Revised Prior Authorization Requirements

For Oregon Members and Employees

 

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) to ensure our members receive safe and appropriate medical care. As a valued employer group with Health Net, we want you to be aware of PAL changes that may affect your employee’s health care coverage.

Effective January 1, 2014, we have revised our commercial [EPO, Point of Service (POS), CommunityCare and PPO] PAL requirements. Significant changes to the list are indicated below. For a complete copy of the PAL requirements, please log in to our website at www.healthnet.com, click on Preauthorizations under My Coverage > Prior Authorization List, or call 1-888-802-7001.

Continue reading

Salud: Solutions for Hispanic Employees

At Health Net, we focus on ways to support you with a combination of unique health care solutions that make it possible to meet the needs of your employees.

 

Salud HMO y Más – a Latino-focused health solution – is specifically designed for members of the Hispanic community who are looking for access to budget-friendly, community-based, culturally competent health care. Continue reading

Four Things You Should Know About Health Care Reform

As a business owner, you’ve undoubtedly paid close attention to the coverage regarding the Affordable Care Act (ACA). However, with all the debate and discussion around health care reform and its long list of regulatory provisions, it can be difficult to keep track of what’s already been implemented and what’s coming down the road. With the next major phase of changes gearing up for January 1, 2014, it’s a good time for a refresher on some of the basic requirements you may have as an employer. Continue reading

How to Get Your Business Ready for Health Care Reform

The next phase of health care reform calls for employers to comply with a series of key reporting requirements and coverage mandates. Most of these laws are set to go into effect as early as January 2013, so it’s critical that business owners, especially small business owners, understand and prepare for the changes to avoid penalties or fines. Continue reading