Health Net
Pregnancy Coverage for Covered California Members
Health Net recently notified brokers that Covered California is experiencing a system issue in their Application for Coverage process.
What this means for Health Net members
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. [Potentially terminating their Health Net individual and family plan.]
What you need to know
- The California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) is notifying affected members by letter as part of their customary Medi-Cal transition process.
- When an affected member calls into our Customer Service center, we are advising them to contact Covered California to be re-instated to their prior Covered California plan.
- Covered California and the Department of Healthcare Services are aware of the issue and are working on a fix. They are targeting a time frame between September and October 2016 for resolution.
If you are affected, please contact Covered California directly to have prior coverage re-instated.
Covered California
- 1-800-300-1506 (TTY: 1-888-889-4500)
- Monday through Friday, from 8:00 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m.
