Health Net 2016 California Individual & Family (IFP) Portfolio
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.
Plan closures
Covered California:
- EPO insurance plans are closing in Santa Clara and Kern counties
- Platinum 90 and Gold 80 HMO plan versions for American Indians-Alaska Natives (AI-AN)
Direct from Health Net — all PPO insurance plans in:
- Monterey, San Benito and Mariposa counties;
- ZIP codes in Kern County, including: 93527, 93528, 93536,93555, 93556 and 93558;
- ZIP codes in Riverside and San Bernardino counties, including: 92225, 92226, 92239, 92324, 92373, 92399, 91759, 91766, 92242, 92267, 92280, 92304, 92323, 92326, 92332, 92338, 92363, 92364, 92366, 92412, 92880, 93516, 93555, 93562 and 93592;
- Region 16 (Los Angeles West).
2016 portfolio
- Health Net of California, Inc., will maintain their Covered California HMO Silver through Platinum plans in regions 14 – 19.
- They will maintain the HSP Bronze through Platinum plans in regions 1, 3, 7, 11. The Minimum Coverage plans will be offered in regions 1, 3, 7, 11, 14 – 19.
- Health Net Life Insurance Company will offer EPO plans of Minimum Coverage, Bronze through Platinum in regions 2, 4, 5, 8 – 10.
- Limited cost share and $0 cost share plan versions for American Indian-Alaska Natives (AI-AN) are available through Covered California.
Off-exchange
- Health Net of California, Inc., will offer HMO Silver through Platinum plans directly from Health Net, off-exchange, in regions 14 – 19.
- Their HSP plans, including Minimum Coverage, will be offered in regions 1, 3, 7, 11, 14 – 19.
- Off-exchange EPO plans Minimum Coverage through Platinum will be offered in regions 2, 4, 5, 7, 8, 9, 10, 14, 15, 17, 18, 19.
- Health Net will offer PPO plans Minimum Coverage through Silver in regions 2, 4, 5, 7, 8, 9, 10, 14, 15, 17, 18, 19.
Member notification schedule
- 90-day closure notices mail on September 30, 2015, and reassure members that they don’t have to take action until open enrollment starts on November 1, 2015.
- 80-day renewal letters mail by October 8, 2015, to our Covered California letters. We’ve accelerated the schedule to align with Covered California’s early renewal period, which begins on October 12, 2015.
- 60-day renewal letters to members with off-exchange plans will mail by November 1, 2015. Like the 80-day versions, these letters tell members that they can keep the plan they have now and explain the options for making a change.
- 30-day reminder letters to all members remind them what, if anything, they need to do for 2016.
