Health Net is eliminating the assisted living benefit it provides to roughly 3,500 low-income Medi-Cal members at the end of this year, a decision that has left families of residents with dementia scrambling to find care they cannot pay for on their own.
The reporting is based on documents obtained by CalMatters and interviews with providers. Health Net is one of the largest Medi-Cal insurers in the country and operates Medi-Cal plans in 10 California counties: Amador, Calaveras, Fresno, Inyo, Los Angeles, Mono, Sacramento, San Joaquin, Stanislaus, and Tulare. Two smaller plans that contract with it, CalViva Health and the Community Health Plan of Imperial Valley, have also told the state they intend to end the benefit.