Health Net CA 2022 Individual & Family Plan Information 

Member Portal Pharmacy  Dental & Vision
Medi Cal  ONLINE Enrollment (Direct not Covered CA)   

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Health Net Authorized Agent
Get Quotes & Enroll Individual & Family

Employer Group Instant Quotes
Contact us for Covered CA 

No Extra Charge for our services & consultation  along with 17 Benefits that you get when you select us as your agent/broker!

Email us [email protected] for more information.

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.

 

Glossary of Health Coverage and Medical Terms – English (PDF)

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

  • 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

Importance of Dental Coverage 
Dental & General Health

Insurance 101?

We suggest that you check out Life Insurance, Disability, Long Term Care and Retirement as these risks may cause much more financial devastating to your budget than dental bills.

I don't quite agree on the individual vs group rates & benefits - also group plans are income tax free - section 106

On the other hand - Sacramento Truck driver sudden dealth from tooth infection Sacramento Bee 1.31.2017

Picture of Oral Health 

Why you need Group Dental Coverage

 

Steve on buying, shopping and best use of premium dollars
Dental Insurance VIDEO

steve's video on dental coverage

MORE VIDEOS

  • Why Buy Dental Insurance?  
    VIDEO 
  • What dental Insurance... should I buy??? 
    VIDEO 
  • When people ask, what dental insurance plan should I buy,The video from the dentist above says he's tempted to answer, "None of them".

    But that's not a very helpful answer, so in this video the dentist attempts to give you some guidance about things to consider before buying a dental insurance plan. Keep in mind that there also are finance plans available if you decide to go that route.  And, you should not be shy about negotiating with your dentist regarding his or her fee for the services that you need.

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

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

Our Webpage on

COVID 19

symptoms of corona virus

10 comments on “Health Net 2022 Individual Information & Enroll

  1. 3 comments on “Provider Networks & Search”

    1. my Health Net Physicians Group is Scripps Coastal Medical Center as my Primary Care. Is their lab in the Health Net Community Care HMO network?

      Reply
  2. 2019 Essential Rx List
    ifp dot
    healthnetcalifornia.com/content/dam/centene/healthnet/pdfs/general/ca/pharmacy/ca_essential_rx_list_2019.pdf

    Drug coverage explained in Evidence of Coverage
    ifp.healthnetcalifornia com/content/dam/centene/healthnet/pdfs/general/ca/ifp/eoc/2019-ca-ifp-bronze-60-ec-ppo-eoc.pdf#page=130

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  3. 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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