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Anyone have First Health/Healthnet?



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Has anyone had any experience with approval through Healthnet/First Health? My company is based in CA and I am on the east coast...as such it is my understanding that First Health is the contract provider for healthnet since I am remote from my corporate HQ. I have been trying to get an answer on what the criteria are and I am not sure they even know. I have gotten 3 answers literally from representatives of First health and Healthnet. The least stringent was a phone conversation where the rep said 100 lbs overweight or under 100 with co morbidities. The worst said that I had to be twice my ideal weight and 5 years worth of morbid obesity records!! Has anyone actually gotten approved and know what it in fact does take through healthnet/first health...or even understand the dynamic interaction between those two organizations as it pertains to a patient??

Thanks for any help!

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