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Instant Health Net Quotes & Enrollment

2017

HMO

Platinum 90 HMO 527kB   10/13/16

Gold 80 HMO 527kB   10/13/16

Silver 70 HMO 528kB   10/13/16

HSP – Health Care Service Plan

Platinum 90 HSP 532kB   10/13/16

Gold 80 HSP 532kB   10/13/16

Silver 70 HSP 533kB   10/13/16

Bronze 60 HSP 534kB   10/13/16

Minimum Coverage HSP 533kB   10/13/16

EPO

Platinum 90 EPO 524kB   10/13/16

Gold 80 EPO 522kB   10/13/16

Silver 70 EPO 522kB   10/13/16

Bronze 60 EPO 523kB   10/13/16

Minimum Coverage EPO 526kB   10/13/16

EPO Disclosure    English   10/13/16

PPO

HN Platinum 90 PPO 523kB   10/28/16

HN Gold 80 PPO 527kB   10/28/16

HN Silver 70 PPO 527kB   10/28/16

HN Bronze 60 PPO 510kB   10/28/16

HN Minimum Coverage PPO 528kB   10/28/16

PPO Disclosure  2017  English    10/13/16

Rate Guide  English 2.2MB   10/13/16

 

Paper Applications 
but ONLINE is preferred

Individual & Family Plans HMO Enrollment Application   English 644kB   10/13/16 Effective January 1, 2017

Individual & Family Plans HSP Enrollment Application  English 643kB   10/13/16  Effective January 1, 2017

Individual & Family Plans EPO Enrollment Application  English 640kB   10/13/16   Español (Spanish) 635kB   10/28/16   Chinese (Chinese) 1.1MB   10/28/16     Korean (Korean) 11.9MB   10/28/16  Effective January 1, 2017

Individual & Family Plans PPO Enrollment Application   English 633kB   11/03/16  Effective January 1, 2017

Hardship Exemption Form   English 178kB   01/21/16

Covered CA Offerings 

Covered California Sales Brochure 

Plan choices by location (IFP On and Off Exchange)   English 88kB   10/13/16

2017 HMO Plan Overviews

Health Net Platinum 90 HMO  English    10/13/16

Health Net Gold 80 HMO   English   10/13/16

Health Net Silver 70 HMO   English   10/13/16

CommunityCare HMO Silver
Cost-sharing Reduction Plan Overviews

Health Net Silver 73 HMO CSR   English    10/13/16

Health Net Silver 87 HMO CSR   English   10/13/16

Health Net Silver 94 HMO CSR   English    10/13/16

2017 PureCare
HSP Health Care Service Plan Plan Overviews

Health Net Platinum 90 HSP   English    10/13/16

Health Net Gold 80 HSP  English    10/13/16

Health Net Silver 70 HSP  English    10/13/16

Health Net Silver 73 HSP   English   10/13/16

Health Net Silver 87 HSP   English    10/13/16

Health Net Silver 94 HSP   English    10/13/16

Health Net Bronze 60 HSP   English    10/13/16

Health Net Minimum Coverage HSP   English   10/13/16

HMO and HSP Disclosure for Covered California   English   10/13/16

2017 PureCare One EPO Plan Overviews

Health Net Platinum 90 EPO   English    10/13/16

Health Net Gold 80 EPO   English   10/13/16

Health Net Silver 70 EPO   English  10/13/16

Health Net Silver 73 EPO   English 10/13/16

Health Net Silver 87 EPO   English   10/13/16

Health Net Silver 94 EPO   English    10/13/16

Health Net Bronze 60 EPO   English   10/13/16

Health Net Minimum Coverage EPO   English    10/13/16

EPO Disclosure for Covered California   English   10/13/16

In 2017 Covered CA mandates a Primary Care Physician for All Plans.  Learn More Covered CA 2017 Plan Booklet Page 149

Choices by Location – County

 

Related pages in the Health Net Section

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