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Health Net Issues Refund to Small Group HMO Silver $55 Plan Members
Carrier Updates
Thursday, May 23 2024
Health Net has discovered that the Small Group HMO Silver $55 plan (or comparable plan – see list below) had a $750 single/$1,500 family Prescription Drug Deductible. The Prescription Drug Deductible amount should have been $500 single/$1,000 family. This has been corrected in their system.

Following is a complete list of impacted plans by year:

• 2021-2022 Small Group HMO Silver $50 plan
• 2023-2024 Small Group HMO Silver $55 plan
• 2021-2024 CalChoice HMO Silver A plan
• 2023-2024 CalChoice HMO Silver D plan

While enrolled on the impacted plans, some members paid more than the $500/$1,000 deductible amount for pharmacy claims. To correct this, a refund will be processed for the amount the member overpaid toward their pharmacy deductible. Letters and refund checks for the 2021-2022 plans will be mailed first.

If members are due a refund for 2023 and/or 2024, letters and a separate refund check will be issued at a later date once they are prepared. An amendment to active 2023-2024 policyholders on the HMO Silver $55, HMO Silver A and HMO Silver D plans will also be issued.

For More Information or Help Quoting Health Net, Contact Your Dickerson Sales Rep Today.