Anyone have Healthnet/First Health ??

duckhnt · 08-27-2008, 09:26 PM

I posted this on the insurance forum...but didnt get a response so I hoped I might get a little more exposure on the main forum...If anyone can help I would appreciate it!!

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 to be banded 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 only "100 lbs overweight or under 100 with co morbidities". The worst response said something to the effect 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?? If the later is the way healthnet is going to be I think I am going to end up haveing a real problem getting banded through insurance

Thanks for any help!

AKgirl · 08-27-2008, 09:55 PM

all i can tell you is my experience with healthnet. my BMI was 43 when i went for my consult, I had done jenny craig so i had copies but that's all I had. I was approved within a week of completing my preop test. 100% coverage and now I am three months out and have had 100% coverage of my fills also. hope this helps. Good Luck!