Health Net

cali95492
on 9/26/07 8:35 am - CA
Has anyone been approved for WLS through Health Net??
Stacie P.
on 9/26/07 10:28 am, edited 9/26/07 10:29 am - NV
I have Health Net and I just started this porcess they have approved me for my first visit with the surgeon.They said I had to go to UCD medical center I have filled out all the paper work and I am now waiting for them to call me for my appt. to see the surgeon. Hope this helps you some. Stacie
kathyvg
on 9/26/07 1:45 pm
I have a friend she has healthnet hmo cvmg. She saw a surgeon in June 2007 was approved in 2 weeks. She is having her surgery this Thursday 9/28/2007. In Modesto,ca.
Xavier Smith
on 9/26/07 1:49 pm - CA
I used to work with Health Net processing claims and dealing with member and provider issues.  If you have any specific questions about your plan, feel free to post it here. In general, i can tell you that there are many people who have been approved for bariatric surgery through Health Net, but there are specifics to your plan that should be considered, too.
adlast_step
on 9/28/07 9:25 am - Omega, GA

Hi!  I'm sorry to just jump in but you seem to know sooooo much about insurance and how it works!

I have UHC now but my employer has surgery as an exclusion.  Today, we all found out that our dental and health premiums are going up substancially next month.  I'm a school nurse and don't make alot to begin with but I don't know if I can afford to pay for the insurance.  Do you know of an insurance company that will allow me to "painlessly" move to (and maybe even cover the DS) if I can't afford the premiums for my family?  I'll be honest with you...I know nothing about how insurance works but if I have to change ins. companies anyway, it can't hurt to ask, right?  Thank you so much and once again, I'm sorry to have butted in. Thanks! Amy in GA

Xavier Smith
on 9/28/07 12:09 pm - CA
I am sorry that you are experiencing higher premiums.  A lot of people are experiencing that these days as medical costs are rising exponentially. In regards to your switching to an individual policy, you are most likely going to encounter many issues.  Most insurance companies will scrutinize your health when making a decision on whether to offer your a policy.  In most cases, morbid obesity and any co-morbidities associated with them will be automatic reasons for the insurance companies to deny you coverage . Ultimately, you will have a hard time finding coverage. Please note that most people benefit from receiving coverage under their employers because there tends be fewer exclusions, and there are typically no pre-existing clauses. So, to answer your question, there might be a company out there that might be willing to cover you based on your current cir****tances, but that company will be far and few between.  Furthermore, even if the company agreed to offer you coverage, transitioning to the new plan will not be painless. I hope I was able to provide you with the information you requested.
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