Although Health Net will not release their new EPO network provider list to the public until they receive regulatory approval, we have heard from insiders that the following key medical groups and facilities will NOT be part of Health Net’s EPO network in 2015:
- UC Medical Groups
- Palo Alto Medical Foundation, PAMF – Mills Peninsula Medical Group
- Sutter Health and Sutter Health Affiliates
- Brown and Toland Medical Group
- California Pacific Medical Center (CPMC)
Note that consumers who purchase a Health Net plan directly in 2015 will get access to their full PPO network, but those who purchase individual plans through Covered CA will only get access to a very limited EPO network in Northern California. Small businesses purchasing coverage through the Covered CA SHOP will have access to both Health Net EPO and some PPO plans.
Our frank assessment of this news is that there is no possible reason to choose Health Net if you are are Northern California resident purchasing coverage through the Covered California exchange. Anthem and Blue Shield both have their network limitations, but both will offer larger networks and more choice than Health Net, and at lower rates in 2015.