Oregon/Washington employers: Health Net drug list changes for Q1 2018
Commercial formularies/drug lists for all Commercial lines of business in Oregon and Washington are updated for Q1 2018.
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Posts in the Category: “Employer-Broker”
Dec28
Absenteeism: When it’s more than calling in sick
Occasional absences from work are unavoidable; people get sick or injured, have to take care of others, or need time during business hours to handle personal business. Excessive absenteeism, however, can present a real challenge to employers.
Absenteeism is defined as the habitual pattern of absence from the workplace. It costs U.S. companies billions of dollars each year. 1 Continue reading
Jun15
Behavioral Health Issues Continue to Vex Employers
With one in five people in the U.S. dealing with a mental health situation on a daily basis,1 many employers continue to struggle with the best ways to address mental health issues in the workplace. May is Mental Health Awareness Month – a good time to take stock of behavioral health care services available to employees. Continue reading
May26
Oregon/Washington Drug List Changes
New for Quarter 1, 2017.
Health Net’s Drug Lists are updated quarterly and available online.
This update includes information for all Commercial formularies/drugs lists, except as otherwise noted. Continue reading
Jan03
Revised Prior Authorization Requirements for OR Commercial Members
We regularly review the Prior Authorization List (PAL) to ensure we deliver the right balance of value and stability to our members. As a valued employer group with Health Net, we want you to be aware of PAL changes that may affect your employees’ health care coverage.
We have revised our commercial (EPO, POS, CommunityCare, and PPO) PAL requirements, effective January 1, 2017. Continue reading
Nov09
Oregon/Washington Drug List Changes for Q4 2016
Health Net’s Drug Lists are updated quarterly and available online.
This update includes information for all Commercial formularies/drug lists, except as otherwise noted.
- The Essential Rx Drug List (EDL) is an ACA compliant formulary utilized by Commercial members (IFP, Small and Large Group members).
- The Aon Active Health Exchange Drug List is used by groups/members who sign up under the Aon Hewitt private exchange.
Oct05
Select Number of Small Group Plan Members Invited to Take an HRQ, Earn $50
California Small Business Groups
At Health Net, we want our members — your employees — to use their benefits, in order to be their healthiest! We’re reaching out to a select number of small group plan members who we feel will gain the most value, with an invitation to take a Health Risk Questionnaire (HRQ) and visit their doctor—and sweetening the deal with a $50 gift certificate. Continue reading
Jul14
Revised Prior Authorization Requirements
Revised Prior Authorization Requirements for 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). As a valued employer group with Health Net, we want you to be aware of PAL changes that may affect your employees’ health care coverage.
Effective July 1, 2016, we have revised our commercial [EPO, POS, CommunityCare, and PPO] PAL requirements. Significant changes to the list are indicated below. Please click here to view a complete copy of the new July 1, 2016, PAL requirements.
May03
Special Enrollment Periods (SEPs): What You Need to Know
Special Enrollment Period content has been added to the Broker and Employer ACA Reform Guide portals for IFP/SBG/Large. There you will find effective date determination and documentation on the following topics:
- Life Changing Qualifying Events (QEs) – Mini Open Enrollment
- Loss of Minimum Essential Coverage (MEC)
- Additional Qualifying Events
We’re here for you
For more details on this and any other ACA-related topic, please log onto the Health Care Reform Guide at www.healthnet.com/employer/reformguide .
Mar10
Probationary Period Update – CA SB1034
California’s Limit on Waiting Periods (Probationary Periods) – CA SB1034 Signed into Law
As you may know, Governor Brown signed CA SB1034 into law on Friday, August 15, 2014. CA SB1034 repeals California’s stricter 60-day limit on waiting periods (in accordance with AB1083) and allows employers to follow the federal ACA’s 90-day waiting period limitation. CA SB1034 also prohibits insurers and health plans from imposing waiting periods, although the insurer or health plan may administer waiting period on behalf of the employer (as long as the employer’s waiting period does not exceed the ACA’s 90-day limit).
Sep02
