Health Net poised to exit individual PPO marketplace in LA County

Yours truly (Michael Grodsky) was trying to dig up the scoop on 2016 rates for individual Health Net PPO plans. Open enrollment doesn’t begin until November 1, and there weren’t any rate books I could download.  So I looked up Health Net’s rate filings submitted to the CA Dept of Insurance. (See for yourself at http://bit.ly/1gyNPpR, but weeding through the documents is not for the faint of heart).

To my surprise, there were no rates listed for Region 16! Region 16 is most of Los Angeles County, except zip codes beginning 906, 907, 908, 909, 910, 911, 912, 915, 917, 918 and 935, which belong to Region 15.

I got on the horn with Health Net producer support, and asked if it was true that Health Net was bailing out of LA County. After a few beats, Tamara told me there have been whispers, and she’d check to see if she was allowed to say anything about it. She came back on the line and, nope, it’s under wraps until publicly released.

It’s possible Health Net could change its mind, but that seems unlikely to since it would require another rate filing and it’s pretty late in the day for that to happen. If you already have a HealthNet PPO plan and you live in Region 16, it remains to be seen whether or not you can keep your plan.

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Michael Grodsky

Michael Grodsky, AIF, is founder of Artist Insurance Services, providing unbiased education and access to health insurance for Californians. He is a board member for Side Street Projects, a nonprofit artist-run organization, and is an insurance and financial planning specialist for GYST, an artist-run company providing information and technology solutions for artists. Michael’s Health Insurance 101 workshops have been hosted by non-profit organizations throughout Los Angeles County. He leads the ‘Health Insurance 101’ monthly informational workshop at the Cancer Support Community-Benjamin Center.