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

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.

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OR Notice: 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. A complete copy of the new July 1, 2016, PAL requirements can be viewed here.  Continue reading

Revised Prior Authorization List Changes

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 clients’ health care coverage.

Continue reading

Information for Wildfire Victims and Evacuees

(Photo by: Ben Brooks / CC BY SA)

(Photo by: Ben Brooks / CC BY SA)

Health Net, Inc. is helping ensure that Health Net members who are victims and evacuees of California, Oregon and Washington’s current wildfires have access to essential prescription medications, critical Health Net information and services to help them cope with grief, loss, stress or trauma.

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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

The 2015 Employer Mandate is Coming! What Will You Do?

As of January 1, 2015, the Affordable Care Act (ACA) will impose an employer mandate that could dramatically affect large businesses. According to the ACA employer mandate, any employer group with 100 or more full-time employees may be subject to a tax penalty if it does not offer affordable medical coverage to its employees. Continue reading

Reform Update: Exchange Insurance Credits

Obama Administration Allows Insurance Credits For People Unable To Enroll Through Flawed Exchanges

 

The AP reported that the Obama Administration recently issued a health law fix designed to assist floundering state-run health insurance exchanges, including Oregon’s. 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