Health Net Reviews

The samples brought my glucose levels down to an acceptable range of 100-150. I appealed the denial and attended 2 Diabetic Classed that were requested by the doctors and medical group with no recommended changes to my diet or limited exercise procedures. When the sample medications ran out, my glucose level elevated back again and possibly higher than what it was originally.

I then received a packet on Tuesday this week regarding the denial of appeal. I read through the report and it said that this drug cannot be used for Type 1 Diabetes. It went on to say I had until the next day to add anything to the report. The next morning, I called the number given and spoke with Dana **, the Health Nets Appeals Case Coordinator. I explained to her that I would like to have two days extension to complete my glucose history log and to correct the errors within the report. She informed me that she had already closed my case and that she didn't have time to allow me any rebuttal. I pointed out the error with the denial being based on me having type 1 diabetes instead of having type 2.

She informed me that my doctors would have to correct this since Health Net got this information from them, and then hung up on me. I read every doctors report submitted in the packet from both doctors and not one of them had listed me as type 1. I wrote out a rebuttal and faxed it to the number listed on the cover letter even though Ms.Haydel had told me that my case was closed. I have not heard from them since. I believe this is nothing more than a stall tactic to see if I will die and they will not have to pay the cost of this medication.

I mean if an insurance company holds your health in their hands, then surely they have to be accountable for evidence of just systems, correct? Nope. Turns out according to Deborah at the Department of Insurance, there is no insurance law that hold these companies accountable for holding real evidence and proof of their actions. They just have to have some poor pawn in their company type, "Letter sent. Letter returned," and that's enough for the Department of Insurance and America. I then asked Deborah, "What if 100,000 people like me called today and said, 'hey this company didn't tell me of my rate increase and just took an extra $150 of my money without warning me ahead of time -- money I was going to eat with. '"Deborah's response, "Well then if we notice a trend (Ex. 100 - 100,000 claims of this), we do a Market Conduct Exam.

Meanwhile, the robbers have already spent your money and your happiness while you wait to see of the other people like you speak up. And if enough do, then they file a Market Conduct Exam. Which, as a pointed out to Deborah would probably be invalid for action considering her statement that there is currently no insurance law to outlaw such processes. What is there to stop insurance companies from this kind of fraud? Because I must say, if they can factor our ages, liability factors and all the other numbers to deny people their rights, what makes us really think they may not just use mathematical equations to figure out what number of people they can safely ** over within a given span of time? Got a story of your own? Tell it now. The more people who speak up, the sooner this kind of behavior will be stopped.

My case worker Queenie **** has been ineffective in helping me. Meanwhile, I searched for a doctor within network. I located a Dr. **** from UC Davis Health Net provider who looked at my MRI. He informed me that he could do the surgery. He is in Sacramento. I called Health Net and they said they would approve a 2nd opinion and then denied the referral on April 30, 2010. I am paying myself for the consultation until August 10, 2010. I am asking Health Net to pay for this consultation and they initially said they would.

Problem 1. Overcharge of Postage. I called to inform them of the 5 postage charges and requested my order be cancelled. The agent said it would be taken care of and that I was no longer subscribed.

I then called Ace. She confirmed the Cleanse order was cancelled but that the agent from 1/15/10 left no notes concerning my call. She said she was unable to identify the man but gave me a cancellation number dated on the 15th. I then emailed the refund dept.

Problem 3. Failure to comply with their own Terms and Conditions. My comments are in parenthesis.1. When you enroll on the order checkout page (never received) 2. We refund all cases unauthorized transactions (their stand is to deny refund) 3.If you cancel before the end of the fourteen day trial period, you will not be charged the one time Membership Fee. (I was charged 2 fees ofF $169.95, 2 fees of $54.95 and I cancelled on Day 1).

Had I gone with his plan, I would be paying 20% of my radiation, chemo, and MRI’s. That would have run me in the $1,000's every month! With Health Net, I pay $75 for each MRI, radiation is covered and would chemo be at 100% if done through clinic. I pay a $25 co pay for my chemo pills and they run almost $3,000 a month. To the poster that said she shouldn't be paying a co pay for medications because she's double insured is wrong. My kids are double insured and the pharmacy files on the insurance that has the cheaper co pay, not no pay!

Gender Descrimination... taking advantage of woman when they are sick with chemo and radiation and taking advantage of them. Woman have to fight Breast Cancer and Health Net

I have requested my refund once again and this time asked for interest - probably won't see it.

All claims have been denied because of non payment by me even though the mistakes are theirs. So basically, I have paid for 4 months of supplement and are actually uninsured by them. All calls ended in dead ends with the company as they will not correct the accounting and their mistakes.

My son was diagnosed with speech and sensory problems (Aphasia and Spensory Porcessing Disorder)at age two. My state mandates that children receive early intervention from Birth to Three and that insurance also pay for those services. We paid on a sliding scale and Healthnet paid for the services my son received for speech and occupational therapy.

Healthnet paid this until the day my son turned three (when the state mandate expires) and refused all speech claims from the point he turned three. My son was seen by a Yale pediatric neurologist and diagnosed with Aphasia and was given a prescription for intensive speech therapy

Healthnet has refused to pay for any speech, using a fallout that my son would have had to acquire and then lose speech (for instance by having a stroke) in order to get speech therapy. My son never got the chance to acquire proper speech, hence the speech delay and the need for therapy.

I initiated an internal and an external appeal. I made numerous calls and was told everything from they only paid it when he was two because they had to by law, to just keep submitting claims and see what happens - a veritible dice roll with my son's claims.

My appeals were denied for the same clause that he had to have a stoke or accident in order to get the 30 promised speech therapy sessions in my handbook from Healthnet.

I started an appeal with the State Insurance Commissioner and was told that Healthnet was not consistent in their reasoning for the denial but that the Insurance commissioner was not optimistic about Healthnet coming through for my three year old.

Healthnet discriminates against children with disabilites - how else could we explain the fact they paid the claims for the year they had to as governed by the State and now refuses to honor their policy of paying for 30 speech sessions per year.

We are forced to pay 13k for insurance and 150 per hour for private speech. We are unable to do this. We are unable to help our child get the help he needs and we are completely let down by our insurance company who has no caring or concern what their loose interpretation of their policy does to the health and well being of a three year old child who needs speech therapy and occupational therapy as a medical necessity.

We are considering moving, refinancing or anything in order to get our child what the doctors say that he needs.

I sent a complaint to Kay Smith stating my disappointment with Preferred Home Care to supply me with a loaner chair while they took my chair to replace these batteries. The response letter from Kay Smith apologized for the misinformation I received from Preferred Home Care and stated that a reimbursement check in the amount of $247.00 would be issued in 4-6 weeks. It is now over 10 weeks and I still haven't received this check after numerous phone calls to Kay Smith, I was told to expect it by the end of October, 2007. This is the end of October now and the check still isn't here.

Health Net, also does not have any specialists or primary care doctors in Peoria and I must depend on AAA to take me to my doctor's appointments. They have caused me to miss at least 3 of these appointments by showing up long after my appointment time, eventhough they schedule my pick up time at least 2 hours prior to when they arrive. I have asked for an out of network specialist, since the first one they sent me to was extremely offensive and I didnt want to see him again. I was denied. I, then, called the appeal board to get a 72 hour decision, since my illness is life threatening and I needed a specialist (endocrinologist) immediately for a mass (thyroid) that is grossly large and causing breathing and swallowing problems. Rosie told me that I had to write to the appeals board, even though I explained the urgency of having an over the phone appeal. I received a letter from this appeals board which stated that they would respond within 30 days. Health Net's endocrinologist specialists are all in the same group or clinic, therefore, when I called to see another specialist at that group I was told, their policy is that if I don't want to see the original specialist I had seen, they would not allow me to see another specialist in their group. I reported this to Health Net and was told, perhaps, you should find another health plan. I plan on doing this, but, unfortunately, I cannot change my plan until November 15th, which is the date anyone can change their plans. So, I am left with this life threatening illness until then.

The very real possibility of choking to death.

I was told that even though I have PPO insurance I still had to wait for an authorization. I received a letter in the mail on August 6th stating that they were denying the authorization because they feel that it is not necessary for me to have this scan done because my cancer has not come back in 4 years. I called Health Net on August 7th to file an appeal and I stated to this woman who didn't tell me her name that this was part of my treatments even though my cancer is currently gone. She stated to me that she would give the appeals department my information and it could take up to 30 days to get any response.

In the meantime I contacted my Oncologist and he called my insurance company to get it appealed also. My Oncologist was told Health Net will not cover this test because it is just for surveillance it is not for a reason which is absolutely untrue. Just because my cancer is currently gone does not mean these tests are unnecessary at this time.

If I have to pay for this PET Scan out of my pocket completely it will be at least $2,000.00 if not more and me being a single woman living on my own that is not financially possible.

This has caused me unneeded stress and grief and it is totally and completely wrong. How dare an insurance company that I am paying out the nose for tell me that my life or health does not matter just because cancer is not present at this time. I assumed that because I pay for PPO insurance that I woul dbe treated a little better, I guess not.