[Ucrea] Health Net - Riverside Medical Clinic Contract Termination 4/1/2023

Wed Feb 8 12:59:30 PST 2023

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February 8, 2023

To:
UC Riverside Emeriti and Retirees
From:
Central HR Benefits Office on behalf of the UC Office of the President
Re:
Health Net - Riverside Medical Clinic Contract Termination 4/1/2023
____________________________________________________________________________

We are sharing this information as required due to the impact this may have on Health Net plan members utilizing the Riverside Medical Clinic.  The UCR Benefits Team is working with the UCOP Health and Welfare team to monitor the progress of negotiations between Health Net and the Riverside Medical Clinic. As they continue to negotiate in good faith, Health Net is required to provide advance notice to members of the impending termination should the contract expire before they are able to reach a settlement.

UC Office of the President was recently notified by Health Net that their contract with the Riverside Medical Clinic will terminate April 1, 2023.  Health Net has mailed communications to the affected members advising they will be automatically transferred to Healthcare Partners IPA - North Riverside (Optum) effective April 1, 2023 for care.  It is important for members to carefully review their letters to understand how this may affect their access to services and to contact Health Net promptly if they have any questions.

The contract termination will impact 797 non-Medicare members and of those, only nine members have a Primary Care Physician (PCP) that they can follow to Healthcare Partners IPA - North Riverside.  The remaining 788 members' current PCP is not accessible through a Health Net participating medical group.  These members may make a new PCP selection, which includes UC Riverside providers, within 30 days of the date of the letter by contacting the Health Net Customer Contact center at 1-800-539-4072, Monday through Friday, from 8:00 a.m. to 8:00 p.m., Pacific Time, or by visiting www.healthnet.com/uc<http://www.healthnet.com/uc>.  If the member does not make any changes within 30 days, the member will be transferred and assigned to new PCPs.

UCOP has confirmed members may change their medical plan should the Riverside Medical Clinic (RMC) leave the Health Net provider network. However, you may want to delay initiating any immediate change in the event UCOP and Health Net reach an agreement and the RMC remains an option.  We understand the Health Net notice gives you 30 days to reply or you will be automatically moved to the new medical group.  Unless otherwise notified, Health Net will begin the automatic transfer to Healthcare Partner IPA North Riverside (Optum) at the end of February 2023 and new cards will be sent to members the week of March 6, 2023.  Members may view the changes made by logging in to www.healthnet.com/uc  and viewing "My Account", or by calling the Interactive Voice Response system 24/7 on the back of their current ID card to confirm the changes and verify eligibility.  New ID cards should arrive prior to April 1, 2023, and the old card should be disposed of properly. Please note, should you delay and a primary physician be assigned and you are not satisfied with the provider, you may change the PCP once a month.

UC Riverside Health (UCR Health) offers physicians within the UC Health Net and Anthem Blue Cross medical plan networks.  Find a new provider or determine the option to continue with your existing Health Net PCP under a different Health Net medical group at this link https://www.ucrhealth.org/find-a-provider/

Continuity of Care<https://www.healthnet.com/portal/member/content/iwc/mysites/uc/transition_of_care.action> is available for assistance with transitioning care for those currently in treatment plans, or with pending surgery or procedures.

Other medical groups are available with Health Net in the Riverside area and we have noted the Urgent Care facility associated with each medical group below.

Healthcare Partners IPA North Riverside (this medical group is where members will transfer unless otherwise elected)

  *   Marque Urgent Care
949.760.9222
10391 Magnolia Avenue

Regal Medical Group of Riverside County

  *   Parkview Community Hospital and Urgent Care
  *   Moreno Valley Urgent Care

Optum Care Network Riverside

  *   Central Medical Group Express Care

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