used a hospital that was covered. The wait seemed to go on forever even after endless phone calls to people we couldn't understand. He finally had the surgery April 29,2015. All that time he was in constant pain, couldn't breathe, couldn't eat. It was awful! We waited from October 2014 until April 2015.

Today, 10/01/2015, is the third time I called Health Net about my medical group change and it's still can be resolved. I called in mid-August to change to a new medical group, St Joseph Med. I was told it can be changed to but if he changed at that time, it would become effective on beginning of September which I did not want. So I was advised to call back sometime in September. I confirmed with the Health Net gentlemen to see if St Joseph Med is the one I can actually change to. He said YES for sure.

My daughter had a root canal and crown placed. They paid for the root canal but denied everything else. So what was she supposed to do, leave her tooth exposed? All the dentist offices I have talked to said they are the pickiest company and nit pick and are denial happy. We need dental insurance reform!!

My company switched insurance companies from Blue Cross Anthem to Health Net - I registered for online access to my records as I had done with Blue Cross Anthem but when I went online there was no information. No claims, no approvals, no amounts of co-pays, no EOB's.... nothing. I called them and they said everything would be on my medical groups site but I already know that my medical group doesn't post these things because I didn't change medical groups and I already accessed their online info.

I'm a freelancer so last year I enrolled in the Obamacare system to receive health insurance. I had a decent plan from Health Net that covered decent doctors with fair copayments including for medication. This year I chose to rollover and stay with them due to my good experience. There was NO WARNING how drastically my insurance was going to change with the exact same plan. ALL of my doctors were no longer insured. LONG wait hours on the phone to figure out who I can actually see for health issues. I finally made an appointment with a doctor for my yearly "free" checkup with my PCP... it was a free health clinic. No exaggeration. Due to it being this type of facility I had to wait 5 HOURS for a general checkup with a doctor I definitely don't have full confidence in.

This is the second time my pharmacy (Savon, same one I've used since 1999) has had to call me and tell me that Health Net would not refill my prescription for my Invokana for my Type II Diabetes. Evidently Health Net has a partnership with CVS pharmacy (a Savon competitor) and would rather see me go without than allow me to refill at Savon. I am now required to go to a pharmacy I don't know, transfer my prescriptions there, and change working with the people I have known going on 20 years. All due to Health Net's complete lack of customer caring. The bottom line is their only concern. They did the same thing with my High Blood Pressure medication (Lisinopril) a few months ago and now I get it even cheaper through another source ($3.99) that my awesome Savon pharmacist told me about.

Months into coverage, my generic lipitor was classified a maintenance drug due to the constant usage. I was denied coverage at my local pharmacy, and forced to switch to CVS where the copay was triple the normal amount.

Am trying to clear up denied claim, small mistake on their part. Should be easy to fix but the person in claims cannot speak understandable english so I asked to speak to someone else. Got disconnected. Will keep on trying.

Paid premium online. The emailed receipt stated that my sign-on had been updated. "If you did not request a change, to please call the number on back of my card immediately." Fearing that my account had been hacked, I called their 800 number. First got sent to an offshore, poorly connected female voice. Given the poor connection, and difficulty understanding, I decided to hang up and call again and hope for better results. This time, I got a guy (Alan?) who sounded helpful, but had never heard of this happening, so left me on hold (approx 15 minutes) while he "researched." Came back and instructed me to contact an "ISP Billing Specialist" and gave me the number for that specialist -- which was the same general number where I reached him!! NOT HELPFUL. But I called again.. This time some gal who I could barely hear had no idea what I was referring to, and she hung up on me.

First, they could not handle a simple address change. It took 4 phone calls to get it corrected. I had minor surgery done 5/15 and they incorrectly processed the same service 5 times!!! When I called claims to discuss the problem the CSR rep rudely informed me I needed to log on to my benefits page because I clearly didn't know my benefits. When I read my benefits page to her from the online site, she realized she had my information and group number wrong. She was looking at a different patient. All 5 EOB's showed a different out of pocket and deductible amount. My out of pocket ranged from 0-$4918. I have actually had the State of Arizona Insurance Commissioner open an investigation. The lack of competency with this company is shocking. Unfortunately, I am now looking at an added expense of an attorney. I will NEVER do business with this company ever again.

I find myself driven to write a review like this for the first time as I sit through multiple holds/transfers going on and hour and ten minutes to resolve seeming simple issues. My online payment arrived a few days late due to an online bill paying error at my bank. The result: all access to the website cancelled because I was "no longer a subscriber". Payment was made and 2 months of subsequent payments received on time, but I am still barred from the website. Contacted customer service (in Asia with questionable English skills beyond reading a script) and was told, amazingly, that "sometimes the website doesn't correct itself". Even after two months?? I asked the rep to speak to a supervisor. She refused to get on the phone, but I could hear her in the background. Same message: "the website doesn't really work sometimes." Good to know.

I have never been more disappointed and frustrated with an organization in my entire adult life. This is my first year with Health Net Ruby - HMO. I had a simple procedure done on April 29th. and received a bill from the outpatient clinic in Mid - May 2015. Health Net, according to the provider contract disallowed a certain portion of the bill, which is according to the agreement the clinic and Health Net have. That part is alright, except Health Net never sent me any breakdowns however, the hospital keeps billing for the allowable amount. Under the benefit booklet and according to the sales rep for Health Net and numerous phone calls to Health Net over the last three months I am suppose to pay for .15% of the bill and any doctor co-pay.

I had a Health Net plan throughout 2014, then they made me re-apply. They wrote down a wrong SS# (it was a COMPLETELY wrong#). So THEY created another new account for me. In the meantime I applied through Covered CA and got a confirmation letter from Covered CA that I was covered, and a new Health Net card. Both Subscriber numbers THE SAME but two diff. group numbers.

I worked for Health Net Medicare for a while. And let me tell you, everything these posters have said below me are TRUE. Here is why Health Net is the worst company you could go to for your health insurance:

Every single exchange with them is awful. Every operator will give you a different answer. They don't recognize their mistake!!! I would strongly suggest you to ask for the interaction number every time you speak with someone and also their name... Even for the more simple task.... You probably gonna need it when you'll spend hours on the phone with them and you'll hear "I understand you but that's the only answer I can give you." They do not care!!! They lie! And they tell you you're the liar. I would never be fooled by their attractive price!!! They don't even stick to the cost you can find for medication on their website!!! And of course it CVS fault.

I signed up with Health Net in March of this year. I immediately made my first payment that same week. All of a sudden, the very next month, they sent me a bill for $500, whaaat!? My premium is only $190 and I had already paid for that month. I called and told them to correct the issue, and they said it would be taken care of within a few business days. Sure enough, they sent the bill again and an ADDITIONAL bill that again, I did not owe!!

Let's not talk about why my Health Insurance went from a $168 monthly PPO with a reputable insurance company prior to Obamacare to $265 monthly with the most G-d awful HMO Health Insurance Company I have ever worked with in my life; Health Net. I have been calling them since my effective date in February of 2015 in regards to updating my last name, mailing address (after I moved), to bring up the concern of getting cancellation notices monthly for coverage I do pay for every single month.

SO IF YOU ARE THINKING OF JOINING HEALTH NET, DON'T WASTE YOUR TIME AND MONEY HERE AND DON'T RISK YOUR PHYSICAL AND MENTAL HEALTH.

I am a health insurance BROKER and I won't sell a Health Net plan to any of my clients. It took them 3 months of constant problems with their computer system to get my coverage going. I have another client who still doesn't have her benefits information and has just received her card after 3 months. Their reps have admitted to me that their computer system is a mess. Just a note to those of you out there, if you have an HMO, please contact the Department of Managed Care and file a complaint. If you have a PPO, please call the Department of Insurance in your state. That was the ONLY WAY I was able to get my issues resolved. Don't call Covered California or Health Net. It's just a mess and a waste of time.

I called customer service about adding vision and dental in my health coverage. I was informed several times (4) from December 2014, January, February, March that I can add this coverage to my plan after May 15, 2015 and it will cost me $20.00 per month. I called customer service last June 10, 2015 and was informed that they don't offer any vision and dental coverage. Had I been informed about this when I first inquired about it, I should not have waited and suffered without any dental and vision service which I badly needed. This company sucks big time and they don't have any care about the consumer.

Began this horrible journey with Health Net on January 1st, 2015. Was admitted to the hospital at the end of the month for thyroid storm. I went to multiple doctor visits throughout february for the issue and was able to use my health net insurance card. I even changed my primary care doctor with them (which ONLY took 7 calls ... and 4 hours on the phone, good job healthnet...).

Health Net sucks! It took me a total of 17 hours in a 2 week time frame to get someone to help me find a primary care physician. Awful service. They flip flop calls and have no care for the well being of their members. I'm on this plan by default because it was the cheapest on ObamaCare. However I recommend anyone to choose a different health insurance company. I would pay more money each month to avoid this poor service. They are so quick to accept your payment each month. If you have any real concerns chances are you will remain on the phone forever! Sad excuse of a company.

I really disappointed because at this moment my wife was hospitalized about appendix rupture in Montclair where I have had a lot of lack a service. But it was better than where we are. Now this stupid insurance and me to West Covina hospital which is really bad. Bad. I was telling them that I want to stay there but is hard to talk to or understand them. They keep sending me to talk to other people. When I finally talk to the one supposedly is going to help me they just say "you have to move or you paid for the bill." Stupid insurance.

I have no words that can truly capture how horrible the experience of dealing with Healthnet has been. It is really the worst customer service experience I have ever had in my life - so much so that it is even surreal to think about. It is absolutely a nightmare to solve the simplest of problems with Healthnet - you have to talk to about 10 customer service reps (for an hour each) to find one who knows what they're talking about. Each individual invents some sort of possible solution and says they'll refer your issue to another department and to call back in 10 days. 10 days later... you're starting back from square one and it's like your previous call never ever happened.

In January, I called up Health Net to make my payment for the month. I was told that it showed a zero balance, and that January had already been paid. I wasn't sure about this, so I called up again and was told the same. When I went online, it also showed this. I went on to pay February, and March. I went into the pharmacy to pick up my medication for my autoimmune illness, and was told it looked like my plan had been canceled, as my co-pay was almost $900 for a monthly medication. I called Health Net and was told it was suspended, because January was never paid. I asked why they then didn't apply February to January, and March to February, if it was delinquent. They had no answer. I immediately paid January and April -- and then was told it takes 5-7 business days to confirm it went through. I told the woman that was unacceptable as I needed the medication. She couldn't have cared less and sent an email to the pharmacy.

I cancelled my health insurance with Health Net on December 2014 because my employment status changed from full time to part time. But they are still charging me membership fees. I signed all the necessary paper work to stop their services when their representatives came to my work at the end of the year and I did not sign up again but they are still charging me. I have never used their insurance because I didn't even know I had it. I just noticed their deduction from my pay check.

I have been trying for 2 months to get a Dr. so I can have Cataract Surgery. The in network provider refused to do my surgery for administrative reasons. Contacted my medical Group they referred me to a Dr 30 Miles away. I appealed but the rep filled out the wrong form so it went a grievance and instead of it being expedited (72 hr response) it went standard 30 days. They denied my appeal. I re appealed, rep calls me today stating it will probably be denied as the Medical Group told him the Dr was only a few miles away. I told him this is incorrect, I had to give him the correct doctor and the address. He said he would contact the Medical Group again and that there was a 10 medicare limit.

I wish I didn't need to take to the internet like this to do my business with a payer, but I'm near my wit's end trying to work with Health Net. Everything from their 3 non-communicating call centers, to their lack of accountability, to their paper claims processing, to their authorization issuing and updating, to their record keeping, to their electronic claims processing, to their culture of indifference has made this a nightmarish organization. They made a check out to the CITY that we work out of (and aren't sending another one). They don't respect the authorizations that are on their own sent faxes, and no one knows who's in charge or how to do anything over there. I'm normally very friendly and easy to work with but I'm out several thousand dollars from them and this is ridiculous. SHAPE UP.

No one listens! They just keep referring to the same 2 doctors over and over even though neither of them do the surgery I need to have done, yet both agreed it is my only option. It takes months to get referrals to the wrong doctor. Their "free ride to appointments" gets you stranded for 4 hours on the ride home. Awful, service, if you try to call the main number, when you aren't getting the care you need you get hung up on constantly. After they refer you to 2 doctors that can't help near you they will start trying to send you to doctors that are 2-3 hours away. It took 3 months for my ID card to work for prescriptions, even though I kept getting refund checks in the mail for getting overcharged, no one would get that there was an issue with my Id number. Just impossible to deal with.

I enrolled in Health Net in 2014. My initial PCP decided that after making me wait two months, that he wasn't seeing any more patients at that time. Contacting Health Net in vain, I was directed to go online and choose another PCP. That led to several "someone will contact you to schedule an appointment" messages. Fast forward Feb 13th 2015, I was injured in an auto accident. Upon going to fill my prescription I was told my insurance card was invalid. I contacted Health Net, I was told that I had been dropped by Covered California. I contacted Covered California and was told they can't dropped me, only Health Net can do that.

The referral coordination received by HealthNet, Pacific Independent Physician Association, is very poor. I requested a referral for a specialist so that I can have an MRI done in November 2014. I did not receive authorization for this referral until March 2015 after I submitted a Grievance Complaint. This association has poor management in referral coordination. I am still waiting one more week before I see the specialist. Such poor attention to human healthcare needs is a human outcry.

My primary care physician, whom I have never seen, no longer services my area. So I automatically got switched to the area she serves. Understand, I did not switch, I was automatically switched without my permission because I had medical issues to deal with, and did not want to lose my specialist, I did not change my primary doctor. My specialist operated on me and finally gave me a bill of health, so now I am trying to switch my primary.

After being with them for a number of years, several things have happened when they changed my first Primary Care Physician without notifying me. Also they failed to mail me my new card. After many hours of calls beginning in December and continuing through January, I finally received a card but the Physician assigned to me was designated pallative care (in other words, I am able to go to a doctor's office but this physician makes house calls on those confined to their homes). Finally, after many hours I was assigned a new physician and was happy but less than a month later, the physician's office called me to tell me Health Net was dropping his services.

Ever since we signed up with Health-net my family has had a domino effect of disasters. I am just going to mention one of the several problems. I had just changed my plan from HMO to PPO in the Healthnet plan so they would cover my 5 year old son's surgery. Otherwise, they weren't willing. They actually told me my doctor was not included in their plan and called up the Doctors network that I belonged to prove it but the Dr. network argued with them for me saying he was approved. I being a 3rd party listening to them argue back and forth was weird... awkward. So, I switched to a PPO network and then after the surgery went back to my HMO plan.

Since health insurance in the USA has become the same as buying auto insurance, our broker prices new policies every 2 years. That's how long we've had Health Net. Our broker has quit carrying them because, "They are the worse company of any kind that I've ever dealt with." I have their payment policy to include "losing paperwork", "not being able to read the paperwork" or simply paying 5-10% of the total bill. Their idea of caring customer service is to have minimum wage telemarketers call to remind you to schedule a yearly physical.

I 100% agree with ** in the previous review. DON'T GIVE HEALTH NET YOUR MONEY. My account is suspended because they made accounting mistakes with my bill. $133 went MISSING. Every time I call I get a different reason and I'm asked for MORE MONEY. No one can tell me what the problem is. My husband is epileptic and could die waiting for meds. I called 10 times this week, spoke to 2 supervisors and every representative gave me a different answer except "wait 7-10 days".

I have been blessed to have had decent insurance coverage for the past 30 years. Now that I had to retire due to health issues, I am forced to settle for crap coverage as I can't afford to pay a lot. I've been forced to have to call Health Net many times since coverage began in January 2015. I sit on hold for a minimum of 15 minutes listening to the most horrid music interspersed with reminders to get flu and "AMMONIA" shots. AMMONIA shots? I believe the disease is called PNEUMONIA. Today I called to get the name of a company to order Diabetic supplies. The first woman was shocked to know Byram Health Care stopped accepting Medicare in 2013, which my husband and I ordered our supplies. She put me on hold and, after 20 minutes of holding, I hung up.

I help my husband as he ages. I make all his doctors appointments, call & pick up all his prescriptions, research all of his medical needs, make sure there is always prepared food available. I handle all of our personal affairs at home - financial, shopping, cleaning, scheduling, etc. Each time I call Health Net they refuse to speak to me voicing HIPAA laws. I fully understand their "right" to take a stand on this law, except when I call to acquire "their" prescription fees, which has nothing to do with my husband’s personal medical records. Twice I have called to request prescription fees. Twice I ended up on the phone for at least an hour and a half in a confrontation over HIPAA laws just to get their prescription fees for my husband’s prescriptions.

On several occasions they would tell me something was covered and then they would change their mind. They never know anything when you called them. On several occasions my insurance was cancelled and right when I was at the doctor’s office and to have it reactivated it would take 7-10 business days. What joke! I am so glad i left this company.

HealthNet has been nothing but AWFUL since I enrolled in December 2014. My issues stem mainly with billing - I was drafted 3 months premium; January, February, and March all in a span of 2 days. Getting this fixed has been a nightmare. From reps not being consistent in telling me what the status of my account is, to reps being downright rude and not helpful and hanging up on me, HealthNet has absolutely lost any trust I had with them. I refuse to enroll in automatic billing because I do not want them to keep my credit card info. Other people in my office have had no problem with HealthNet, but judging by the amount of complaints on here, it would seem they are in the 1% of people never having issues with this carrier. STAY AWAY IF YOU CAN! Next year open enrollment I am going to beg my boss to let me change carriers. They are absolutely horrible.

After being a member with Health Net for over a year I was surprised. They changed their website billing page and now it's a total disaster. They can't seem to find payments made and even suspended my coverage after 5 days late on payment. Here is the kicker I MADE THE PAYMENT ON TIME. Their system just simply lost it. When I call the person or persons are incompetent and simply read a script. The worst service and not to mention hours on the phone with great stress, there goes my condition. With still nothing done or resolved. Save yourself the headache and USE another company.

I am trying to go see a gastrointestinal gist for over 5 months now. The first doctor last November told me she would refer me and never did. Then I switched doctor and they never checked to see if that doctor can refer me to my specialist. Then they had to change doctor again. I arrived at the 3rd doctor's office to only find that she does not work with my health net hmo. Frustrated beyond relief, I am right now at an urgent care that I begged to see a doctor to refer me to any specialist. Over 30min of waiting after my appointment. If Obama can see this, I hope you really experience just a percent of what I have to go through to see a doctor.

I enrolled with Health Net a few months ago under Covered California because they were the most reasonably priced. I have never used my health insurance for any medical services yet but their call center is horrible and it seems every month I have issues regarding my account balance -- notices that I haven't paid my monthly when I have, incorrect payment updates, etc. They are apparently incapable of keeping track of payments and sending accurate information to their members in a timely manner. If you try calling expect to wait at least 15 minutes to speak to a live person and then hope that person knows what they are talking about. I am going to try to cancel my membership tomorrow. Thanks for nothing!

I have HNet Gold HMO since Jan. 2015. Disaster! Co-pays for most expensive medication are outrageous. I had an infection in my lower left gum. Their Network Urgent Care clinic in Yucca Valley, CA misdiagnosed it as "trigeminal nerve pain" and prescribed an anti-epileptic medication instead of antibiotics. When I saw HNet's dentist, I was in more shock. Torn chairs, holes in walls, floors not cleaned for weeks, etc. Dentist repeated wrong diagnosis from Urgent Care clinic. I then went to see a dentist who does not accept my insurance. Paid a fortune and finally I got the right diagnosis (infection) and antibiotics.

Community care is a new plan from Health Net.. Aka Medicaid - which most people don't know. Most places do not take Medicaid because they pay crap or refuse to pay. It's a cheap insurance plan which sounds great since insurance is a requirement now due to Obama care. Something is very unsettling with this specific plan. At my Dr's office we easily get 10 calls a day from PTs with this plan. We are not contracted with them yet our name is on their list of contracted providers. Mistakes happen though I get that.

I called Health Net 15 times and spoke with different representatives and the situation was NEVER resolved. They left me with my old medical provider 80 miles away from my old address. I called many times, wrote to them cancelling the first of the year and they never cancel or change the medical group. The last time I called the woman hang up on me. NEVER AGAIN. THE COMPANY HAS THE WORSE CUSTOMER SERVICE. As of today I will not be able to see a provider in my area because they did not wanted to change the medical group to my zip code. I DON'T RECOMMEND HEALTH NET TO ANYBODY.

Unfortunately my husband's work changed insurance carriers and went with Health Net. I have never been denied for medication before and I didn't understand why. I have debilitating fibromyalgia and went to fill my lyrica which is the only thing that helps, without it I am stuck in bed and unable to work. If I don't work my family doesn't eat. When this happened I called them and explained what I'm going through and begged for them to accept it. At first they said they need paperwork from my dr and sent them a form to fill out so they did. I then called them asking if they received it and they said no so my dr kept sending the form and applied about 7 times and then I called and they said they just need one more form and I would be able to get my med 78 hours after they get it. I thought finally I'm going to get my med but nope they denied yet again!

I first went to the marketplace to get their insurance but cancelled before start (not before paying the first month). I then kept getting bills for months! Each time I would get the runaround from this company, having to call the marketplace who said they indeed cancel this with them..... Finally after five months wrote several letters, one to corporate who verified it was cancelled before start. Finally got my payment back SEVEN MONTHS LATER!!!!! Worse company ever and I hope Christine takes me off their mailing list as I never want to see any correspondence from this terrible company again, EVER!

I had some questions about my care plan and so I called Health Net. I was disconnected TWICE. On my third call, I have now been on hold for 27 mins!!!! Unbelievably poor. I will never recommend this health care company, and I will also write as many reviews and be as vocal as I can about my poor experience.

Let's just put it like this. My mom has been with Health Net most of her life. Her doctors were treating her for something she probably never even had. The medication only made her symptoms worse. They didn't listen. It took a surgery from a specialist to tell her she has a liver disease. She has been in and out of the emergency room for some time now and every time a doctor from the ER contacts my mom's primary doctor, he says she not his patient yet he prescribes medication and signs off on refills and she sees him every couple of months or so, instead of directing her to someone who can help her or giving other doctors permission to treat her for what she has or even filling out forms other doctors need.

I started with this company in October and have made my payments up to November. This month I pressed the wrong amount of payment and called them to take this month's payment out but instead they took two months of payment out when I only authorized them for one month's. Plus took them three weeks to send my overpayment back to me with me calling them three times. This company is crap. They take forever to update system as well and take your money.

Health Net is horrible and here are the facts to support the my statement. I join through the California Covered Act for health care and was assigned a physician completely out of my area and this physician is in the very poor area/ghetto. Just under 25 miles away, and in a strip mall total sitting area 5 chairs, not open during the weeks of Dec 20 - Jan 5. The office is no bigger than a full size pickup truck. I called Health Net office back in August to request a change in provider and was told to pick another which I did and today, Dec 22, I went to the Urgent care to only find out my healthcare membership was terminated in August 2014 with Regal Medical Group. This makes sense because of my in August but their is no other listing nor am I considered active. Angry beyond words when I have all of my cancelled checks up to Dec 2014 to Health Net and the current card I am holding still says 01-01-2015 but it is for the original physician at Regal Medical Group, which was my original complaint with them.

The only thing Health Net knew how to do correctly was deduct money from my bank account each month. I chose them as my insurer because it was the least expensive provider offered through Covered California. Big mistake. What I quickly learned is that every thing Health Net does is sloppy. Their website never worked so when I called to talk to somebody, whoever answered the phone knew nothing about their own company and couldn't care less, and I called many times and talked to many different people. I never write negative reviews but I am so irritated with Health Net, I really want people to know about the garbage service they provide. I am switching to a more expensive plan this year and I will never do business with Health Net again.

I received letters and emails in Oct. and Nov. saying I have not paid my premium from Nov. or Dec 2014. After several phone calls I was assured all payments were received and accounted for and even received an email from their accounting dept. and a new bill saying I owe nothing through the end of the year. I have a cardiac procedure scheduled for next week and just received a call from them that the company Health Net contracts for prior auths "Med Solutions" has not been notified of my account update and corrections and therefore their records indicate I do not have insurance and they cannot give the authorization. I am having symptoms and need to get a stress test asap but cannot afford to pay this out of pocket. Interesting that I have met my deductible and most of my out of pocket for the year with HealthNet that this occurs now at the last of the year. Do they put up road blocks to avoid having to pay claims? In effect, I don't have insurance. I called my contact who told me it was all resolved and got an answering machine. Gave her one hour to call back before I start calling any and all I can think of to complain about this. I am livid after spending hours on the phone with them for 2 mos. and finally told it was resolved to have this come up again. GRRRR.

When I was looking at Medicare Advantage plans and Medicare with a medigap coverage the Advantage plan sales material said that they were required to cover everything that Medicare covered. Now that I am several years into it my doctor recommends that I have surgery for hip and leg pain. Health Net now tells me that they are permitted to have their own rules and cover those things that they want to cover. This is fraud in my opinion and I could probably sue, but the lawsuit would be more expensive than just paying for the surgery.

I started up with health net at the beginning of the year and it has been a nightmare ever since. I got a really bad Dr to start and after around 5 visits ended up in the Er. Came back to show them the er dr info and I wasn't getting treated right. Had to file complaint on them and they referred me to a specialist too far away for me. So I call health net and they tell me in order to change specialist I need a new dr. I needed to anyways. They sat on the phone with me for an hour picking a new dr. with a specialist that was in my area. So I go see the new dr. get re-evaluated, mind you this is now several months in being sick no diagnosis, she finds that I need to go to a specialist too. So they send me to the same one that's too far!

This company is an absolute nightmare! The hospital I went to submitted a claim for an ER visit 12 times. I wrote down every name and date. Health Net states they never received the claim. I had to do several conferences calls to make sure they got my claim and then they denied the claim because of untimely filing. I appealed the process and it was denied again for untimely filing. This process took 3 YEARS and over 15 calls. I've been hung up, left on hold for 30 minutes while they "check on something". Spoke to the Resolutions department and heard no response for months. Then I get a statement that my claim went to collections without me even being notified! Absolute worst customer service I've ever received! Not one person was helpful. I asked to speak to supervisors or team leads and was refused transfer to them.

I have a baby due in January and am trying to determine whether the HMO or PPO plan that is offered is better to cover the costs of the delivery and baby's first year. When I called Health Net's customer service line, I waited 10 minutes to get connected and then explained my whole situation to a representative who sounded like she was in high school. She then put me on hold for 23 minutes and never returned. When I called back today (November 20 - plan elections due Nov. 25), the representative said their system has not yet been fully updated, and they won't have updated quotes to give until Nov. 23. During open enrollment!! Seems too convenient to be coincidental. The insurance companies certainly make it difficult for a customer to be informed.

Long story short, 3 of 4 different Health Net departments gave me different and conflicting information about my account; the fourth department has yet to respond still. I was finally able to get a response after tweeting my complaint (their twitter handle is @HealthNet) and submitting a Better Business Bureau complaint. I highly recommend people who are very upset with Health Net submit a BBB complaint, so Health Net responds AND it could potentially affect their overall business rating (are you aware they have an A+ rating?). Best of luck, everyone.

My mother has had PPO insurance with Healthnet for 20 years. Now they have not paid claims to urologist for 1 year. Provider and I spend dozens of hours on phone. Now mom is being charged out of pocket, $1100.00 and soon can't return to doctor. I spend an average of 1.5 hours on the phone, nothing. 5 supervisors have promised to get back with me, they do not. Claims rejected for stupid reasons even though provider bends over backwards to address their concerns. Website doesn't work, employees indifferent. Horrible.

Terrible foot injury, went to ER (because I was under the mistaken assumption that emergency rooms had to take people without insurance and not charge them; how wrong was I), had x-ray, no fracture they said. Required to wait five weeks to see if it heals before second x-ray approval from HEALTH NET. Now I have to wait 10 days for second x-ray approval after waiting for a doc appt for 10 days. Who knows how long it would take for an MRI and podiatry referrals? First doctor appointment was canceled. Said they couldn't reschedule for two more weeks. I said “Look I just need an x-ray. Can I see a PA?” They told me that's who I would see anyway. So why did they cancel a doctors appointment if I didn't have one?

We recently enrolled with Health Net. They made several errors (my DOB, my last name, primary care physician) in my enrollment. I am unable to reach them to correct these simple errors. I have been on the phone for more than 1 hour and no one is answering the phones. There are online forms which do not work - I fill them up but when I submit, it shows up an error. Is this insurance company even concerned about its customers? Do they even check whether their websites are working? I am really frustrated and am thinking about changing my insurance to another company.

They are difficult to reach and once you are able to speak with someone, 9 out of 10 times, they hang up which forces you to call again since they never call you - wait time on the phone is easily 20 minutes. If you are able to speak to someone, after conversing on the phone for over an hour or so, the changes that should have taken place are not done nor do they take the appropriate notes. Horrible company to deal with and their character is represented by their doctors as well. When asked how they qualify their doctors, they literally became silent and completely failed to come up with a answer. Health Net will force a healthy person to become sick.

Health Net finds ways not to pay providers of consumers medical services. It is my belief that this company has disputed each and every provider's charge made in the delivery of our family's health care. Currently this company has fully denied coverage for necessary services from a podiatry doctor in my case. It seems that this company wants to deny my doctor's recommended treatment option for my foot ailment. The company has ruled out the doctor's method of treatment because it is not claimed to be a "covered benefit".

I've have only had this insurance in 2014. I broke my toe a month ago. First they give me referral for a doctor whom does not handle this. Then I get another referral for a doctor's office only to be told if I make a appointment I would have to wait 4 hours before I'm seen, so that didn't work. Then they called my job at about 1:30 pm telling me they made me an appointment to see a doctor in Simi Valley at 2:30. What kind of window is that, I did not have transportation to get there for one and my job is not one that you could come and go as you please. So I tried calling them. I was put on hold for about an hour. I called again. I was basically laughed at and hung up on. What kind of people is this, no professionalism what so ever. Need I say I am a diabetic on top of it all. Oh I'm very sure I will not be giving them my monthly payments in 2015. I still to this day have not seen a doctor to correct my broken toe.

It's unbelievable how Health Net is constantly avoiding any possibility for the clients to ask for infos or file complains. Their waiting time on their call centers is something about 1 hour wait time average, and their forms online are made in a way that continuously generate errors during the submission. It's a real scam!

I submitted a medical group and doctor change through their website. I did not receive any feedback on whether the change went through. I tried again a week later, same result. I called and the request had gone through. Had to wait 1 month for change to happen. When I finally had a doctor, I called and found out he wasn't taking any new patients, something that said otherwise when I submitted the request online. Their website is terrible. They couldn't make my medical change sooner. Had to wait 1 month.

I have been with Healthnet for 9 months and have found the company to be nothing short of incompetent. The billing has not been correct since the first invoice requiring us to call monthly for correction. After being promised that the error is corrected, the same error still appears on the next statement (8 times now). They issued a letter cancelling the policy at the beginning of a month that we had already paid for. When we have used the policy we called to make sure that we understood our benefits and after taking our child to the doctor learned that those services were not covered at all and that they would have been if we went to a different doctor. This was the reason we called in the first place. I have absolutely nothing good to say about Healthnet and can't wait to be away from them.

Covered California says they sent my family's info to Health Net but when I call Health Net, they can't find me!! So, I contact Cov. CA and they resubmit. This has repeated three times! Oh, and to make contact with a live person at either place takes a good hour to find out nothing has been done! MY FAMILY NEEDS INSURANCE NOW!!!!!!

Apology emails from Health Net informed me that my coverage was dropped in the "mix-up", they informed me I would have to reapply. I did and got a confirmation saying I was insured. But another "mix-up" happened and now I am without coverage, my family is without coverage and it was a total shock to us. I'm 24 minutes into my second call of the day, classical music blaring continuously. I even offered to pay ahead of time, do whatever it takes to get my daughter's ER visit covered, but NOTHING. I'm ashamed of the state of things with that company. Shame on them.

We've recently had our services terminated by HealthNet. It was our accounting mistake, that's not the issue. The issue we have with them is that it took 4 to 5 calls to find out what was going on and each call we encountered extremely rude call center reps. It seemed as if each person had no idea what internal policy was nor did they take the time to read our account notes. Just now we called collections to find out when our money would be coming back to us. Now I'm not sure if I happened to catch "Mary" on a bad day but good lord was she bothered with my questions.

I went to an ER 8 months ago. HealthNet still have not paid the bill. Now I'm receiving collection notices for the bill not being paid. I'm trying to get a hold of someone at HealthNet. On two phones, two lines, one with a supervisor who cannot even get a hold of someone in her own company. An hour 10 minutes on the first call that said it was a one minute expected wait and 38 minutes on the other phone, the one with a supervisor supposedly helping me? And I wait. Dropped this insurance carrier and went to another choice I had at work because of this type of issue AND I'm still haunted by this company's incompetencies.

I had a motorcycle accident in April of 2014 and went to the emergency room. The hospital and attending doctors filed their claims with Health Net, all of which were denied as they should have been sent to my PPO. I have not figured out if the offices that filed the claims didn't know they were to send it to the PPO or if Health Net just has them do it this way so they can delay payment to the doctors and hospital. Then, as with others on here, my payment in April was not credited to my account yet the payment was cashed. Turned out that Health Net had a huge issue where thousands of payments went unaccounted for. However, this caused my account to be suspended and had to go to urgent care for follow up after my accident - twice. Each time I had to pay all costs up front and file a claim. I followed the directions on Health Net's website, filled out the form and sent it to Health Net as directed. 30 days later, I received a letter stating my claim was denied and a couple of codes as to why - one reason was because the claim is the responsibility of my PPO, and because a diagnosis was not included. What a joke. Finally last week I received my reimbursement check, almost 4 months later.

I call to make an appointment and verify my plan and I am told by everyone that they do not accept the insurance. I have spent up to 3 hours on hold with HealthNet's customer service only to be told I had the wrong number. I have written to their online contact number with no response.

What's happening on the provider side with Health Net through the marketplace and exchange. Difficulty getting authorizations for MRI's, physical therapy and surgery. Hospitals that are listed as in-network that can't get authorization for surgeries so surgeries are canceled. Provider support VERY POOR. Patients angry that they can't get care. No other choice but to Opt out of Health Net.

I have been with Health Net since February 1st 2014. Last time I went to pick up my prescription I was told that I would have to pay $140.00 for my prescription and 140.00 for my daughter's prescription that I usually pay 15.00 for each prescription. After the pharmacy researched the problem I was told my account was delinquent.

Each and every time I've tried to use Health Net's website to find a new physician for my son, all I find is very outdated information! Either the doctors listed on their site are no longer in the network, even though the site says that they are, or are they aren't taking any new patients, even though the website says that they are. I've also called Health Net and have spoken with their reps and all I can say is, the reps must have the exact same outdated information that we, the public have because the doctor that I inquired about yeah well, the rep told me he was accepting new patients and he wasn't! Time wasted on both accounts!

I have been experiencing multiple issues with Health Net concerning coverage of benefits. Two main issues I feel need to be addressed. First, their maximum out of pocket amount is misleading. All material that was explained during open enrollment and their summary of benefits explanation failed to mention medical expenses paid for and that count towards the annual deductible, do not count towards the maximum out of pocket limit. This is extremely misleading and only explained in their 108 page cover Certificate of Insurance. This information should be explained or at the very least denoted during their verbal explanation or on their summary of benefits. If one has to pay a deductible of $1500 and then an additional $5000, then the maximum out of pocket should state $6500 and not the stated $5000.

I have been purchasing my own insurance for 14 years now since I work for myself. I have always paid high deductibles and had problems here and there with my insurance carriers. When the health insurance marketplace opened I thought I would give it a try. The rates were double what I was already paying but there was no deductible and our doctor visits are now $30 primary, $60 per specialist. The insurance I purchased also was to include 2 dental visits per year per child under 12 years age. Before deciding on this insurance I checked to make sure my children's pediatricians and my gynecologist were covered under this plan, which they were so I went ahead and joined. It almost seemed too good to be true. Since coverage began Feb 1st of 2014 I have since found out that all the doctor's Healthnet has listed that we go to are not part of the insurance plan we purchased.

I have been a member of Health Net for over a year. Since my rates doubled w/ the ACA, I now have FEWER doctors available and many of the doctors listed on the website are NOT part of my sub-network within Health net. I paid to see my PCP a few weeks ago so I could visit a reproductive endocrinologist, whom I was told, WAS part of my network. Turns out that doctor is NOT and only the doctor's office could tell me that. I called Health net three times and was passed around to numerous people, none of whom could confirm which specialists were in my plan. After spending hours on the phone, I was given a number that would supposedly put me directly in touch with someone in my sub-network group. NOPE, it put me right back to the general phone number.

If you are considering signing up for Health Net, then don't because all those reviews are absolutely true! This company has one of the worse reputation. Namely: Average wait time to speak to a representative is 40 mins!!! I always give up after 20 mins cos I can't be bothered with this lack of regard for their paying customers. They print $0 co-payment on their agreement then send you a bill every month for $30 here, $60 there for primary care physician visits! Am I missing the fine print somewhere? They were happy to accept our cheque but never updated our account even though our cheque had wrong account number, but no one bothered to call us or check with us.

This website made me rate my experience, with at least one star, but I say, NO STARS. My wife enrolled for healthcare coverage as part of the Affordable Care Act on healthcare.gov. We paid the first few months' premiums on the phone or Health Net website, but the wait on the phone was at least 45 minutes each time, and the website barely worked. So I made the May and June payments online through my bank bill pay service. The bank mailed Health Net checks, which Health Net cashed, before the due date of the monthly premium in each case.

I became a Health Net member under the Affordable Care Act on January 1, 2014. Since then I have paid my premiums on time through an ACH withdrawal from my bank. And every month since February, I have received a late payment notice indicating that I owed for the current month and the one before. I called Health Net and complained, but the late notices kept coming. I finally sent a complaint letter reference these annoying and threatening late notices in mid-May, but they have not responded.

I cannot even begin to talk about the problems and hassles and headaches I have experienced with this god awful company! First I was forced to switch my plan for 2014 due to the government changes. I filled out my new application and got it in before the due date to have it start January, 2014. They would not tell me when Health Net would be charging me my first month's premium even though I begged to know since I would be out of town for the holidays and money would be tight. Then they did finally charge me and I thought everything was great. I was recently pregnant so it was very important I had insurance. I get home to go to my first pregnancy Doctor's appointment and my insurance isn't working. They marked my account as my insurance starting in February!! Even though they already charged me money in December.

I have been a member of HealthNet since January 2014. Each month my premium is sent by my bank (epayment), and each month it is posted to my account except for May. In May, HealthNet cashed my payment on 5-5-14 and as of today (6-5-14), they have not posted my payment. Called 8 times. Each time, I speak with a different person who knows nothing. Today, I am told that they need one more day. Last week, I was told they needed 72 hours. Hours on hold with no results. Training is so poor, their people have to ask someone else what to do.

Health Net is a terrible company for someone seeking individual health insurance. I could never recommend them. I have been paying over $800/month for an individual policy since they moved their plans to ACA. I cannot reach them on the phone (several hours spent on hold each time I call); dropped calls are never returned. Staff are misleading, and they have regularly miskeyed or misfiled information related to either my account or claims. A horrible company.

Let me start by saying that I have had individual insurance my whole adult life. Paid on time, every month. For a couple years my payments were almost $700/month. I'm in my early 30's and hardly ever visit the doctor. I went to my PCP on April 18th 2014 for a physical (haven't gotten one for almost 3 yrs) and a consultation about the possibility of bariatric surgery. We ran the normal labs to check cholesterol, thyroid, kidney/liver function, etc. My lower back has been in so much pain we opted to get it x-rayed. The doctor agreed that bariatric surgery was a good idea.

Yes, I have been a good customer and have paid my monthly premiums every month and I have been so excited to finally have insurance. I have bad knees and a heart palpitation that I'm getting looked at. My initial Doctor visits happen with no problem, but now that my Doctors want to get more referrals for specialist, Health Net is saying that my membership is Suspended because of non-payment. I have been going back and forth with them for like a month. I'm suppose to get an Echo scan of my Heart and I can't get it because of Health Net's billing errors. If I have a Heartache because of the wait, I'm going to take action. This is NOT acceptable.

I live in the Palm Springs area where there are literally 1,000s of doctors and medical offices but my plan can't find me a Diabetic Management class in my network area NOR is there ONE endocrinologist in my network area. I have called Healthnet 19 times and keep getting the runaround. I submitted a prior authorization to a local diabetes class but they denied it even though they can not find me one in my network area. I have started the appeal process, but I firmly believe this is intentional to deny services so they can save money. I won't let this go. Plus their website says specialists are in my network but when you call the doctors they say they don't take Healthnet HMO through Covered CA. I believe this is willful deception on Healthnet's part and we need a class action suit against them.

Health Net is either actively defrauding us or they are just too incompetent to live. Either way, they should be barred from selling ACA plans at the very least, and should probably not be allowed to operate at all. I echo all the other comments about how extremely frustrating it is to get straight answers from this company. EVERY time we call we get different answers. But even more frustrating is trying to get them to provide the services they have contracted to provide. I need to see out-of-network doctors for my particular health issue, which means I have to pay practitioners up-front and then submit the bills to Health Net.

I can't even begin to explain my frustration with this company. How they are even in business is beyond me. I don't think their customer service reps go through ANY training and when I call, are making stuff up just to get me off the phone. I was getting billed almost triple what my payment was supposed to be. I called and talked to FIVE different people over the course of a couple months and continued to get billed the wrong amount. They told me it was a problem with Covered California and I needed to contact them. When I did they said that the amount I'm supposed to pay is correct in their system and it was actually a problem with Health Net.

I'm a self-employed professional. I set up my first policy with Health Net in February 2014 to be effective active by April 1. Went on the Market Place website week of March 15 and discovered that my policy had been deactivated due to non-payment yet I never received any notification from Health Net. Immediately called the Marketplace and the rep told me I needed to set up a new policy that would be active by May 1. As long as I was enrolled, I would still be within the legal requirements so long as I paid for the new policy by the premium payment date. I immediately set up a new policy to be effective by Health Net by May 1 with a policy payment due April 15.

My wife and I signed up for a silver plan with HealthNet in December. On the healthcare.gov website, they listed the deductible and maximum out-of-pocket "per individual" at half the amounts for "family." Four months in, with my wife having run out the "per individual" deductible amount and making a pretty good run at the maximum out-of-pocket "per individual", HealthNet said if just one person is incurring the expenses, she still has to run out the entire "family" amounts - in other words, that the plan we ended up with does not have individual deductibles or out-of-pocket maximums. We filed a complaint with the AZ state department of insurance, consumer affairs, and within just a few days they got HealthNet to admit their published info had been misleading. So for this year only, they are going to start reimbursing us based on the "per individual" deductible and out-of-pocket amounts. They are revising their explanation of coverage documents. But we are the squeaky wheel. Anyone else who runs into this problem may have to pursue their own complaints.

Healthnet was recommended by my insurance agent. I never had health insurance before, so I decided to join. It's been 3 months since I joined them and EVERY MONTHS I have to waste my minutes at least 60 - 80 minutes just to call them to pay. So I decided to pay online for the month of April. I paid it online on March 31st, and even my Bank account reflected the payment has been done and sent to healthnet. Around mid April I received an email saying that I haven't paid for the month of April. To make long story short I called and called wasted my minutes just to talk to the customer support. They transferred me here and there with no results. They said my payment is lost. I even send an email. They say my payment is lost. In the end they said they will contact the billing department and will call me back again in 5 - 7 days. It's been 9th days still no call yet. Till now it hasn't been resolved yet.

So like many people, I joined HealthNet because they seemed like the best deal. I've had a few doctor/medical bills. They systematically find a way to deny EVERY one of my claims. In the 3 years I've had them, guess how much money I've received back from them?? 0 dollars. You guessed it. To top it off, I cancelled my policy and then today they send me a bill 3 months later! I called to get it cancelled and they had me on hold for 50 MINUTES just to clear up THEIR mistake! Worst... company... ever.

I lost my job 1/31/2013 and with it, my outstanding coverage from Anthem Blue Cross. I was forced to sign up for Health Net due to my existing PCP, only accepting the Healthnet exchange for whatever reason. We enrolled on 2/3/2014 for coverage through Covered California. Instead of our PCP being on our ID cards, they gave us a random doctor. OK fine, called health net (the first time) and am on the phone for 3 hours with them going back and forth trying to get this changed. Wait 48 hours as instructed. Call my doctor. Guess what. Not changed! Call Healthnet the next day. Same ritual. On the phone for several hours. Call the doctor 2 days later. Still not changed. This has been going on for 3 and a half weeks now and I still can't go to the doctor because of their incompetence. I am currently on the phone with their escalation team and have taken the names and ID numbers of all the representatives we've spoken to since this past Friday and are taking this to the media. Health Net needs to be shut down.

I have always had health coverage and always paid for it as I am self employed. This Obarmacare has had me confused but to my understanding I had HealthNet coverage till March 31st, 2014 and on April 1st, my plan was changing to the new system which was without HealthNet. I had to go to the ER 2 weeks ago. I found out on my follow up visit to my doctor the following Tuesday I hadn't got health coverage!! I was shocked and immediately thought about the ER visit. I called HealthNet and they advised me that on 31st December, it had been cancelled. I couldn't believe what I was hearing, no warning, nothing in the mail stating termination of health insurance etc. I am now waiting for the ER bill which will be horrific. I have no idea what to do once it comes in but I do know I won't be even close to affording it... Thanks HealthNet for dropping in more trouble that you can imagine.

The following letter is a re-telling of the ordeal that my wife has been through over the last several months as she has attempted to be seen by a doctor who is able to help her with the severe pain she has been experiencing in her right forearm.

I was simply told to get a list of doctors in their network, and see if they will accept new patients. Unfortunately there are no doctors close to my area that accept Health Net. I had also been scheduled to see a cardiologist, (who did accept Health Net), but the catch was they needed a referral from my primary, so I had to cancel. What is the point of having a PPO plan, I am canceling ASAP!!!

I signed up through Covered CA in December 2013. Covered CA had a glitch in their system that was not giving the Subsidy, so they fixed it on December 31, 2013 and resubmitted the correct information to Health Net. On January 5th, I contacted Health Net to find out about making my payment since I hadn't received a bill yet. They tell me that they haven't received the subsidy information form Covered CA yet, but I could go ahead and make the full payment to get my benefits started and that they would credit me back the subsidy amount when they got the information from Covered CA. My children were in desperate need to see the doctor, so I paid the full amount.

I don't know where to start except the first appointment at a Primary which was easy to get. This started on January 13. I also has some x rays done that were so bad that the x ray tech asked me how I walk and that he had never seen a hand so messed up. My Primary is so piss-poor that they have not even requested the report from the Hospital. I called and told the office manager to get them for my specialist. You would think my Putz Primary Doctor would do follow up about his own request to do x rays so he can review them. Nope, Nothing. I have never seen more ** in my life. These people don't care. They just have a job. No Ethics and Lazy and uneducated as well.

These are not 'once in a while' things. They are constant. Reaching claims department is an impossibility! I have been cut-off after holding for over 2 hours several times. I have NEVER YET been able to get through to the claims department to even ASK why they are denying claims. In the documents they tell me I only have to pay a $50 copay for an Urgent Care. So far the Urgent Care has charged me $70, and they are now asking for another $50. They say it is because HealthNet is not paying the claim. But of course, I can't get through to HealthNet claims department to find out why. I have been on hold with customer service literally for hours and hours, but when you do finally get through, they can't help you with anything - all they can do is transfer you to another department which is ALWAYS the wrong one!!!

Our broker recommended this company for health coverage. In October 2013, we received notice they would not renew due to Obama care. On October 27th, 2014, I wrote them a letter requesting flat cancel and that we had no losses or claims. We wanted the insurance stopped, period. Not a single word from them to us till January 22, 2014, informing us they were taking us to collections for an unpaid amount due for November 2013.

I pay for and provide insurance through Health Net to cover my two children. Inexplicably, they started mailing my bills and cards to my ex-wife's address. We have 50/50 custody I might add. I filled out the change of address on the bill and mailed it back with my next months premium payment. I have done that for the past 6 months, each time making it more obvious my stapling the check with post-it notes included, letters included and magic markers with arrows and highlights indicating that the bills are going to the wrong address.

I have been a HealthNet of Oregon member for many years now. With the affordable care act, I stayed with HealthNet and chose one of the new plans for my area. HealthNet cancelled my old policy and signed me up for the new plan effective January 1st, 2014. I sent a check for my first premium payment and included the Simple Pay Option form for future autodebits to my bank account. By February 1st, my account had still not been debited. Then, on February 3rd, two days after the premium was due, I received a bill from HealthNet in the mail. (Although the bill had been prepared on January 16, 2014, it had not been mailed from their office until January 30th, 2014). I had tried on several occasions before the February due date to contact HealthNet by phone and was put on hold for at least 45 minutes each time. I simply could not get a live person by phone. I have always been able to reach them in the past to discuss questions or concerns. Now, it seems like there is no one there.

Firstly, I was excited to finally have insurance through my work. I have had a recurring problem with sinuses, and I have an ingrown toe-nail that got infected. My initial attempt to see my primary physician was a joke. The doctor had two different girls answering his phone, and they sounded like they were prepubescent children who were annoyed to be doing the job. After being on hold for 10 minutes in an attempt to schedule an appointment, I was greeted with a vacant voice of a girl who had no idea who I was.

I signed up for HealthNet Comunity Care Silver plan for $350 through Cover Oregon. When I contacted HealthNet to set up my current doctor as my PCP they refused. They said that since I signed up though Cover Oregon and not directly though them that they would not assign me my current doctor. Mind you, my current doctor currently accepts HealthNet and they have signs all over the office for Cover Oregon. I'm sure there is not a problem on their side since they are a subsidized community health center.

Health Net has horrible customer service. Their website never works. They can never get me the information I need when I call. I am always on hold forever. They need to train their employees better and make their systems easier to access.

I signed up with Health Net through Covered California in December 2013. I saw a general practitioner on January 3, 2014 and that is when the horror story began. My insurance card says direct Network So Calif. The doctor’s office tried to make appointments on my behalf to see a pain management and a Neurosurgeon, after calling at least 10 different specialist that are listed in their webpage. The doctor’s office got frustrated and said none of these doctors will see you. They do not know what this network means. Some of the doctor’s phone numbers are disconnected. Others are retired.

These problems with Healthnet are in NO WAY related to any fault of The Insurance Marketplace. In Dec 2013, I purchased a Silver Level health care policy with Healthnet. (Arizona) The policy sounded too good to be true: $0 deductible, $3 PCP copay, $5 specialist copay and $25 out of pocket max and only $68 per month premium!! I should have known better!!! I paid the premium and went online to choose a Doctor. Healthnet's "provider search" was so awful the closest M.D. I could get was 32 miles away. I also needed to look for a specialist ASAP since I had to have an out patient procedure performed. I quickly realized that the number of specialized providers that I required was limited to only 5 doctors in the whole Phoenix metro area which is over 100 miles wide. I live NW of Phoenix and was 60-80 miles away from any of the specialists.

This has to be the worst health provider in the Market Place. They do not pick up the phones. They ask for a call back number but don't use it to contact the person whose call is lost. They lost my case or something, so they claim they do not know me. Covered California claims they have sent over my file and they deny ever receiving it. Bottom line, I was quick to sign up as soon as the Affordable Care Act made enrollment available. Now they claim this or that. I called to ask about my enrollment packet… no luck.

I am a provider and was calling to verify benefits and obtain pre-certification for a patient. I called the office two times. The first time I waited 75 minutes to speak to a representative. Once we were connected, she took my name and call back number. After 2 minutes we were disconnected before answering my question, and she never called back. The second time I only had to wait 40 minutes before I spoke with another representative, only to find out the extension I was told to call was the wrong one and I waited another 25 minutes. Due to the disorganization and poorly understaffed nature of this office we will not participate with this plan. Hopefully they treat their patients better than their providers.

I have been trying to cancel my insurance with Healthnet since October and I keep getting bills for my daughter and myself and even had my policy sent over to an outside collections firm. I've emailed, called, sent certified mail...nothing. They are impossible to get a hold of as you will be waiting for over an hour to reach anyone and they will tell you the same cookie cutter statement to send written communication. Doesn't work. IN addition, their website is horrible. I was never able to connect my daughter's or my policies under one sign in name or pay the bill for her online. One of the worst companies I've ever dealt with.

I did cancel my insurance because of another job. But they're sending me the letter to pay the premium for next month even though they mentioned that they cancel it any time and prior notice. And the customer service is not helpful and I never go for this insurance again. I really got frustrated with this insurance and their service.

Notified them the week of Dec. 1st 2013 that I switched to Kaiser. I was told as soon as I was enrolled Medicare would notify them and they would disenroll me. I noticed they took out premium from my bank acct. I called back and now they said I had to contact them with a letter to Van Nuys, CA!! I stopped them at bank from any more debits. On Jan 7, they used ACH and took more money out. I sent fax demanding $ returned IMMEDIATELY. WHAT A HORRIBLE COMPANY who denied nearly every claim submitted. I couldn't find doctors to accept them.

I have tried to call Health Net 5 or 6 times a day starting on 01/02/2014 thru 01/06/2014 and only get a recording that says "We are experiencing a large number of calls, please wait." I continued to wait at least 15 minutes each time and never did get to connect with anyone.

I am paying for my 13 y/o son to have health insurance through Health Net. In Sept., they sent me a letter stating his rates would go up from the $55 I was paying a month to $63 a month. They said these premiums would take effect January 1st. I returned the agreement stating I understood this. In November, Health Net withdrew $63 instead of $55, then on December 27th, they are withdrawing $127 from my account without notice or explanation.

I got quotes from covered California, Health Net $44, went to their site and didn't finish application because they are still asking about pre-existing conditions. So I called them, the guy that answered could not hang up fast enough. First he told me all agents were busy and I would get a call back in less than two hours and he asked for my address to send me info on their insurance. A week or more later, I'm still waiting for call and mail. I called corporate and a woman chewing gum just asked me if I wanted insurance or not after I told her my experience. This is the worst insurance company ever! I would never sign up with them.

I had HealthNet when I was single and liked it. Some years later, I got a HealthNet stop-gap policy for my family, and it was terrible. Someone at HealthNet filled out my forms with the wrong birth dates for my son; HealthNet then failed to pay for his coverage. Then, as a staff member in the UC system, I got HealthNet Blue and Gold. Its website was abysmal and did not allow me to sign up for coverage; instead, we were assigned to a city many miles away. After I got that straightened out, I changed my children's provider. Although I did that in May, I took my daughter to a doctor's appointment in October and surprise! She was still listed as a patient of the former provider! The clinic then refused to treat us, despite my daughter needing immediate care. I called HealthNet and a woman there confirmed that my son's clinic had been changed in May, but not my daughter's, "So it looks like we may have made an error." She was very kind and efficient and on the ball, and everyone I've talked to has been nice, but my overall experience with HealthNet is one of incompetence and terrible service.

On Sept 4th, I woke up with excruciating kidney stone pain. So my husband decided to call my general doctor which is ** at Sunset blvd. They told him to take me in to the office and that I will be taken care of, meds would be ready and a referral for an urologist. We get there and no one at all knows what's going on. We talk to a very unprofessional receptionist that clearly only wants our money and offered no help. 15 minutes waiting and still no mention so my husband asks if she can find the person my husband spoke to on telephone. She said fine. Another 15 minutes pass and my husband confronts the receptionist asking to see the doctor a.s.a.p. She asked what for and for the 4th time my husband repeats that I have kidney stones and I'm in excruciating pain, that I need to see a doctor now because they told him hey were ready for me.

I applied for an individual insurance. I cancelled my coverage in May to be effective June 1. They never fulfilled my request. So when I got an outstanding bill, I called. I have sent numerous faxes, emails.. Never received, yet I have copies of the fax transmission reports stating they were received. I have called numerous times to be left on hold for 2 or more hours. This is the worst insurance out there. Unable to fulfill requests in a timely fashion and unable to satisfy customers. I suggest you pay a little more for better service.

In my opinion, Health Net is probably the WORST INSURANCE COMPANY EVER TO EXIST. In my experience and of my opinion, every single aspect of the company is terrible. Everything. I would rather have no insurance and die then pay them another premium. Not only do they charge me an outrageous premium, but they stick me with the highest deductible ever to exist. All of this for someone who visits the doctor once a year. Thanks for the recommendation and advice. What a worthless entity.

My daughter called to change her address with Health Net so her premiums could be sent to her place of work. She was on the line for 30 minutes so the rep could get all her information. She called a month later to find out why she didn't receive her premium in the mail to her new address. She spoke to another rep who she again was on the phone for another 30 minutes giving them her address. When she still didn't get her premium in the mail to her new address she called up to find out why. They informed her that the address that was input was incorrect. She gave them her address again and again she was wasting her time talking with someone again.

Called and tried to ask about information on a bill for my father. First time I waited 5 minutes on hold and then finally got to talk to a representative. She said I was supposed to get my father's social security number and that she will hold. I'm at work, so I called my father and got him on the phone, got his social security number and she hung up on me. Second time I called back, waited 10 minutes. Another lady answered, told me that I needed my father's medical card number that I needed to call back. I specifically asked the lady on the phone, "What else do you need because I don't want to have to call back again." She said, "All we need is just the ID number and the bill that you are referring to."

I got my insurance on March 3 (to start). I got a letter just today, June 28th, 2013 that they are raising it 23.33% "warning" only after 4 months. I took the lowest monthly payment for someone my age, and the highest deductible and now they are raising $60+ a month??? I am sick and tired of paying what "most" people can't afford. I haven't made a claim! I had to quit Anthem Blue since their monthly kept going up & up in the triples... every month. What are you doing to the American people? I will quit since it's unreasonable for the average Joe Blow. I'm just sick of how these insurances treat people. California is really not protected by your prices. I think at this point I'm not a welfare case but I'm at the point after paying for care I never received, I will quit and have nothing since I know you are taking total advantage of people like me.

I am writing this to protect others. After not getting any help or clear answers from the 800 number, I called the Corp. Office to ask a very simple question. ** was truly a complete nut case. This is not a joke. She went on a rampage; while on her rampage, I put the phone down for 13 minutes; when I picked up the phone, she was still talking non-stop. I never got my question answered and we dropped our services with the company. She was very disrespectful, dim, and has some serious issues. I feel very bad for the CEO she represents. FYI: The conversation was recorded. I would advise not to do business with this company. Thanks and have a nice day!

I signed up with these guys, but there were no credit card renewals, so my service was unexpectedly cancelled. I called them to renew, but was met with a half-hour wait time, and at the end of that wait time, the agent hung up the phone. I called back, and once reaching a representative, they wanted to charge me a $5 loser fee for renewing my account. I'd rather pay $5 to someone who's not an **.

I just don't know where to start on this but I will try to keep things straight. First of all, I came to be insured by HealthNet Oregon as a result of talking to our local S.H.E.B.A. organization. I was told a pack of lies about cost and coverage by one of the only paid employees of that org. Not only are my medications not available (although my doctors requested them and were refused by HealthNet Oregon), but what was available to me were at up to 400% higher than my previous plan.

I applied to Health Net so I could reduce my premiums from another insurance company. They sat on my application for a month before even contacting me. By this point, we had blown right past the start date I had applied for. When they finally called, they asked me a couple of questions based on what I had said on the application. Okay, so long story short after 6 weeks, I get a rejection notice for pre-existing conditions; the pre-existing condition, I take Prilosec for acid reflux.

I have treatment-resistant depression and, although I've tried most of the common SSRI and SNRI medications over the past 15 years, I continue to have recurring bouts of depression that disrupt my life. Despite these difficulties, I am now a graduate student at a major research university and began consulting with a physician who specializes in treatment-resistant forms of depression after another bout of depression. Many of the newest medications that have been used to treat resistant forms of depression are medications that were originally intended to treat other neurological diseases, but they have shown great promise in treating even the most difficult cases of depression - cases that respond to few other medications.

I have called them 6 times in the last three months. It started with a bill, which said I had a zero balance. I knew this was wrong, so I called and asked them to send me a real bill and I would pay. They sent it and I paid it. The next month, I did not get a bill. I called again and was told they changed some programs and the bills hadn't gone out yet. No answer when I asked why they didn't send a letter telling customers about this, but we all know it's cheaper for them if they just let us waste our time calling them. They said I would have it in a couple of days. My third call was a week later when I still had not received a bill.

I've paid thousands of dollars in premiums for me and my children since my employer went to Health Net. Recently, I had to take my daughter to the ER to treat an allergic reaction and I discovered that I will have to pay the entire $2,000 hospital bill because my horrible policy will not cover anything below the $3,000 deductible per person for the year. I have no idea what the point of having insurance is if it won't offset large expenses at the time of emergencies. I despise Health Net and am counting the days until I change policies to another company.

I have made numerous attempts to communicate and provide documentation on a bill that Health Net refuses to pay. The bill in question is for my aunt who is in an assisted living facility. She falls periodically and is taken to the hospital via ambulance to be checked. We have had numerous bills from the same ambulance company for the exact same reason, however, Health Net refuses to pay this one bill. I have attempted to call them numerous times on this matter with no results. I have contacted a supposed supervisor and he stated he would see what he could do. This was over a month ago and I have not received a call from him on the status. I have left several messages on his direct line voice mail without results.

My daughter, 19 years old, high school student and marathon runner, has submitted an application with Health Net and got declined. The reason as stated on the denial letter is "history of treatment for excessive sweating." She uses prescription antiperspirant Hypercare with aluminum chloride for about two years, less than once a week. Is sweating a medical condition? Could it become preexisting condition soon? In order to get health insurance in California, you do not have to sweat.

I read some of the other reviews and I agreed with 98% of them, especially the ones about overcharging while getting bad services. I myself have been a victim of Health Net - representatives giving false or misleading information. In 2012 my doctor wrote a letter to my insurance, stating that my medication cannot be substituted. I've tried everything else, but only the brand works and it is imperative that I take this particular brand. However, January 2012, I was told by a Health Net rep that I had to pay a (one time) $100 deductible and I would only pay $25 copay thereafter.

I originally signed on with Nationwide; they sold to Health Net around 2006. Health Net sent out a letter that nothing would change. Everything changed. I used to call and complain to them more. Recently, I called to speak with a rep and there was a 20-minute wait. My payments have increased exorbitantly, and doctors that I had for years dropped me. No one takes this plan. Something else that changed - my medications are barely covered. A few years ago, they sent me a letter stating that I should take a different kind of medication, a cheaper med. Infuriating. A person’s health insurance should not dictate what their proper care is! That is between the doctor and patient!

I have a Medicare program with HealthNet. They could care less about the consumer! My doctor ordered a CPAP machine for me. After two years, I still don't have the machine and when I asked for HealthNet to order their required Sleep Study, they refused to do it. They have collected over $20,000 from the government in two years and I have received zero in service. This is an example of private insurance serving citizens over the age of 64.

I am a new member of Health Net and they are refusing to mail me the member handbook/evidence of coverage information! They said I must request it from my husband's HR department. My husband and I are paying $1,000 a month for this health insurance and I cannot receive basic information from this company. How is this justified? My husband's HR department does not have this detailed information on file. We now have to hope the broker who sold the insurance to my husband's company will help us. Can this really be the way it works?

My father-in-law, who speaks limited English, asked me to call his insurance company to verify coverage. I spent over 45 minutes of my lunch hour going through a tree trying to get someone to just verify that he has coverage, so I could possibly take him to a doctor this afternoon. He has been ill for 2 days and has missed work and my concern has grown tremendously. I do not want his job going in jeopardy; therefore, we thought it is important to see the doctor at least now, since he has insurance. I was asked to verify his DOB and I did not know the correct year off the top of my head, before I could even respond to this guy, who was very unprofessional in terms of helping me, he said he could not help me. Before I could ask him to use other information that could possibly use as a verification; but he said I was violating HIPPA.

I had to change to Health Net in 6/2011. I needed to have my insulin refilled by July 2011 and the strips for my glucose meter. You should also know my doctor of 17 years suddenly was no longer on the plan for new patients. So I had a new doctor, who was okay but didn't have a history with me and didn't care to really fight for me. Health Net declined to cover my insulin and made me switch to another brand just because and they did that with my glucose meter/strips too. The new strips and meter are ** and I had problems with the quality of them within 48 hours of changing over. Apparently, if you don't close/seal the bottle of strips, they become inactive.

I was a Health Net member with my kids for 10 years plus. I paid all my bills, even as the costs skyrocketed to ridiculous amounts over the years. (Major medical).

I have a severe lower back pain that radiates to my legs. I went to my primary care doctor who was very nice, and he gave a shot of Toradol and put a PA to see a neurologist. After 2 weeks, I received a letter in mail stating that my PA is approved and I can call and make an appointment. The PA letter that I received has a blank space for phone number.

In mid June, they increased my rates by 6% because my birthday is coming (happy birthday to you too, you've got my vote for socialized health care you rats!). Then at the end of July, they're increasing my premiums by 25.2%... because I'm getting older?

My mother signed up for coverage with the HealthNet HMO Medicare plan. She has poor circulation and has had numerous problems with her legs. She has a primary care provider in Hemet Ca who has continually delayed treatment causing reoccurrance of painful venous stasis ulcers. These have been treated with antibiotics, home health and wound care at his direction. When I was visiting from out of state we were to meet the doctor at his office in Hemet. Instead we were called by a Dr. Win his partner. We drove to the office and she met us in the parking lot, looked at the wound with my mother in the car seat and her leg out the open door. She took the dressing off and put it on the ground, advised us to go home and mix table salt and water and use it to clean the wound everyday. She then picked up the dirty dressing and put it back on the wound. What a great example of HealthNet health care.

I am a teacher, I teach second grade, and began losing my voice in December 2010. I came down with bronchitis, but the doctors began to have mixed thoughts as to just what I really had. I have asthma, so the complication is that stress, viruses, etc. can trigger coughing and wheezing in me. I did feel that my problem was upper bronchial, but couldn't talk above a whisper. This has gone on for five months now. I have seen numerous doctors including three specialists. The pulmonary specialist finally sent me to the UCLA Voice Center to get an evaluation of my vocal cords. I had seen an ENT in January who said that everything looked fine at that point. The UCLA ENT said that I have a paralyzed vocal cord on the right side. This causes coughing, choking and difficulty swallowing which I have experienced.