Commercial Group Exit and Transition Information for Providers

What is changing with Health Net's California Commercial Group business?
A: Health Net has made the decision to discontinue offering Commercial Group health plans in California beginning February 28, 2027.

Will all Commercial Group coverage end on February 28, 2027?
A: No. Coverage will not end for all employer groups on February 28, 2027. Some employer groups will retain coverage for longer periods, and coverage end dates will vary based on each employer group's contract.

Which lines of business are affected by this change?
A: This change applies only to Health Net's California Commercial Group business. Health Net's Medi-Cal, Medicare, and Ambetter (Individual & Family Plans offered on and off the Covered California health benefits exchange) are not affected by this decision.

Do providers need to take any action at this time?
A: No immediate action is required. Providers should continue operating as they do today and monitor future communications from Health Net regarding the exit.

Does this change affect provider participation status?
A: No. Provider participation status remains unchanged at this time.

Are provider processes changing today?
A: No. Covered services and existing Health Net processes remain unchanged at this time. Providers should continue following current authorization, referral, billing, claims, and operational requirements.

Who should providers contact with questions?
A: Providers should contact their existing Health Net provider support resources or provider representative for assistance.

Should providers continue providing services to Health Net Commercial Group members?
A: Yes. Existing Commercial Group coverage remains in effect at this time. Providers should continue providing covered services to eligible members.

What should providers tell patients who have questions about their coverage?
A: Providers should encourage patients to contact the customer service number on their Health Net member ID card or their employer group's benefits administrator for questions regarding coverage, benefits, or future health plan options.

What should providers do when caring for patients receiving ongoing treatment?
A: Providers should continue caring for members in accordance with existing Health Net requirements while coverage remains active. Additional guidance regarding continuity of care will be provided in future communications.

What happens to existing prior authorizations?
A: Existing authorization requirements remain unchanged at this time. Additional information regarding authorizations during the exit will be provided in future communications.

Will patients be able to continue seeing the same providers after they move to a new health plan?
A: Provider networks vary by health plan and carrier. Members should contact their future health plan to determine if a provider participates in the new network.