Revised Prior Authorization Requirements

Health Net Health Plan of Oregon, Inc. Commercial Members

At Health Net Health Plan of Oregon, Inc. (Health Net), we regularly review the Prior Authorization List (PAL) to ensure your clients receive safe and appropriate medical care. As a Health Net broker, we want you to be aware of PAL changes that may affect your client’s health care coverage.

Effective January 1, 2015, we have revised our commercial [EPO, Point of Service (POS), CommunityCare, and PPO] PAL requirements. Significant changes to the list are indicated below. A complete copy of the current 2014 and new January 1, 2015, PAL requirements are attached for your reference.

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2015 Oregon Individual & Family Plan Update

Client Renewal Notices to Mail by November 1, 2014

Open enrollment 2015 is right around the corner! We are ready to renew your clients with Health Net Health Plan of Oregon, Inc. (Health Net) coverage.

Health Net will mail renewal notices to our members who have a 2014 off-exchange plan compliant with the Affordable Care Act (ACA). The notice tells them that we will offer their plan again in 2015, and that new plan rates will apply.

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2015 Arizona Individual & Family Plan Update

Open Enrollment for your clientsOpen enrollment 2015 is right around the corner!  We are ready to renew your clients with Health Net of Arizona, Inc. or Health Net Life Insurance Company (Health Net) coverage.

In early November, Health Net will mail renewal notices to our members who have a PPO plan, a HMO Bronze or HMO Basic plan with us today.

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California Large Group Business-Boosting Opportunities

California Large Group Business

Business-Boosting Opportunities Now Through March 1, 2015

As the end of 2014 comes to a close, Health Net continues to help you generate as many sales as possible. We’ve got exciting opportunities to help you finish the year on a roll, and continue that momentum right into 2015!

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Health Net Will Continue Offering PPO Group Plans in 2015

Covered California letters were sent by mistake to group members

Covered CaliforniaTM sent a letter to Health Net Life Insurance PPO insureds telling them that Health Net will not offer their plan in 2015. This is true only for individuals and families who buy through Covered California. Health Net will continue to offer PPO insurance plans off-exchange and for small business groups.

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Reminder: We need Your 2015 Curriculum Certificates!

For Arizona Brokers

Don't forget!!If you are a Broker who is selling on the Federally Facilitated Marketplace (FFM) business and/or Federally Facilitated Small Business Health Options Program (FF-SHOP) and you have not completed your 2015 plan year curriculum certificates you will experience a lapse in your commissions!

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New CA 51–100 Choice New Business Promotion

California Brokers:  CA 51–100 Choice New Business Rate Promotion Energizes Sales Opportunities

California 51-100 Choice Rate Promo

Health Net’s 51–100 Choice new business rate promotion is proving to be one of our most energizing sales opportunities of 2014!

The rate promotion was introduced to enhance new business sales effective now through 12/1/14.

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Reducing the Risk of Breast Cancer

SAF 0324_CMYKOctober is National Breast Cancer Awareness Month, an ideal time to proactively take steps to reduce the risk of developing this disease. Considering the fact that breast cancer is the second most common kind of cancer in women – and that about one in eight American women will be diagnosed with breast cancer at some point in their lifetimes – this is not an issue to be taken lightly.

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