ComplaintsforHealth Net of California, Inc.

• Initial Complaint

  02/23/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  For approximately the last 2-3 years, I have used Health Net of California for my medical insurance provided under Covered California. In anticipation of turning 65 on 01-14-2022 and starting Medicare, I contacted Health Net & Covered California to cancel my coverage. My first attempt was somewhere last October. I requested to have my coverage end on 10-31-2021. When the billing continued, I called again in January to inform Health Net that I had previously requested my coverage to be terminated. To this date, I am still receiving monthly billing from Health Net The uploaded invoice, dated 2/10/2022, has now grown to $********. The monthly premium is $896.16. During my actual coverage, my monthly premiums fluctuated between $50 and $250. I have no idea why the premium increased so drastically after I cancelled. When I first attempted to cancel last October, I was on auto-pay so my balance was $0. When I received my first bill after I cancelled, I went into my HN account and discontinued my auto-pay. My desired resolution is to hear from Health Net that they have stopped my coverage without a balance due. Thanks.

  Business response

  07/07/2022

  Business Response /* (1000, 10, 2022/04/01) */ After researching members plan, Health New was able to cancel the Members plan effective 1/19/2022. Member was notified that he only owes 290.80 to cover the dates from 1/1/2022 to 1/19/2022. Consumer Response /* (3000, 12, 2022/04/05) */ (The consumer indicated he/she DID NOT accept the response from the business.) Attached is my $265.85 payment in full from April, 2021. Also attached is a bill from March, 2022 showing a monthly premium of $896.16. I have no idea of why the monthly premium increased so drastically over a 12 month time period. I am also sending you a copy of the email I received from the HealthNet rep where she speaks of a credit I had from 2021. I'm under the impression that HealthNet owes me a credit instead of asking for a $290.80 payment to close my account. I also stand my earlier statement of making my original request to close my account in Sept/OCT, 2021; not 1-19-2022. Business Response /* (4000, 14, 2022/04/20) */ 1. The reason why the premium from April 2021 and March 2022 shows an increase is because in 2022 there was no long a Premium Tax Credit applied to the account. 2. The credit that was mentioned was from an overpayment on a monthly bill made in 2021, however this credit was applied to the payment that was due to cover the member from 1/1/2022 to 1/19/2022 leaving a balance for the 1/1/2022 to 1/19/2022 of 290.80 after the credit was applied. 3. After reviewing the members account we were not able to locate a call from Aug/Sept from Member to cancel his account. We did find an email from August 2021 where member requested to lower his premium amount and Health Net responded by email advising he would need to contact Covered CA. The first call located from the member requesting to cancel the plan came from the Member on 1/19/2022. Member request to cancel plan began on 1/19/2022 and for this reason he had a balance of $290.80.

• Initial Complaint

  01/11/2022

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  Health Net Healthy Rewards Program offered Gift Cards to ******* for completing certain Medical Visits during 2021. They sent me ******* Gift Cards for 2 Visits: Annual Checkup and Osteoporosis Management. On December 31, 2021, I got my Flu Shot at *******. I put in what was Required: the Date I had it and I chose the ******* Gift Card for $25.00. My Mammogram was done on JULY 21, 2021; I don't remember the Reward amount. There were one or 2 more Dr visits I completed, but I don't remember what they are. I didn't write them down because they were all listed on their Web Page as Active and their Web Page was Pinned in my Browser so I kept making sure they all said Active; and, therefore I was expecting the Cards. When the 2 ******* Cards came but not the others I called them. They refused to Honor their Reward Program by sending me the Cards. Their only excuse was the Rewards Program ended Dec 31, 2021, it didn't matter that I put in the Dates Completed and chose The ******* Card for the Reward and that they were completed by Dec 31, 2021. When I went to their Web Page they Removed all the Active Requirements I fulled, except the 2 mentioned above. I am disabled at home and ******* delivers everything to me so I chose the ******* Gift Cards. I completed all Medical Visits required except the Osteoporsos Test because my Dr said I didn't need it. I would like the other ******* Gift Cards for everything else I completed and entered the Dates for that I did complete. Everything that was required to get the Cards by the end date of December 31, 2021, I did, except the Osteoporosis exam.

  Business response

  04/06/2022

  Consumer Response /* (-5, 8, 2022/03/01) */ Some one from Health Net called me right after I made the complaint. They wanted to know all the details. We talked for 15 or 20 minutes. The woman said she doesn't see why they didn't send me all the ******* gift cards, that she would talk with someone in the Rewards Program and get back with me with an answer. I never heard back from anyone. I still believe they should send me the rest of the cards. Thank you, ********** Business Response /* (1000, 9, 2022/03/08) */ Outreach was made to the member to confirm that a payment in the amount of $100 was mailed to the member. Consumer Response /* (3000, 11, 2022/03/22) */ (The consumer indicated he/she DID NOT accept the response from the business.) I was told that they would be sending me a $100.00 and it hasn't come yet. Please follow up on this. Thank you Consumer Response /* (2000, 15, 2022/04/05) */ I received a Check Today From Health Net. Thank you for your help

• Initial Complaint

  12/20/2021

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  Contacted HealthNet and was told I would receive prorated refund for unused portion of plan premium pre paid for December. I moved forward with this plan because of the commitment for proration. Told by Health Net to receive refund I needed to call Covered CA to cancel and then call HealthNet to receive refund. Covered CA Rep stated they would cancel plan and populate 12/13 as end date. Called HealthNet account billing after cancelling with Covered CA.  No one in billing knew how to address the situation. I asked to speak with the supervisor and was told they had no supervisor and refused to transfer or provide a number. I called HealthNet customer care. The customer care team lacked empathy and repeatedly used passive aggressive language.  They did not take ownership of the proration being approved by there own team at HealthNet.  I have call reference numbers with dates and times and then would not investigate or move forward with the prorated refund. I paid HealthNet not covered CA for the premium.  Requested manager to speak with to resolve the situation and issue prorated refund. Spoke with the manager of customer care who reinforced a toxic culture and refused to refund premiums promised by HealthNet team members. All premiums I paid to HealthNet not Covered CA and I still have not received the prorated refund for unused premium. For those considering Health Plans avoid this provider!

  Business response

  01/18/2022

  Business Response /* (1000, 5, 2022/01/04) */ The member paid for the month of December 2021. A refund was issued on 12/20/21 to the members Mastercard on file. The member verified that he did receive the refund and it was processed on 12/24/21."

• Initial Complaint

  11/24/2021

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  Health Net keeps sending me mail and calling me. I've never used Health Net services and do not want to be continually harassed by them. I don't want an account with them, I don't want to keep receiving calls, I want them to stop telling me to go to their doctors, I want the harassment to stop.

  Business response

  01/07/2022

  Business Response /* (1000, 5, 2021/12/13) */ Health Net has put you on a Do Not Call List and apologies for your inconveniences. We have advised you that you do have an open Health Net account that Health Net did not sign you up for. A phone number has been provided should you chose to cancel your insurance. Consumer Response /* (3000, 7, 2021/12/19) */ (The consumer indicated he/she DID NOT accept the response from the business.) On December 18, I received another mail correspondence from HealthNet. This envelope contained 2 HealthNet insurance cards naming a medical clinic I've never been to. The card states that my effective date with that provider was 05/01/21. Again, I've NEVER been to that healthcare provider. These new cards also show an enrollment date of 01/01/22. I can't understand how I "do have an open Health Net account that Health Net did not sign me up for". It's a HealthNet account. I do not want a HealthNet account. I DO NOT WANT THIS "PLAN". Please stop abusing my private medical information. Business Response /* (4000, 11, 2022/01/04) */ Because this is a State Health Plan, Health Net is unable to enroll or disenroll members from these plans without the approval for the state social worker. Health Net is advised by the State to enroll or disenroll these types of plans. Please call ************************************** and speak with them regarding closing your ******** insurance. We apologies for any inconvenience.

• Initial Complaint

  11/15/2021

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  Health net provides transportation to/from med appopintments with certain plans. 4 or 5 times they have scheduled me but did not pick me up. i am challenged with multiple sclerosis and confined to a wc so it is extremely difficult for me to get ready to be picked up( and later find they didnt come.

  Business response

  12/13/2021

  Business Response /* (1000, 14, 2021/12/13) */ WE assisted the member with transportation arrangements so the member could receive the medical care that was needed. We confirmed with the member that his transporation was there in a timely manner and was able to make all appointments. Transportation was arranged successfully . Consumer Response /* (3000, 16, 2021/12/15) */ (The consumer indicated he/she DID NOT accept the response from the business.) This is to inform you that the business response is not true at all. They failed to pick me up on four occasions September 21st November 10th, November 19th, and December 15th. They were successful in coming on October 26th because I called the day before and asked the grievance Department to telephone the transportation department to make certain that the ride was scheduled for the following day. They did come however have Powerade and I barely made my appointment. They have only called me one time to tell me that one grievance was not properly filed. I reminded the representative that other grievances were requested on the dates referenced above. Never have they called me after missing an appointment to apologize or to try to make arrangements with me to reschedule. I now have to wait until February to see one of the doctors that I missed. Completely unacceptable. And their reply to you saying that everything was fine and I made my appointment only took place and have one time that I called to verify beforehand and I assure you had I not called they likely would not have come. I have made arrangements with a different health provider starting January 1. I appreciate your assistance in bringing attention to this unacceptable service. I will remind you again that I am confined to a wheelchair and for my caregiver to get me ready to leave the house is a big deal. And I have made attempts on the day of the reservation to call transportation and they always tell me well they have a half hour to get there so wait until that time has elapsed before calling sure enough I would wait then I would call and by then it would even be too late to reschedule. I'm done. ************************ Sent from AT&T Yahoo Mail on Android

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