Health Net Of Arizona Inc.

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

This complaint is a duplicate of #[redacted], which I responded that 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.

The member's compliant will be submitted into our formal grievance process and a written response will be sent to the member within 30 calendar days.Thanks You.

[A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

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 into our grievance process and we will provide a written response to the member within 30 days.

The member's appeal has been submitted the the Commercial A&G Department for processing. The standard timeframe for processing a post service appeal is 30 days. Health Net will respond directly to the member with the review outcome.Thank You.

Health Net will process the member's complaint through our formal grievance process and will provide a written response to the member within the next 30 days.

A written response will be provided to the member by Health Net's Appeals and Grievances Department within 30 days from receipt of his original complaint with the Revdex.com on 5/24/2014.

The member's complaint will be processed through our standand grievance process and we will respond directly with the member within 30 days following receipt of the member's complanit.

Health Net will submit the member complaint through our formal grievance process and will respond directly with the member regarding the review outcome.

I have reviewed the response made...

by the business in reference to complaint ID [redacted].  I will wait for the business to perform this action within 30 days or less.Regards,

Will Healthnet ever pay me for the multitude of hours I have spent waiting on hold to talk to people who don't know anything about what the [redacted] is going on? Here's what you can look forward to with Obamacare..."Can you please hold?...For like an hour?" Just to be told that I needed to be transferred to somebody else and wait on hold for another hour. Then that person tells you you need to call a different number so you can wait on hold for another hour. Oh! And this is after each person rambles a medical disclaimer so fast that you have no idea what they're saying and it takes them an entire minute, which feels like a another hour because you're already so stressed that you're waiting with match in hand sitting in a pool of gasoline that you've poured in the sign of an upside down pentagram around your body, just in case you feel like ending the torture now would be easier than trying to prolong it any further. So...long story short. Just set yourself on fire. Don't try to navigate the Healthnet website. You would be better off not having insurance and just paying cost for everything. This company is a scam, there is zero communication happening between departments, and mark my words...you will find out years from now that implementing this whole mandatory healthcare act was just a scam meant to steal billions and billions and billions of peoples' money and ultimately stress people out so much that they get sick to the point of needing healthcare. It's really sick what our government is doing. Just think about all the elderly populations and how they must be getting raped by this corruption. I'm moving to Canada.

Review: I submitted an application for insurance coverage on March 18, 2014. This process required me to provide payment information, and I provided a credit card number. I was assured I could cancel my application at any time. I found coverage through another company, and the healthcare.gov website, that better suits my needs. I purchased this superior coverage through the health exchange. I then attempted on four occasions prior to March 31, 2014 to contact Health Net to cancel my application prior to receiving any charges for it. I could not find any way to cancel the application online. It was very difficult to get through to anyone on the phone. Wait times before, and after March 31, were over 45 minutes. When I finally got through on two occasions, the person I spoke with told me they were unable to process my request. I was then transferred to another department, however no person ever answered the phone in either of these departments. As such, I have been unable to cancel my application. The result of these barriers to canceling the application is that I am unable to do so. In effect, Health Net is forcing making it impossible through their untenable phone system, to cancel my insurance, and are 'holding me hostage' as a customer, forcing me to do business with them by making it impossible to get through for the purpose of terminating the agreement. This is a violation of both the written and verbal terms I was presented prior to doing business with them, and upon which I relied to my detriment. I am seeking redress in the form of canceling my damn application. I would like verbal and written confirmation of this cancellation.

I again tried to contact Health Net by phone on April 1 and April 2, 2014. I experienced the same wait times and lack of any response /service to my request. Again, it was not possible for me to get through to anyone who was willing to process my request. As such, I am UNABLE to take care of this issue. I have spent approximately 7 hours attempting to deal with this and cancel my policy. As any attorney, my billing rate was $200 per hour. This is not a good use of my time.Desired Settlement: I am requesting cancellation of my March 31, 2014 application for insurance coverage, and removal of any and all charges if there has been a charge against my credit card. I seek both verbal and written confirmation of this. I would also like my complaint to be publicized on the Revdex.com website so that others are aware of the problems associated with doing business with Health Net. In addition, I would like this reported to the Insurance Commissioner.

Business

Response:

Health Net will submit the member complaint through our formal grievance process and will respond directly with the member regarding the review outcome.

Consumer

Response:

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,

Business

Response:

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.

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.

Review: I paid my premium at the beginning of last month (May/2014)

I called to pay my monthly payment and continuously get the run around until I was finally notified after my 15th call (continuously getting run arounds and such) that there is a $500+ credit to my account. And what is this credit for you ask? Well, the geniuses at the [redacted] have no idea. They each gave me a different reason for this credit! Can come one just help me understand if I owe my monthly payment or not? If not, why? I think that's simple enough.Desired Settlement: Please contact me during the hours of Monday through Friday after 3:30pm MST. This is when me and my daughter who is my lawyer are available to take your call to help us understand and get this settled.

Business

Response:

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.

Review: I signed up for HealthNet of Arizona through the Marketplace, with my policy beginning April 2014. I was very dissatisfied with their service (reasons detailed below) so in late April, I called them to cancel. I was told that the policy would automatically be cancelled if I didn't pay so that is what I did. I just received a bill from them for the remainder of 2014. I called them to resolve it but they said that I would have had to cancel through the marketplace and that I was responsible for the balance ($1430.28). Also, I moved out of state to Oregon in May of 2014. I have also been in contact with the Marketplace to try to resolve this.

Reasons for my dissatisfaction:

I went on HealthNet's website to find participating providers. After calling 3 facilities listed, and being told that they don't accept HealthNet, I called Healthnet to see what providers do work with them. They looked up my account and said that it had been cancelled for nonpayment. I said I didn't understand how as my check had cleared. They eventually found it but had mistakenly applied it to the prior month for which I had no coverage. Several phone calls, different representatives, and hours on the phone later I was still getting different accounts of what had happened and what was being done to resolve it. I had no faith in them so I decided to cancel.Desired Settlement: I would like my bill to be cancelled as I was given misinformation about how to cancel.

Business

Response:

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

Review: I started a policy in December of 2013 with HealthNet through [redacted]. I paid my first month's premium that was quoted at $354.72. It took them a month before they could even get my initial enrollment processed. They then raised the premium to $424.17 without notice. (I finally received a letter telling me about the price change a few days ago, close to a month after I discovered the pricing change on my own when I went to pay the bill). I have called them and they simply told me that they would not honor the original agreement as they had a pricing mistake. I have now been trying since February 20 to resolve this issue but have gotten nowhere and any time I try and call Health Net I get stuck with very long (sometimes over an hour) wait times. They have told me that pediatric dental caused the discrepancy in price and has affected over 2,000 Arizona subscribers. I asked if the pediatric dental alone could be dropped and they told me no.

Currently I am stuck with a policy I cannot afford and it seems that my only option is to drop my coverage completely which would leave us uninsured.Desired Settlement: I would like my policy to return to the originally agreed upon price or have the pediatric dental dropped from my plan to cause the plan to reach an affordable price for my family.

Business

Response:

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.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID 9963532, and have determined that this proposed action would not resolve my complaint. For your reference, details of the offer I reviewed appear below.

I have been dealing with them for 3 months now and I don't expect them to follow through with their "30 day grievance" response. The reason I sent this complaint into the Revdex.com is because they keep saying they will do things and they do not happen. I had called in on the 20th of February and no concessions were made or have been made since then.

Regards,

Allen Keys

Business

Response:

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.

Review: I signed up for HealthNet and my coverage was supposed to start on 06/01. I made my payment prior to coverage on 05/30 and they advised me may take 5 business days to start. I await the 5 days and call a primary care physician and schedule an appt. I call healthnet to get some additional information and I am advised they cannot locate my payment. I provide my confirmation number for my payment and they confirm I paid. Then I am advised that since there was an error on THEIR end I will have to await ANOTHER 5-7 business days for coverage to maybe start. I say maybe because they don't know the issue. I escalated to management and they still advised me I have to wait till Friday to speak to someone in regards to this. I was just in an accident and need immediate attention and they don't care even though my payment was paid prior to it being due.Desired Settlement: Coverage to start immediately.

Business

Response:

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.

Worst plan ever!

I bought this for my daughter.

They keep raising the rate $20 at a time, and customer service is horrible, they don't seem to know what they are doing. And the Nurse help line is horrible, I waited for 30 minutes before I hung up and just called the insurance that I have for myself through work.

They only gave me 6 months credit for the form 1095a and when I called, the prompts didn't work when I called. for example, you hit #1 for english and then #2 for current member, only to have a recorded message say this line is no longer available!

I had to go through the make a payment prompt to talk to some one.

They transferred me to Health care market place for my 1095 question and when it answered, it asked if I was calling from Utah!

Now I have to figure another way to get credit for paying for healthcare for the whole year!

Review: We have been with Health net for at least 10 years. Our payments are automatically deducted from our bank account every month. We have been at the same address the entire length of our policy with this company. I have received and have in my possession correspondence in the past from this company which clearly states our address is 2031 W. Deer Valley Road, Phoenix, AZ 85027. The insurance company authorized a surgical procedure with my doctor and the medical facility that was performed in January 2014. Also authorizing physical therapy, in January, February and March 2014. I also spoke with a representative at Health net, on 3/11/14 about our employees policy that we just found out had been cancelled. They also looked at our policy and never mentioned any issues with our policy at all. On Monday, April 15, in late afternoon, I received a message from the Physical Therapist office telling me that they had contacted Health net about billing, and they told them my insurance had been canceled as of 12/31/2013. How exactly is that possible when all thru 2014 myself, the medical facilities and doctors have been talking with them about my policy and coverage!! I contacted Health net on April 16, was kept on hold for over an hour, before reaching someone. They proceeded to tell me that yes, it was cancelled, that they sent out notices that were returned of the cancellation and non-payment. I told them we received nothing, they looked in their file and found that the items had been returned. They had somehow changed our address to [redacted]. They also said they changed the policy on the 12/31/13 - therefore the auto payment was not longer valid, as it required a new bank draft. I have talked to several people there, being transferred from one department to another, each time having to explain this matter over again from the beginning. I asked them to reinstate the policy, this is completely their fault that the policy was cancelled as they changed the address incorrectly in their system. It had absolutely nothing to do with my husband or I. They have been collecting money from our bank account for many, many years and mailing us correspondence . And wouldn't you think they would wonder why all of a sudden the mail is returned? Why as such long time customer's they would not take the time to call. All I asked was for them to reinstate our policy, as this is completely their fault that we have no insurance. If I had not received a phone call this week, I never would have know. I asked for a Supervisor to call me, and no one has ever called. I have always recommended this insurance company to people we know, and have been with them for such a long time, is this how they treat their customers when they make a mistake? TheDesired Settlement: I ask that Health Net reinstate the policy that they cancelled, due to THEIR error and want no lapse in coverage. I will pay the monthly premium for the past months, as we have always done. There is no reason this cannot be done. Mistakes happen, and they can be corrected. This mistake was made by Health Net and should be corrected immediately. This is a very simple request and resolution. I hope they take care of this immediately and very simply. If not, it leaves me no other option other than to handle this through the legal system and I will have my attorney in contact with them immediately. All that does is cause both parties unnecessary expenses when the matter can be resolved with the reinstatement of the policy and no lapse in coverage. Thank you for your assistance.

Business

Response:

Health Net will process the member's complaint through our formal grievance process and will provide a written response to the member within the next 30 days.