Health Net Announces Rate Pass and Updates

Health Net is delivering a rate pass for all HMO and HSP plans through December 15, 2017.

Groups renewing an HMO or HSP plan will receive a lower overall renewal rate for 2017, with cumulative rate changes based on a three-quarter average rather than four quarters.  New business sold during Q4 2017 (October-December) will receive July rates.

For those of you with PPO clients – or clients considering a move to a PPO or EPO – Health Net had a quarterly 0.0% increase. That means you’ll find their PPO/EPO rates for Q4 are identical to Q3 rates.

There are also no rate changes on Ancillary at this time, including Dental, Vision, Life, and Optional Chiro plans.

EnhancedCare PPO Coming to Los Angeles

Effective 12/1/2017, the EnhancedCare PPO is launching in Los Angeles – combining the choice and flexibility of a PPO with the care navigation and support of an HMO. EnhancedCare gives members the best of both at a price point that makes a difference. Click here for details.

AdvancedChoice Pharmacy Network Added

Health Net’s first tailored pharmacy network, AdvancedChoice, is being added to new and existing groups in the fourth quarter, as shown in the table below.

AdvancedChoice Pharmacy Network
Effective Date Line of Business Groups/Members Plans
10/1/17 Small Business Group (SBG) New and renewing
  • CommunityCare HMO
  • Salud HMO y Más
  • SmartCare HMO
12/1/17 SBG New
  • EnhancedCare PPO


AdvancedChoice gives members access to quality, affordable prescription drugs at Costco, CVS, Safeway, Vons, Walmart, and other pharmacies; Walgreens is excluded. Current plan members using a Walgreens pharmacy in the past year will be sent notice of this change to benefits in advance of their groups’ renewal. (The first letters are going out in August for groups renewing in October.)

If you want more information about anything happening with Health Net, or any of our carrier partners, contact your Word & Brown representative, or login to begin your Health Net quote now.

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