Question:
Me again - Still Seeking Names of Health Net PCPs who support WLS

Hi! Thanks for your previous answers to this question, but the names I got were either not taking new patients, or do not take Health Net. So, at the risk of being tedious, I thought I'd ask again: I have just changed insurance to Health Net, after getting tired of being denied by Kaiser. I need to find a PCP who is supportive of WLS, and who will know how to present my referral to increase the chances of approval by Health Net. Anywhere in Santa Clara county would be fine. I will appreciate any referrals!!! Thanks so much!!! Patience    — Patience V. (posted on July 27, 2003)


July 27, 2003
I am proud that you seem to be tenacious, but in Arizona Health Net was absolutely horrible. I had Health Net and they denied my initial claim and TWO appeals, their staff was rude and if I had cash I would have sued their asses off!!! Anyway I switched to Pacificare and I was approved in two days. They did have a few requirements 1) psych. eval. 2)at least two years of medical history. 3)a list of co-morbs. 4) a list of previous weight loss attempts or programs. and 5) a referral letter from your PCP. I realize you were asking about a PCP, but I thought I would warn you about the experiences I had with Health Net. Good Luck on your journey I hope you are successful.
   — Keith H.




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