Health Net of California Employer Group Plans

What Doctors & Hospitals take Health Net
ONLINE Provider #Search Finder

Welcome Provider Search

Know Where to Get Care

Doctors, nurses, advice lines, urgent care centers. It’s not always easy to know where to go for the care you need. Health Net has you covered! Learn about your care choices, recommendations on when to use them and how! It’s all in the Care Key designed for your health plan.

Just find your Health Net health plan in the list below. (Your plan type is listed on your Health Net ID card.) Click on the first link beneath your plan name to review your detailed Care Key.

  • Health Net CommunityCare HMO – Care Key
  • Health Net PureCare HSP – Care Key
  • Health Net PureCare One EPO – Care Key
  • Health Net PPO – Care Key
  • Health Net EnhancedCare PPO – Care Key

How to tell HN what MD - PCP you want in your Member Portal

Health Net Choose MD

 

Pharmacy

OSCAR #TeleMed

This is our "Main Module" on Telemed.  Not just Oscar but Telemed for ALL companies, in general.

 

Oscar covers Medically Necessary Covered Services offered through Telehealth by an In Network Provider subject to the terms and conditions of the their contracts with In Network Providers.   Telehealth Visits from certain Oscar-designated Telehealth Providers are covered in full.

Telehealth Visits can be requested through Oscar’s websitemobile application, and their  customer service line  1-855-672-2755.

Further clarification from Oscar:

  • Our Doctor on Call benefit is on all Oscar plans and include Oscar physicians that are board certified in your state.
  • These physicians are not specialists, they generally are listed as Internal Medicine, Primary Care, etc.
  • These doctors are not found on our website because there is no way to visit/select which doctor you speak to.
  • The physicians often service multiple states, as they are generally certified in multiple.
  • Personally, when I used the Doctor on Call benefit (at 11 pm) the doctor called me within 10 minutes.
  • If I called again today I would likely be speaking to a different physician.
  • I checked with Oscar circa 4.4.2019 and their Tel Med is just for an initial visit.  Check our Coronavirus page for updates on that.
  • doctor on demand.com
  • Emotional support helpline: 1-866-342-6892 – Optum
  • AB 744 - TeleHealth 
  • AB 744 will require contracts issued, amended or renewed after January 1, 2021 between a health care service plan and a health care provider to specify that the provider who delivers services appropriately through telehealth be reimbursed on the same basis and to the same extent that the plan would have had the same service been provided in-person.  The health plan cannot require the use of telehealth if the health care provider has determined that it is not appropriate nor does it limit the ability of the health plan and provider to negotiate the rate of reimbursement for a service. TeleHealth Resources.org *
  • LA Times on Tele Med 8.2018
  • telehealth is  the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.

  • Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services.

  • AMA outlines key steps for advancing telehealth equity
  • Telehealth didn't lead to unnecessary care in 2020, study says
  • I checked with Oscar and their Tel Med is just for an initial visit.
  • Here's what I googled for online therapists. Check with them and ask what Insurance Plans they take. Then double check on the official Insurance Company provider list.
    • http://www.apa.org/helpcenter/online-therapy.aspx
    • https://www.talkspace.com/
    • https://amwell.com/cm/services/online-therapy/

    •  

      https://www.livehealthonline.com/psychology

Support Tools
Email us, if you would like any of these brochures 

Heal flyer (PPO, POS and EOA plans only) – English (PDF)
Available through your PPO insurance plan and the SELECT/ELECT 2 (PPO) tier of your SELECT (POS) or Elect Open Access health plan.

Health insurance companies and group health plans are required to make available a uniform glossary of health coverage and medical terms commonly used in plan documents. The Uniform Glossary is meant to help the consumer, understand some of the most common language used in health insurance documents. Please log in to request a hardcopy of the document by mail.

  • HSA Employer Flyer – English (PDF)
  • HSA Member Brochure – English (PDF)
  • Bank of America HSA Enrollment Packet – English (PDF)

Online Support Tools

  • Group Administrator Registration Guide – English (PDF)
  • EFT Set Up Instructions (PDF)
  • Employer Online Billing and Enrollment Brochure (PDF)
  • Health Net Mobile App How-To Guide – English (PDF)
  • Flu Shot Flyer – English (PDF)
  • Flu Shot Flyer – En Español (Spanish) (PDF)

Broker ONLY

healthnet.com/brokers.html

healthnet.com/small-group  

Related Pages in Health Net  Section

CA Dept of Insurance Rate Filings

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