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  • Home
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    • How Our Firm Has Changed Lives
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  • Practice Areas
        • Health Insurance Denials
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          • We Fight All Health Insurance Companies, Including:
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        • Medications
          • Prescription Denial
          • Gene Therapy
          • Cancer Treatment
            • Proton Radiation Therapy
          • New Cancer Drugs
          • Expensive Drugs
          • Biologic Drugs
          • Cosentyx
          • Dupixent
          • Enbrel
          • Entyvio
          • Euflexxa
          • Harvoni
          • Humira
          • Intravenous Immunoglobulin (IVIG)
          • Ketamine
          • Leqembi™
          • Monovisc
          • Orthovisc
          • POLIVY
          • Radicava
          • Remicade
          • Synvisc
          • Spinraza
          • SpaceOAR Hydrogel
          • Stelara
          • Xeljanz
          • Xifaxan
          • Zolgensma
        • Injuries & Surgeries
          • Spinal Cord Injury
          • Brain Injury
          • Surgery
          • Back Surgery
          • Ablation Surgery
          • Prosthetic Limb
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Health Net and Angeles IPA’s Insufficient Networks Cause Permanent Injury to Member

Home » Our Blog » Health Net and Angeles IPA’s Insufficient Networks Cause Permanent Injury to Member

Health Net and Angeles IPA’s Insufficient Networks Cause Permanent Injury to Member

By Scott Glovsky on October 17th, 2018 in Insurance, Insurance and Healthcare Denials, Insurance Bad Faith

Health Net and Angeles IPA’s Insufficient Networks Cause Permanent Injury to Member Causing Him to Lose Sight in One Eye, Law Offices of Scott Glovsky Lawsuit Alleges

CLAREMONT, Calif., October 16, 2018– Scott Glovsky of The Law Offices of Scott Glovsky filed a lawsuit in Los Angeles Superior Court on behalf of Jose Nunez accusing Health Net and its contracted medical group, Angeles IPA, of bad faith, negligence, and breach of contract.

In August of 2015, Jose Nunez needed urgent eye surgery and each time he had set up the surgery with in-network providers, Health Net and Angeles IPA would shift Mr. Nunez to a new doctor or refuse coverage for the doctor’s surgical center, he alleges in a new lawsuit. Health Net and Angeles IPA’s actions, he alleges, caused a nearly three month delay. As a result of the delay, Jose is now permanently blind in one eye, a result that was completely avoidable had Health Net and Angeles IPA not delayed care.|

Jose alleges that his problems getting care from Health Net are not an isolated occurrence but part of a larger systemic issue. Health Net knows and knew that it did not have sufficient specialists and surgical centers within it and its medical groups’ provider networks. In March of 2017, Medi-Cal performed an audit and found that Health Net “did not maintain an adequate number of specialists within its network.” It also found that “member grievances on referral for services and availability of appointments with specialists were among the highest complaints.” By keeping its network small, Jose alleges that Health Net has been able to record billion dollar profits for insurance plans like Jose’s. However, because of insufficient provider networks, Jose and other members have been unable to get medically necessary care in a timely fashion leading to severe injuries which in Jose’s circumstance has meant total and irreparable blindness in one eye.

It is Jose’s wish that through this case Health Net and Angeles IPA will begin to reform their system and put in place policies that will assure that Health Net members can access the medical treatment that they need in a timely fashion.

This case is Jose Nunez v. Health Net, Inc. et al. You can view the complaint HERE.

About The Law Offices of Scott Glovsky

The Law Offices of Scott Glovsky has spent over a decade protecting policyholders from insurance company abuse. In both individual and class actions, the Law Offices of Scott Glovsky has fought for consumers to protect their rights when insurance companies act in bad faith and put their own profits ahead of the rights and interests of their insureds.

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  • Home
  • About
    ▼
    • About Our Firm
    • Attorneys
    • How Our Firm Has Changed Lives
    • How We Operate
  • Practice Areas
    ▼
    • Health Insurance Denials
      ▼
      • Insurance Bad Faith
      • Health Insurance Claim Denials
      • Medical Necessity Denials
      • Experimental/Investigational Denials
      • Out-of-Network Denials
      • Insurance Policy Rescission
      • Health Insurance Denials Public Employees
      • We Fight All Health Insurance Companies, Including:
        ▼
        • Aetna Denial
        • Anthem Blue Cross Denial
        • Blue Shield of California Denial
        • Cigna Denial
        • Health Net Denial
        • Kaiser Permanente Denial
        • OSCAR Health Plan Denial
        • Magellan Healthcare Denial
        • Molina Healthcare Denial
        • Regal Medical Group Denial
        • UnitedHealthcare Denial
    • Medications
      ▼
      • Prescription Denial
      • Gene Therapy
      • Cancer Treatment
        ▼
        • Proton Radiation Therapy
      • New Cancer Drugs
      • Expensive Drugs
      • Biologic Drugs
      • Cosentyx
      • Dupixent
      • Enbrel
      • Entyvio
      • Euflexxa
      • Harvoni
      • Humira
      • Intravenous Immunoglobulin (IVIG)
      • Ketamine
      • Leqembi™
      • Monovisc
      • Orthovisc
      • POLIVY
      • Radicava
      • Remicade
      • Synvisc
      • Spinraza
      • SpaceOAR Hydrogel
      • Stelara
      • Xeljanz
      • Xifaxan
      • Zolgensma
    • Injuries & Surgeries
      ▼
      • Spinal Cord Injury
      • Brain Injury
      • Surgery
      • Back Surgery
      • Ablation Surgery
      • Prosthetic Limb
      • Respite Care
      • Pain Treatment
      • Partial Hospitalization
      • Magnetic Resonance Imaging (MRI)
      • Radiofrequency Ablation (RFA)
    • Health Conditions
      ▼
      • ALS
      • Alzheimer’s Disease and Dementia
      • Autism
      • Autoimmune Disorders
        ▼
        • Ankylosing Spondylitis
        • Crohn’s Disease
        • Fibromyalgia
        • Multiple Sclerosis
        • Lupus
      • Cancer
      • Cerebral Palsy
      • COVID-19
      • Counseling Insurance Denial
      • Diabetes Treatment Insurance Denial
      • Eating Disorder
      • Genomic Testing Insurance Denial
      • Heart Conditions
      • Hydrocephalus
      • Intensive Outpatient Program Insurance Denial
      • Mental Health
      • Migraine Treatment Insurance Denial
      • Osteoarthritis Insurance Denial
      • Parkinson’s Disease
      • Postural Orthostatic Tachycardia Syndrome
      • Residential Treatment Center (RTC)
      • Rheumatoid Arthritis
      • Skin Treatment
      • Spinal Muscular Atrophy
      • Substance Use Disorders & Addiction
      • Ulcerative Colitis
    • Personal Injury
      ▼
      • Accidents
        ▼
        • Bicycle Accidents
        • Car Accidents
        • Motorcycle Accidents
        • Truck Accidents
      • Traumatic Brain Injury
      • Catastrophic Injury
      • Burn Injury
      • Wrongful Death
      • Premise Liability
      • Slip & Fall
      • Product Liability
      • Nursing Home Abuse
      • Elder Abuse
    • Sexual Abuse
      ▼
      • Types of Sexual Abuse
      • Child Sexual Abuse
      • Campus Abuse
      • Special Needs Abuse
      • Abuse at School
      • Abuse at Camp
      • Abuse by a Clergy Member
      • Abuse by Athletic Coaches
    • Business Issues
      ▼
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      • Wrongful Termination
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        ▼
        • Qui-Tam
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    ▼
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    ▼
    • Frequently Asked Questions
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    • Fight Health Insurance Denials Book
    • Download Our eBook
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    • Power of Resilience Scholarship
  • Contact