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Health Net CA 2022 Individual & Family Plan Information 

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Brochures

2022 Pediatric Dental and Vision

Health Net Member #Portal 

 

Keep Track of Your Coverage

Manage your health the easy way. Through the member portal, you can access the following tips and tools to make things easy on yourself.

  • Check coverage information. Have a glance at the benefits offered to you and your family. Or, download full coverage documents.
  • Find a doctor. Provider Search easily lets you search by health plan or location. And you're not limited to searching for a doctor. You can look for dental, vision, alternative, and other providers – plus hospitals and care centers near you.
  • Find a pharmacy. Use the Pharmacy Locator to find a retail pharmacy close to your home.
  • Make a premium payment. Access three easy ways to pay – online, by mail or by phone.  Watch Video!  2 Tips – Paying Your First Premium Payment
  • Print and order ID cards. Need a new ID card? Print a replacement card quickly online or order a new card by mail.
  • View claims, approvals and download forms. See a record of the services you've had. Find out if your approval has gone through, or download forms you need for your plan.

Secure Access to Tools

Get a Health Net username and password for our member portal. Choose your plan type to register an account:

* Purchased through Covered California™, a broker or directly from Health Net.

Wellness Incentive

Earn $50 by doing a health questionnaire and visiting your doctor

 

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

HN #Network Definitions

  • Health Plan Types & Networks The difference between in-network and out-of-network  VIDEO  
  • Exclusive Provider Organization (EPO):A managed care plan where services are covered only if you use doctors, specialists, or hospitals in the plan’s network (except in an emergency).
  • Health Maintenance Organization (HMO):A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
  • Point of Service (POS):A type of plan where you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans require you to get a referral from your primary care doctor in order to see a specialist.
  • Preferred Provider Organization (PPO):A type of health plan where you pay less if you use providers in the plan’s network. You can use doctors, hospitals, and providers outside of the network without a referral for an additional cost.
  • Health care service plan (HSP) Pure Care Network in Southern California (on- and off-exchange).
    • Health Care Service Plan (HSP) is a benefit plan using health care provider arrangement whereby an entity, such as Health Net, contracts with a group of Physicians or other medical care providers, called Participating Providers, who agree to furnish services at the negotiated rate known as the Contracted Rate.  Bronze EOC Page 119
    • Health Net PureCare HSP Service Area is the geographic area in California where Health Net has been authorized by the California Department of Managed Health Care to contract with providers, market products, enroll Members and provide benefits through approved Individual HSP health plans. A listing of the Participating Providers in the Health Net PureCare HSP Service Area, including Primary Care Physicians, are available on the Health Net website at www.healthnet.com. You can also call the Customer Contact Center at the number shown on your Health Net I.D. Card to request provider information.Bronze EOC Page 119

Health Net Medi-Cal
No-cost and #Low-cost Coverage for Californians

Health Net Medi-Cal Website

Health Net Commercial - Medi-Cal

Medi-Cal provides free and low cost health care coverage for low income adults, families, children regardless of immigration status, older adults, and people with disabilities.

All children that meet the Medi-Cal eligibility requirements, regardless of immigration status, can get comprehensive health care in Health Net Medi-Cal.

#My Medi-Cal 
How to get the Health Care You Need
24 pages

Smart Phones - try turning sideways to view pdf better
My medi cal explanation of medi cal

 

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Western Poverty Law - Insurance for Low Income

Advocate Guide to Medi Cal 

advocate guide to Medi Cal

Nolo Social Security, Medicare, Medi Cal & Government Pensions

nolo social security government pensions

 

Child Pages

FAQ’s 

Broker ONLY FAQ’s

[child-pages]

3 comments on “Health Net 2022 Individual Information & Enroll

  1. Does Health Net offer plans for individuals that include PPO reimbursements when seeing doctors/hospitals/etc even if I go to those who aren’t part of the Health Net plan.

    For example, my psychologist is not affiliated with any plan, but in the past some percentage was still covered by insurance.

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