When a woman completes an Application for Coverage with Covered California and checks the box to indicate she is pregnant, she should be given the option to stay on a Covered California plan. Instead, the system is moving some women in low-income ranges to Medi-Cal.
California Department of Managed Health Care (DMHC) Director Shelley Rouillard approved Centene’s acquisition of Health Net.
Health Net is continuing to reach out to our Individual & Family Plan (IFP) members who do not appear in Covered California’s files. This effort began in December when we first learned of the data mismatch from Covered California.
Effective immediately, Health Net has implemented required proof of California permanent residency for IFP PPO policies. Applications for IFP PPO policies will now require the attached Proof of Permanent Residency form to be completed prior to proceeding with the enrollment process.
Effective January 1, 2016, we have revised our Prior Authorization List requirements for commercial products (Direct Network HMO (including CommunityCare), EPO, HSP, POS, PPO, and Flex Net). Significant changes to the list are indicated below. A complete copy of the new January 1, 2016, PAL requirements is attached for your reference.
The Department of Managed Health Care (DMHC) invites you to a public meeting on the acquisition of Health Net of California by Centene.
Health Net of California, Inc. and Health Net Life Insurance Company (Health Net) will offer a simplified line-up of IFP products for 2016. There are differences in the plans we offer through Covered California and those available direct from Health Net. As such, the changes and what members have to do, if anything, depend on how they enrolled.
Health Net is helping ensure that its members who have lost their homes or been evacuated due to any of the current wildfires in California, Oregon and Washington have access to essential prescription medications, critical Health Net information and other services to help them cope with grief, loss, stress or trauma.
Health Net has partnered with the online mental health website myStrength to offer support and inspiration for members who may be experiences mental health challenges in their lives. From the flyer introducing the partnership, myStrength is meant to address certain conditions such as anxiety, depression and struggles with substance abuse.