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 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. 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

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

Good News for Health Net Small Business Groups!

Health Net Selected for Covered California Small Business Health Insurance Exchange (SHOP)

 

A message from Scott St. Clair

We are excited to announce that Health Net Life Insurance Company has been selected as a carrier to participate in the Covered California small business exchange in all 58 counties.

 

Throughout California, small business groups will be able to select affordable, easy-to-use health coverage from Health Net. Health Net will offer PPO insurance plans that deliver a good balance between premiums and cost-sharing. SHOP premiums are expected to be announced in early August and we expect our SHOP premiums to be competitively priced vs. other carriers. Continue reading

Health Net of California Silver Network renamed to ExcelCare, effective September 1, 2013

Keeping you informed of changes as readily as possible is our top priority. On September 1, 2013, our Silver Network will be renamed ExcelCare Network in order to prevent confusion with the new ACA (Affordable Care Act) Exchange plans launching in the fall. Continue reading

Coming Soon – The New Healthnet.com!

We’re refreshing our award-winning website, www.healthnet.com, and it’s almost ready to share with you!

 

The next generation of the site will contain some new features, including a more robust ProviderSearch that places key provider details at your fingertips and
in-depth information just a click away.  It will also include additional new features. Continue reading

The Decision Power CareAlerts Program

CareAlerts messaging integrates into Health Net’s case management and disease management programs.

 

As we recently shared with you in October, one of the new and refreshed Decision Power programs for January, 1, 2013 is CareAlerts.

CareAlerts is a new way of addressing potential clinical gaps in care, drug interactions and dangerous drug side effects across an entire member population. The program issues suggestion messaging to members and their health care providers 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