2018 Open Enrollment: California Individual and Family Plan line-up

ThinkstockPhotos-693829968_jpgOpen enrollment for 2018 is around the corner, and we’re here to support your 2018 renewals and sales. Take a look at our rich line-up for your Individual & Family Plans (IFP) clients.

2018 IFP — A revamped portfolio to meet your clients’ needs

Here’s a quick snapshot of what is and isn’t changing with the plans offered by Health Net of California, Inc. and Health Net Life Insurance Company:

HMO

  • All plans in all regions will be renewed, or migrated to a similar plan.
  • New Teladoc $0 copay virtual visits will be added.
  • New! Effective Jan. 1, 2018, the AdvancedChoice Pharmacy Network will replace the standard pharmacy network, and will NOT include Walgreens.

HSP

  • Some plans will be discontinued in some regions, both on- and off-exchange.

EPO

  • All plans in all regions will be renewed, or migrated to a similar plan.
  • Stanford hospitals and physicians were removed from PureCare One EPO network.
  • Out-of-network pediatric dental services are no longer covered.

PPO

  • Off-exchange: all plans in all regions will be renewed.
  • Mental and Behavioral Health benefits will be administered by MHN.
  • On- and off-exchange: new EnhancedCare PPO will be introduced in some regions in early October.

For 2018, your clients may choose to automatically renew the coverage they have now. Or, they can explore other coverage options during open enrollment. To view a PDF of our full line-up of choices, along with a region list, please click here.

 

Two big announcements for 2018:

  1. Meet our new EnhancedCare PPO!

We’d like to introduce you to the newest member of the Health Net plan family: EnhancedCare PPO. Offering the ultimate in flexibility, EnhancedCare PPO provides your clients the freedom that comes with a PPO at a lower price. While it’s carefully tailored network helps keep monthly premiums lower, EnhancedCare PPO comes with a range of care choices – including virtual and in-person visits. It will be available both on- and off-exchange in these California counties: Los Angeles, Orange, Sacramento, San Diego, and Yolo counties, and in parts of Placer, Riverside and San Bernardino counties.

  1. A new and improved online experience!

We’ve been upgrading our systems to serve you and your clients better. The result is a brand new IFP website for California – MyHealthNetCA.com — that tentatively goes live Oct. 11, 2017 (this date could change; please check back to see if this date changes from Oct. 11). We will also unveil a new broker portal for your 2018 renewals and sales. Watch for more details coming soon on both sites, along with information about a few process changes that will come with the new system.

 

Timeline  

Sept. 29: Health Net mails closure letters to our members. We are mailing at the 90-day mark to meet regulatory requirements.
Oct. 20: Health Net mails EPO and PPO renewal letters to our members.
Oct. 30: Health Net mails HMO and HSP renewal letters to our members.
Nov. 1: Open enrollment opens for 2018.
Mid-Nov.: Health Net mails 30-day reminder letters.
Dec. 15: Last day to enroll in new coverage for a Jan. 1, 2018, effective date. Also the deadline for consumers to verify information and income with Covered California in order to qualify for tax credits in 2018.
Jan. 31, 2018: Open enrollment for 2018 closes in California.

 

You will receive a letter from Health Net, along with a list of impacted clients, if you have IFP business with us in California. Questions? Please contact your Account Executive or call Broker Services at 1-800-909-3447, option 1, or email Brokers@healthnet.com.

 

 

 

 

Health Net HMO and HSP health plans are offered by Health Net of California, Inc. Health Net PPO insurance plans, Policy Form #P30601, EnhancedCare PPO insurance plans, Policy Form #P35001, and EPO insurance plans, Policy Form #P34401, are underwritten by Health Net Life Insurance Company. Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. Covered California is a registered trademark of the State of California. All rights reserved.

 

 

 

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Bret Smith