With an HMO, you select your Primary Care Physician from our HMO network. Your Primary Care Physician oversees all your health care and provides the referral/authorization if specialty care is needed.
What are the Basics?
Call your physician group and make an appointment to see your Primary Care Physician.
Your copayments for office visits, emergency room visits, hospitalization and prescriptions depend on the HMO plan your employer chooses.
You'll know your copayment amounts in advance - there are no surprises.
There's no paperwork either; you won't have to submit claims for reimbursement.
For services not available through your physician group, talk to your Primary Care Physician; he or she must authorize all referrals to specialists.
What are my Benefits?
All Health Net HMO plans offer basic, inpatient and emergency services.
All plans cover preventive care and health education.
Emergency care is covered worldwide.
Copayment amounts and specified services offered will differ according to the plan(s) selected by your employer. See your employer's benefits representative to find out which plan(s) are available to you.
The following benefits are common to many of the HMO plans:
Emergency room service
X-ray and laboratory procedures
Vision and hearing examinations
Prenatal, postnatal and newborn care office visits
Outpatient mental health consultation and treatment
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