Health Net Shares Update for Members During State of Emergency
Carrier Updates
Thursday, January 16 2025
Health Net is providing special assistance to members affected by the LA fires and windstorm conditions. Health Net is committed to ensuring its members have uninterrupted access to essential prescription medications, critical Health Net information and healthcare services.
Prescription Information
• During the duration of the State of Emergency, members in Los Angeles and Ventura Counties affected by the fires and windstorm conditions can obtain an emergency supply of medication from the drug store where they originally filled their prescription.
• If a member's drug store is closed, they can call Health Net at 1-800-400-8987 for assistance.
Help with Coping
Health Net members have access to Health Net Behavioral Health Services for coping support including referrals to mental health counselors, local services and phone consultations. These services support members coping with grief, stress or trauma related to the fires and windstorm conditions. Health Net Behavioral Health is available for crisis support 24 hours a day, seven days a week 1-800-400-8987 (TTY: 711).
Video Medical Appointments
If members cannot reach their primary care provider during a declared State of Emergency, Health Net provides access to telehealth services at no cost. To make an appointment, members can refer to their Health Net ID card for more information on accessing telehealth services. Members can also find this information by registering with and logging on to HealthNet.com.
Information for Healthcare Providers
Doctors and nurse practitioners can call Health Net at 1-800-641-7761 for help with:
• Emergency prescription refill guidelines
• Escalating approvals to reduce approval turnaround times
• Approval for out-of-network treatments when in-network resources are unavailable
Serving Those In Need
To better serve medically vulnerable members in the evacuation zones, Health Net has proactively reached out to members who may need the most help, including those identified as experiencing homelessness and members who are wheelchair-bound, oxygen dependent and homebound to check in.
Health Net has connected with over 800 members to provide information about:
• Emergency shelters
• Emergency prescription refills
• Necessary medical supplies
• Telehealth services and more
Health Plan Premium Flexibility due to Financial Hardship
Employers or individual members experiencing financial hardship due to impact from the fires should call us to discuss payment flexibility. For employers, please contact us at 1-800-828-2525 option 1 or email HN_Collections@healthnet.com. Individual members should contact the number on their ID cards to discuss, for Off Exchange, 1-800-839-2172 and for Covered California members, 1-888-926-4988.
Special Enrollment Period (SEP)
Individual residents in Los Angeles County affected by the fires may qualify for a Special Enrollment Period (SEP) through Covered CA until March 8, 2025. To assist consumers, select “County under state of emergency” from the Qualifying Life Event dropdown menu and enter the date of the Qualifying Life Event on the Covered CA Special Enrollment page. This Qualifying Life Event is only available through Covered CA and not offered off exchange. Depending on how long the members need additional assistance, Health Net may take additional steps to ensure its members have access to necessary healthcare services.
For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Rep.
Prescription Information
• During the duration of the State of Emergency, members in Los Angeles and Ventura Counties affected by the fires and windstorm conditions can obtain an emergency supply of medication from the drug store where they originally filled their prescription.
• If a member's drug store is closed, they can call Health Net at 1-800-400-8987 for assistance.
Help with Coping
Health Net members have access to Health Net Behavioral Health Services for coping support including referrals to mental health counselors, local services and phone consultations. These services support members coping with grief, stress or trauma related to the fires and windstorm conditions. Health Net Behavioral Health is available for crisis support 24 hours a day, seven days a week 1-800-400-8987 (TTY: 711).
Video Medical Appointments
If members cannot reach their primary care provider during a declared State of Emergency, Health Net provides access to telehealth services at no cost. To make an appointment, members can refer to their Health Net ID card for more information on accessing telehealth services. Members can also find this information by registering with and logging on to HealthNet.com.
Information for Healthcare Providers
Doctors and nurse practitioners can call Health Net at 1-800-641-7761 for help with:
• Emergency prescription refill guidelines
• Escalating approvals to reduce approval turnaround times
• Approval for out-of-network treatments when in-network resources are unavailable
Serving Those In Need
To better serve medically vulnerable members in the evacuation zones, Health Net has proactively reached out to members who may need the most help, including those identified as experiencing homelessness and members who are wheelchair-bound, oxygen dependent and homebound to check in.
Health Net has connected with over 800 members to provide information about:
• Emergency shelters
• Emergency prescription refills
• Necessary medical supplies
• Telehealth services and more
Health Plan Premium Flexibility due to Financial Hardship
Employers or individual members experiencing financial hardship due to impact from the fires should call us to discuss payment flexibility. For employers, please contact us at 1-800-828-2525 option 1 or email HN_Collections@healthnet.com. Individual members should contact the number on their ID cards to discuss, for Off Exchange, 1-800-839-2172 and for Covered California members, 1-888-926-4988.
Special Enrollment Period (SEP)
Individual residents in Los Angeles County affected by the fires may qualify for a Special Enrollment Period (SEP) through Covered CA until March 8, 2025. To assist consumers, select “County under state of emergency” from the Qualifying Life Event dropdown menu and enter the date of the Qualifying Life Event on the Covered CA Special Enrollment page. This Qualifying Life Event is only available through Covered CA and not offered off exchange. Depending on how long the members need additional assistance, Health Net may take additional steps to ensure its members have access to necessary healthcare services.
For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Rep.