Information for Health Net Members Affected by Southern California Wildfires

Date: 01/17/25

To ensure members have uninterrupted access to essential prescription medications and healthcare services, Health Net is providing special assistance to members affected by the Los Angeles and Ventura County Fires and windstorm conditions.

Prescription Information

Members in Los Angeles and Ventura Counties affected by the Southern California wildfires have options to get an emergency supply of their medication.

• Members can fill their prescription at the pharmacy where they originally filled their prescription.
• Or, because Health Net has temporarily suspended refill limitations, affected members can refill their prescriptions at an out-of-network pharmacy, if needed.

If a pharmacy is closed, or if members have any other questions about prescriptions, members can contact Health Net at 1-800-400-8987 for support.

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 Southern California wildfires and windstorm conditions. Health Net Behavioral Health is available for crisis support 24 hours a day, seven days a week at 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.

Resources available for Wildfire Evacuees (PDF)

Information for Healthcare Providers

Prior authorization, precertification and referrals

Health Net is taking steps to ensure that participating providers in areas affected by the fires are able to continue providing care for members’ medical needs. This includes extending grace periods for notifications, starting from the admission date, for acute, post-acute, durable medical equipment (DME), medical supplies, and home health care services. You do not need to receive prior authorization. Please note that while the notification deadlines are relaxed, the requirement to notify us remains in place.

Additional steps we are taking include:

• Suspending prescription refill limitations and allowing an impacted enrollee to refill their prescriptions at an out-of-network pharmacy.
• Flexibility for submitting updated clinical documentation for continued stay reviews.
• Post-admission notification approvals for impacted facilities.
• Approval of out-of-network services in the event a contracting provider or facility becomes unavailable.
• Granting authorization for the replacement of medical equipment or supplies.

Doctors and nurse practitioners can also call Health Net at 1-800-641-7761 for help.

Other Important Information

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.