Question: I just signed up for Health Net PPO - Enhanced Silver. I am confused by the conflicting info on provider networks. EG, on CC website California Pacific Medical Center (CPMC) is NOT in network. On HNet website, using CC-PPO as the filter, CPMC is IN network for 2014 for that plan. CPMC’s own website says it is “in process of negotiating” with Healthnet. Who do I rely on? When will I be able to know FOR SURE whether Hnet covers this hospital? Any guidance will be appreciated. Is it safe to think that Health Net will honor its OWN provider directory for its Covered California plans?
Answer: I can provide guidance, but not a definitive answer. In this scenario, the Health Net website listing of its Covered California PPO network is more likely to be up to date than the other choices. My guess, we won’t be “sure” about the accuracy of the carrier network listings until mid-January. As for Health Net “honoring” an inaccurate listing: they will not provide in-network coverage for a provider who was erroneously listed. You will however have the option of changing plans,including carriers, even beyond the open enrollment period if you erroneously picked a plan without your desired provider(s).