Skip to main content

Health Net Changing Plans/Networks in California (and other states)

For 2014 in California, Health Net was the only domestic carrier featuring a fairly robust PPO network on Individual plans under Obama Care.  As I expected, some serious changes are coming for 2015. (pending regulatory approvals). Health Net is referring to these as "significant changes".


Basically, on-exchange (via Covered CA) Health Net will be suspending all plans in Mariposa, Monterey and San Benito Counties.  Plans will change in northern and central CA to an EPO (exclusive provider organization) and a Health Service Plan (HSP) in southern California. These are referred to as "tailored networks".  These plans will be available both on and off exchange as required by the ACA.  

Current Health Net PPO will be offered off-exchange ONLY and only in the same rating regions where it is currently available.  Subscribers in Mariposa, Monterey and San Benito Counties will only have this choice, off-exchange with no subsidy, in order to maintain any coverage with Health Net.  

Lastly, Health Net Community Care HMO will continue to be available in the current select southern California regions.

Notifications to existing subscribers will begin being sent out on October 2, 2014.

Dave

Comments

Popular posts from this blog

Anthem Blue Cross (CA) Adding SilverSneakers® Fitness Program

Anthem Blue Cross (CA) announced this morning that they will be adding the SilverSneakers Fitness Program to California Medicare Supplement Plans A, F, and N.  The added benefit will begin on January 1st, 2017. 

Once approved for release into the market, more states have been added to the list as existing and new members in our marketed plans will enjoy the value-added benefits of the SilverSneakers Fitness program at no additional cost! Effective January 1, 2017, California members in our marketed plans will enjoy SilverSneakers, too.  The program offers members their choice of paths to better health. For those who enjoy a traditional workout setting, SilverSneakers offers access to more than 13,000 fitness locations across the country, including use of classes and guidance from a Program AdvisorTM. In addition, for those who can’t get to a fitness center, SilverSneakers Steps® kits focus on at-home or on-the-go general fitness, walking, strength training or yoga. And if that is not …

Right Angle: ObamaCare At Death's Door

The Right Angle team (Bill Whittle, Scott Ott and Steven Green) on the Bill Whittle YouTube Channel give their take of the current state of the Affordable Care Act.  



Some very interesting information in this video.  

Oren Cass Manhattan Institute Article referenced in the video:

No, Obamacare Has Not Saved American Lives


Dave
www.davefluker.com
www.gilroyhealthinsurance.com
www.facebook.com/gilroyhealthinsurance/


Kaiser Foundation Interactive Subsidy Map (TrumpCare vs. ObamaCare)

An interactive subsidy map provided by Kaiser Foundation allows you to see the impact of tax credit subsidy (2020) versus income-based subsidy (current).  Sorted by county in all 50 states.  Those above 400% federal poverty level would do much better, those below, depends on county and income.  Most below 200% would do much worse.  

Subsidies under ACA are based primarily on income.  Tax Credits would be based primarily on age.

http://kff.org/interactive/tax-credits-under-the-affordable-care-act-vs-replacement-proposal-interactive-map/



Dave
www.davefluker.com
www.gilroyhealthinsurance.com
www.facebook.com/gilroyhealthinsurance/