Introduction And Questions About Healthnet

[celticlassie 0]

Hi Everyone

I am new here and have trolled the site and I am so glad there is a place for my questions. I had a gastric bypass 10 years ago and I am now back up to 280 pounds. I was denied a lap band by Kaiser or any other secondary surgery for that matter. My questions is, I am actually starting work at Healthnet tomorrow and my primary goal has been to have band over bypass. I will have all these choices of their insurance to go with and not really no which one is best from this stand point, weight loss surgery I mean!! If anyone has any insight I would appreciate it.

Thannks

Mandy

[cmk99 39]

I can only go by what I have. I have BCBS and once my information was submitted to them it only took 3 days to get the approval.

Good Luck

[PandorasBox92264 61]

I have health net COBRA currently and had my band placed by BCBC in PA in 08. For Health Net I got a referral from my primary care provider to a local doctor that I had chosen here in Palm Springs which Health net denied, BUT they referred me to Dr Peter Leport's office in Fountain Valley, CA so that I could have the band checked and get fills. We had to make a two hour drive for the appt each way, but all I had to pay was a 35.00 co-payment! The approval for them to do this only took a couple of days. I even had to have a upper GI to make sure the placement

I have Desert Oasis here in Palm Springs and I had no idea that they would have a central doctor all the way up there that would be in the Network. I think but not sure if it is just that office for Desert Oasis Network or for all of Health Net's patients in Southern California. My suggestion is to call up their office 866-731-1235 and ask the person who handles Insurance if there are specific plans that cover it vs not covering it. I am on a 5SQ plan that covered the fills and it is an ***.

It is called one of the Silver plans.

If you have a Doctor in Mind you can also call them up and see what they say about Health Net and what plans cover. I know this practice is very large with alot of Doctor's in it and PA's. I saw Dr. Kelly Francis and she was very nice and so was everyone in the office. You might be able to also call Health Net to ask when you get your paperwork for joining as well or look up the Provider list. Hope that helps some!

[bigenuff 302]

Healthnet was giving me the run around for months so I switched insurance co and got it done.when I spoke to my LB surgeon he said that healthnet was really bad at approving people .I went through anthem blue cross.