Claremont Insurance Services, Walnut Creek, Californian General Agency

800.696.4543

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Possible Service Disruption for Health Net Members

Possible Service Disruption for Health Net Members


A network change, that affects Health Net Individual and Family Plan (IFP) members with EPO coverage (which has a limited or exclusive network), has created confusion for providers, and in some cases a service disruption for all Health Net members in Covered California. This network change does not apply to members enrolled in a Health Net PPO Small Business (Covered California for Small Business) Plan (which provides PPO coverage for all four metal tier plans).

This confusion may result in inconvenience for affected Covered California for Small Business Health Net PPO Plan enrollees, who are permitted to access any physician under their PPO plan.

To eliminate your clients’ confusion and minimize possible service disruptions for their members, follow these three simple steps:

  1. Use our email template to notify your Health Net member groups about the confusion.
  2. Distribute our handout entitled “Explanation of Health Net ID Cards from Covered California”, to clarify the Health Net PPO and IFP EPO Plans in Covered California.
    • Brand this version of the handout with your logo and contact information.
    • Instruct your clients to have all their members, who participate in Health Net coverage, bring a printed copy to their physician appointments.
  3. If confusion persists, the physician’s office should contact Health Net’s Provider Services at 800.641.7761.

If your clients are still having issues after following the steps above, contact us for assistance at 800.696.4543.

 

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