Frequently Asked Questions
We know your time is valuable. In our continued commitment to do our part to support you as you serve your clients, we’ve provided answers to many of the common questions we receive daily.
(Note: The page will be updated periodically so bookmark it for one-click access. Also, feel free to visit and bookmark the member FAQ page as a reference while you support your clients.)
Enrolling (or renewing) a client as Health Net member
Members enrolled directly through Health Net
Health Net will automatically renew members into their existing Health Net plan. Note: Members who no longer qualify for enrollment on a Minimum Coverage plan will be automatically enrolled onto a 2019 Bronze 60 plan.
Members enrolled through Covered California
Members signed up through Covered California should confirm their renewal/enrollment for 2019 on the Covered California website. Covered California will confirm the final determination on the member’s health coverage. We encourage you to stress with your clients the importance of confirming health coverage.
For their convenience, please remind your clients (members) who currently receive a premium tax credit or are on a plan with cost-share reductions to contact Covered California directly to ensure they do not lose their financial assistance. Members can call Covered California at 1-800-300-1506 or go to www.CoveredCA.com.
You can find plan information located on the Plan Materials page for your clients who need coverage. Materials include applications for the current year.
To check the status of an application, log in to your broker account; then select Eligibility, Status & Activity at the top of the page. Then select Application Status. Enter the application status type, date range and any optional fields you are looking for, and click Search.
Note: You will only be able to view status of applications that are linked to your broker ID. If you think that a client is not linked to your account, please contact Broker Services at firstname.lastname@example.org for assistance.
Health Net requires proof of permanent residency prior to enrollment on off-exchange Individual & Family PPO and EnhancedCare PPO plans. Please see the enrollment form for proof of permanent residency requirements. You can find enrollment forms located on the Plan Materials page.
Managing my Health Net Book of Business
To view 2018 commission statements, log in to your broker account and select the Commission Statements link at the top of the page. Statements from the past six months are displayed on that page.
We understand your time is valuable. We have a dedicated staff supporting your calls and emails. If you cannot find the information you need on this website, please contact us.
Note: During open enrollment, we’ve extended our hours, including Saturdays. Our team is available to you Monday through Friday, 9:00 a.m. to 6:00 p.m., and on Saturdays, 9:00 a.m. to 2:00 p.m.
To view the status of client applications for the 2019 plan year, simply visit the Eligibility, Status & Activity section within the Broker Portal. For everything else – including applications for the remainder of this plan year – please continue to consult the Book of Business section of the Broker Portal for your broker account. (Note: Our technical team is working on an update to consolidate the 2019 information into the Book of Business section and simplify things for you.)
To find information about your pre-members such as a new member’s ID number, log in to your broker account; then select Book of Business at the top of the page. Then select from either On-Exch Pre-Members or Off-Exch Pre-Members.
To help you during the enrollment period, we mailed a list of your current Individual & Family Plan clients in September 2018.
For client information throughout the year, you can view your client list online. Log in to your broker account and then select Book of Business at the top of the page.
- Active Member List
- Canceled Member List
- On-Exchange Pre-Members
- Off-Exchange Pre-Members
Supporting a client who is a Health Net member
Log in to your broker account to locate your client’s member ID. Your client’s status will determine where to go.
Select Book of Business at the top of the page. Your Active members will be listed.
Select Book of Business at the top of the page. Then select either On-Exch Pre-Members or Off-Exch Pre-Members.
Member ID numbers start with either an R or a U, depending on when the member enrolled. All new members effective in 2018 and later have a member ID number that begins with a U.
Once members pay their first month’s premium, they will receive a member ID card in the mail. If they are active and have not received an ID card yet, members can order one or print a temporary one through the member portal.
Note: If the member is accessing their online account for the first time, they will need to register, and will need their member ID number to do so. Please see “Where do I find a member’s ID number?” to assist them with obtaining their number.
There are several ways to pay, including online and automatic bill pay; by phone; with cash through MoneyGram; and by mail. For all the details, go to Pay My Bill.
There are several ways members can change their PCP.
- Members can log in to their online account. Once there, they can click Select/Change PCP.
- Or they can call the Customer Contact Center:
On exchange members: 1-888-926-4988
Off-exchange members: 1-800-839-2172
For a new PCP to be effective the first day of the month, members have until the last day of the prior month to submit the request.
Example: If a member calls to request a new PCP on 10/31, they can still request an effective date of 11/1. However, if a member calls on 11/1, they will be assigned a new PCP, effective 12/1.
Note: If necessary, brokers can contact Account Services to schedule a three-way call with the member to request a PCP change by phone.
To help ensure the dependents of Health Net members continue to have health care coverage, we notify all subscribers with a dependent who is either reaching or has reached the maximum age of 26 and provide information regarding health plan options that are available.
Disabled dependents who meet the eligibility requirements can remain on family plans and will be certified to continue on the plan for two years. At the end of the two years, Health Net will repeat the disability eligibility verification process.
If the dependent is not disabled, they have a couple of options:
Covered CaliforniaTM plans: Dependents can be auto-enrolled into their own plan through Covered California.
Off-exchange plans: Dependents will be termed and will need to apply for their own health coverage if they wish to do so.