CommercialAdministrativeMedium impact
26-1099 Health Net to Exit California Commercial Group Business Starting February 28, 2027
Health Net·CA·Prior Authorization
Effective date
Feb 28, 2027
We identified it
Sep 5, 2026
Summary
Health Net is discontinuing its Commercial Group health plans in California, with coverage ending starting February 28, 2027, though some employer groups may retain coverage longer based on individual contracts. Existing coverage, provider participation, and billing processes remain unchanged at this time, but the billing team must monitor future communications for claims submission, authorization, and payment runout procedures that will be detailed as the transition approaches.
Action Required
Before February 28, 2027: Billing team must monitor Health Net's dedicated provider resource page (to be developed) for critical updates on claims submission, payment and runout processes, authorization and referral requirements, and member continuity of care procedures. Assign a team member to subscribe to Health Net provider communications and track important deadlines and operational process updates. No immediate action is required—existing processes remain unchanged—but establish a tracking system to capture all future announcements so the team can implement workflow changes with adequate lead time before coverage end dates for specific employer groups.