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The new Member Online Account is now available. Register now if you haven’t already done so. You will need your member number located on your Health Net ID card and a valid email address.

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Questions? Please contact Member Services toll free at 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego). TTY users should call 711.

Take time to schedule your flu shot today! Learn more.

The coronavirus disease 2019 (COVID-19) is a new disease. It mainly affects how people breathe and can spread from person to person. People of all ages can be infected. Older adults may be more likely to become very ill if they get COVID-19. So can people with pre-existing medical conditions like asthma, diabetes and heart disease. Many details about this disease are still unknown. How to treat the virus, how it works and its impact remain unclear.

What is COVID-19? 

COVID-19 is a disease that mainly affects how you breathe. It is caused by a new virus called the novel coronavirus, which has become a public health emergency. The number of cases keep growing across the nation and around the world.

What are the symptoms? 

The symptoms of COVID-19 include mild to severe breathing problems like coughing and shortness of breath. Fever is also a symptom. The virus may be spread even before a person begins to show symptoms.

What else causes similar symptoms? 

Influenza (the flu), is an illness that also affects how you breathe. The flu is also highly active in the United States at this time.

I may have symptoms. What do I do? 

If you have been exposed or begin showing symptoms of COVID-19 or the flu, contact your health care provider or health department at once.

How else can I get health care services? 

If you have the symptoms noted above, you can also call our Nurse Advice Line. To learn more, please call the number on the back of your Health Net ID card. You can speak to a nurse in your own language 24 hours a day, 7 days a week. We can also answer common questions you may have about COVID-19. 

Protect yourself and your community. 

We all have a role to play to protect our neighborhoods and families from the spread of COVID-19. Follow these tips to help prevent yourself and others from getting sick:

  • Wash your hands completely and often. Use soap and water for at least 20 seconds.
  • Use an alcohol-based hand sanitizing rub (must contain at least 60% alcohol).
  • Avoid touching your eyes, nose and mouth with unwashed hands.
  • Cough or sneeze into your sleeve or use a tissue.
  • Promptly throw away tissues in a trash can after use.
  • Fully clean public surfaces with soap and water or cleaning products
  • Stay home when you are sick except to get medical care.
  • Avoid shaking hands.
  • Avoid close contact with people who are sick.
  • Get a flu vaccine.
  • Keep at least 6 feet distance from others as much as possible.

Does my plan cover COVID-19 testing, screening, and/or treatment services? 

Yes. When required medical testing, screening, and/or treatment services have been ordered or referred by a doctor to see if you have COVID-19, we will cover the costs. We will also cover the cost of the doctor visit. If it applies, your plan’s copayment and coinsurance payment will be waived for COVID-19 testing, screening, and/or treatment. So will your deductible cost-sharing.                    

Is prior consent needed for COVID-19 testing, screening, and/or treatment services under my plan coverage? 

No. You do not need to have prior consent or follow prior authorization rules – for required medical testing, screening, and/or treatment services ordered or referred by a doctor or licensed health care provider.

Where can I get testing, screening, and/or treatment services under my plan coverage?

Required COVID-19 medical testing, screening, and/or treatment services and related doctor visits will be covered when ordered, referred and/or performed in these in-network places:

  • Doctor’s office
  • Independent lab/diagnostic center  
  • Urgent care
  • Emergency department

Are you unsure if you have been exposed to or are at-risk of having COVID-19? Schedule a call via telephone or online with a provider. It is a good option for non-urgent care to limit potential exposure in a doctor’s office or other health care center. 

Will I need to pay any out-of-pocket costs for COVID-19 testing, screening, and/or treatment services? 

No. We will cover required medical testing, screening, and/or treatment services ordered or referred by a doctor to see if you have COVID-19. These services will be at no cost to you. We will also cover the cost of the doctor visit. Also, if it applies, your plan’s copayment and coinsurance payment will be waived for COVID-19 testing, screening, and/or treatment. So will your deductible cost-sharing.                    

If I need treatment for COVID-19, is that covered by my plan? 

Any required medical treatment that relates to COVID-19 would be a covered benefit. We are committed to making sure you have access to COVID-19 treatment services in keeping with federal and state law.

Will I be able to refill my prescriptions before the refill date? 

Yes. You will be able to refill prescriptions prior to the refill date.

Are there special ways to cope with the COVID-19 outbreak? 

Worry and fear can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading is common.

For more information and travel alerts, please visit cdc.gov.

Due to Coronavirus in the United States HHS Secretary Alex M. Azar declared a Public Health Emergency.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.  

For our members, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers.  You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or January 23, 2021 whichever is earlier. 

Health Net Cal MediConnect and WellCare are bringing our health plans together to better serve you. We’re excited about this merger, and know you’ll have questions on what this means to you. Right now, nothing is changing for you. Health Net Cal MediConnect members can still depend on the same health plan, network and services you’ve come to expect.  Your current Health Net Cal MediConnect ID card is still your key to your good health. We’ll keep you updated about any changes and choices that you will have. Contact member services using the phone number on the back of your ID card if you have any questions.

 

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