Health Net Of Arizona Inc.

Mr. [redacted] has benefit coverage under the Health Net Ruby Select plan, which is a Medicare Advantage plan. Therefore, we follow the Medicare A&G guidelines for processing a member complaint. Medicare allows 30 days for the health plan to resolve a member complaint. This complaint...

was received by Health Net on 9/25/15 so a response must be sent to the member no later then 10/25/15.

I have reviewed the response made by the business in reference to complaint ID [redacted], and have...

determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.This complaint has not been resolved. Health Net withdrew unauthorized money from my checking account.

Regards,[redacted]

Please accept my apology for the delay in responding to your request submitted on April 3, 2014. Health Net’s standard grievance process timeframe is 30 days. A written response will be sent to [redacted] on or before May 2, 2014.

The member's complaint will be reviewed through our standard grievance process. A written response will be sent to the member within the next 30 days.

The member's complaint will be processed through our standard grievance process and we will respond directly with the member within 30 days.

The member's complaint has been submitted into our formal grievance process. We will correspond directly with the member regarding the review outcome.

The member complaint has been submitted into our formal grievance process. A written response will be sent directly to the member within 30 days.

Health Net will investigate the member's complaint and respond directly to the member within our grievance timeframe of 30 days.

The member's complaint will be reviewed through our formal grievance process and a written response will be sent directly to the member within 30 days.

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this...

resolution would be satisfactory to me ONLY IF THEY DO IT BEFORE 30 DAYS.  I will wait for the business to perform this action but am speaking to my insurance broker tomorrow who also found that there were problems with this transaction with HealthNet. At the moment, I am contemplating writing to the State Board of Insurance and contacting consumer reporters at television stations in Phoenix. I have a canceled check with me yet everyone I talk to at HealthNet says I have not paid. Healthnet representatives have pawned me off each time I call with no one taking charge and fixing the situation. The longer they keep my money and say they don't have it, the more stressed I am.

Regards,

I have forwarded the add'l comments to the appropriate department responsible for processing the member's grievance.Thank You.

The member's complaint will be submitted through our formal grievance process and we will respond directly to the member within 30 days with the resolution.

Thank you for forwarding the attached member complaint. It will be processed through our standard 30 day grievance process and we will respond directly with the member regarding our review outcome.

I have reviewed the response made by the...

business in reference to complaint ID[redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

The response does not provide enough information regarding the internal Health Net "grievance process", and suggests a lengthy process by which the Revdex.com is no longer involved. I want this matter resolved immediately, not through a lengthy 'grievance process.' I would accept this process if Health Net provides a date by which I will be contacted directly, providing it is a reasonable amount of time. In addition, I would like the Revdex.com to remain involved until my insurance application has been terminated and no charges applied to my credit card.

Regards,

I have reviewed the response made by the business in reference to...

complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.

The response of the business is to deal directly with them in the next 30 days. I have been dealing directly with them for over 4 months by phone and letter without success. They have refused to respond to all my telephone and letter requests.

Regards,

I have reviewed...

the response made by the business in reference to complaint ID [redacted], and find that this resolution would be satisfactory to me.  I will wait until for the business to perform this action and, if it does, will consider this complaint resolved.

Regards,

The member's complaint will be submitted through our formal grievance process and we will correspond directly with the member regarding our review outcome within the next 30 days.

I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.Heath net has had another 30 days (over 180 days in total). I have not received any response from my Revdex.com complaint. I would like the complaint reopened. Thank you.[redacted]Regards,[redacted]

During our review of the member's complaint [redacted], called Mr. [redacted] to assist with resolving his issue. Mr. [redacted] informed Ms. [redacted] that he went back through healthcare.gov and picked another carrier for coverage. He started with the new carrier 3/1/14. Health Net will send Mr. [redacted] a closure letter with the review outcome.

Please let me know if you need any further information regarding this complaint.

Thank you.

Health Net will submit the member's request through our formal grievance process and will provide a response to the member with 30 calendar days.