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Healthnet HMO for pregnancy & childbirth

Dec 2011

Hi, I am wondering if anybody has any recent pregnancy and childbirth experiences with Health Net HMO. The experiences I found on this forum are quite old. This is my first pregnancy and I recently switched to Health Net HMO. My friends and other people tell me horrible stories of HMOs - they cut corners in order to cut costs, they would deny claims based on random things etc. etc. I am worried sick and am just looking to hear about some recent experiences you've had with Healthnet HMO with pregnancy and childbirth and who was your doctor btw? Worried first-timer


Please don't stress yourself out about this. I gave birth to 2 kids with the exact same plan and had no problems whatsoever. I gave birth at Alta Bates and couldn't have been happier with the care I received. My ObGyn is Jill Foley, but I also see Elizabeth Kanwit. They are in the same group & it's excellent. Enjoy your pregnancy and don't listen to the horror stories, just focus on the positive!

Feel free to email me if you have further questions. Kim


I had my son at Alta Bates in April while insured with HealthNet HMO. On the whole, HealthNet didn't give me any trouble with pregnancy and childbirth costs -- they didn't put up a fight about my urgent C-section, and didn't quabble about prenatal costs like ultrasounds. Alta Bates billed HealthNet about $50,000 for my and the baby's hospital stay (ridiculous, right?). HealthNet paid Alta Bates about $26,000 of that, but I'm not on the hook for the difference -- Alta Bates overcharged beyond what was in its agreement with HealthNet, so Alta Bates eats the difference.

The one thing I will say is that we had some squabbles between HealthNet and our medical group (Hill Physicians) about which one of them would pay for something -- the infant hearing screening done in the hospital and the pediatrician visits while in the hospital (our son's doctor didn't have privileges at Alta Bates, so he saw the in-house pediatrician). It's not that Healthnet wouldn't cover them, it's just that the two sides had to fight about it. That was kind of a pain, but I haven't heard anything more about it in a few months, so (knock wood) it seems like it's all resolved.

So, on the whole, I'd recommend HealthNet HMO for pregnancy and childbirth. My OB was Lonnie Lin, with OB- GYN Partners for Health. I liked her a lot -- though Jennifer Yarger in her practice was actually the one who delivered my son. I liked Dr. Yarger too! HealthNet mom


Dear HealthNet Mom,

The customer care team at Hill Physicians would like to help. Please contact us at Customer.Care@hpmg.com so we can address any concerns you may have. Thank you, and congratulations on the recent addition to your family.

Hill Physicians Customer Service
Customer.Care@hpmg.com
800-445-5747


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