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Medicare-Medicaid Plan by Health Net

Important Notifications

HHS Secretary Alex Azar declared a Public Health Emergency in CA due to the wildfires. The declaration is attached below and is retroactive to November 8, 2018. 

For public health emergencies the following must be put into place:

  • Part D – the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first. 
  • Part C – cessation of Part C Prior Auth requirements for non-contracted providers will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first. 
  • Claims – the time is extended on lifting denials for no authorization for 90 days.
  • Website – the informational statement must remain on the website for 90 days
  • Call Centers – please ensure your employees are responding to members and providers questions appropriately.

For more information, refer to this emergency declaration.

 

MEMBER ALERT- VERY IMPORTANT INFORMATION 

Due to Wildfires  in the State of California, Acting Governor Gavin Newsom declared a state of emergency in the following Counties: Los Angeles and Ventura

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 who live in one of these impacted areas, 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 7 December 2018, whichever is earlier. 

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.


You want health insurance you can count on. That's where Health Net comes in.

Experience you can count on

Health Net helps more than a million people on Medicare and Medi-Cal get the benefits they need. We do this by offering better access to your Medicare and Medi-Cal benefits and services, plus a whole lot more:

  • We've been building high quality networks of doctors for more than 20 years. These networks help individuals with Medicare and Medi-Cal get the care they need. We work hard to grow these networks to cover more people in more locations.
  • We're here for your whole family – We offer plans and service that cover individuals and families, through every stage of their lives and health.
  • Your community is our community – We're a California company, so our employees live where you live. We support our local communities with:
    • Health screenings at local health events and community centers
    • No-cost health education classes

Need More Information?

For more information on Health Net's Cal MediConnect plan, please call:

  • Los Angeles County: 1-888-788-5395 (TTY: 711), 8:00 a.m. to 8:00 p.m., Monday through Friday
  • San Diego County: 1-888-788-5805 (TTY: 711), 8:00 a.m. to 8:00 p.m., Monday through Friday

 

 

Information last updated: 07/11/2018
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