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1-100: Health Net Plan & Rate Update Effective January 2017
Oct 28, 2016
Health Net announced rate adjustments for January 2017 effective dates, including two new PPO plans and changes to their 2016 plan benefits. Rates are now available for quoting!
- HMO: 4.6% average INCREASE
- PPO: 1.2% average INCREASE
Dental: RATE PASS
Vision: RATE PASS
Life: RATE PASS
Optional Chiro: $3.00/member/month
PLANS & BENEFITS
Plan and Network Pairing:
- Portfolios include Enhanced Choice A (Full HMO Network) and Enhanced Choice B portfolios (WholeCare HMO Network).
- All metallic tiers may be offered within the specific portfolio.
Two (2) New PPO Value Plans effective January 2017:
- Gold Value PPO $10/$30 $750 deductible.
- Silver Value PPO $30/$75 $1700 deductible.
- Medical and Rx deductibles are combined.
- Plan deductible applies to all benefits except Primary Doctor visits.
- Plans include Chiropractic.
- Health Net's "Alternative" plans are not available through Covered California Small Business.
- Gold 80 PureCare One EPO 1300/20.
- Silver 70 Purecare One EPO 2000/20.
EPO and HSP Plans
- Primary Care Physician (PCP) is required, but members may self-refer within their respective PureCare HSP and PureCare One EPO networks.
- PureCare HSP offers Platinum, Gold, Silver and Bronze plan options.
- PureCare One EPO offers Gold and Silver plan options.
- HSA and Value PPO plans include Chiropractic.
- Chiropractic benefits do not apply toward the out-of-pocket maximum.
- No DE-9C or payroll required for groups with 10+ enrolled through January 2017 effective dates as long as enrollment remains +/-10% from prior carrier bill.
- Start-up groups of 6+ enrolled require six (6) weeks of payroll for Guarantee Issue.
- Statement of Understanding is not required.
- Individual coverage, on and off the Exchange, is not considered a valid waiver.
Alongside Another HMO
- Health Net may be written alongside another carrier's HMO during the Special Open Window.
- 50% of eligibles must enroll with Health Net when enrolling alongside another carrier's HMO.
JANUARY BOOK RATES
Book rates for January 2017 effective dates are provided below and on the b&p website.
For questions, please contact a member of your b&p Sales Team - 888.722.3373.