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