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Small Business Group Plans – California

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2019 Plan Overviews

Plan Overviews
Plans for new and renewing groups effective 1/1/19.

EnhancedCare PPO

Platinum 90 250/15 + Child Dental Alt (ENG) 2.3MB   11/06/18

Gold 80 1000/30 + Child Dental Alt (ENG) 2.3MB   11/02/18

Gold Value (ENG) 2.3MB   11/02/18

Silver 70 2000/55 + Child Dental Alt (ENG) 2.3MB   11/02/18

Silver Value (ENG) 2.3MB   11/02/18

Silver 70 HDHP 1350/40 + Child Dental Alt (ENG) 2.3MB   11/02/18

Bronze 60 HDHP 5600/15 + Child Dental Alt (ENG) 2.3MB   11/02/18


PPO

Platinum 90 0/15 + Child Dental (ENG) 2.3MB   11/02/18

Platinum 90 250/15 + Child Dental Alt (ENG) 2.3MB   11/02/18

Gold 80 0/30 + Child Dental (ENG) 2.3MB   11/02/18

Gold 80 1000/30 + Child Dental Alt (ENG) 2.3MB   11/02/18

Gold 80 Value 750/10 + Child Dental Alt (ENG) 2.3MB   11/02/18

Silver 70 2000/45 + Child Dental (ENG) 2.3MB   11/02/18

Silver 70 2000/55 + Child Dental Alt (ENG) 2.3MB   11/02/18

Silver 70 Value 1700/30 + Child Dental Alt (ENG) 2.3MB   11/02/18

Silver 70 HDHP 1350/40 + Child Dental Alt (ENG) 2.3MB   11/02/18

Bronze 60 6300/75 + Child Dental (ENG) 2.3MB   11/02/18

Bronze 60 HDHP 5600/15 + Child Dental Alt (ENG) 2.3MB   11/02/18


PureCare HSP

Platinum 90 0/15 + Child Dental (ENG) 539kB   11/06/18

Gold 80 0/30 + Child Dental (ENG) 537kB   11/06/18

Silver 70 2000/45 + Child Dental (ENG) 540kB   11/06/18

Bronze 60 6300/75 + Child Dental (ENG) 541kB   11/06/18


HMO

Platinum 10 (ENG) 521kB   11/09/18

Platinum 20 (ENG) 522kB   11/09/18

Platinum 30 (ENG) 469kB   11/09/18

Gold 30 (ENG) 522kB   11/09/18

Gold 35 (ENG) 466kB   11/09/18

Gold 40 (ENG) 522kB   11/09/18

Silver 50 (ENG) 522kB   11/09/18


WholeCare HMO

Platinum 10 (ENG) 543kB   10/31/18

Platinum 20 (ENG) 546kB   10/31/18

Platinum 30 (ENG) 498kB   10/31/18

Gold 30 (ENG) 548kB   10/31/18

Gold 35 (ENG) 448kB   11/16/18

Gold 40 (ENG) 546kB   10/31/18

Silver 50 (ENG) 544kB   10/31/18


SmartCare HMO

Platinum 10 (ENG) 546kB   10/31/18

Platinum 20 (ENG) 546kB   10/31/18

Platinum 30 (ENG) 500kB   10/31/18

Gold 30 (ENG) 546kB   10/31/18

Gold 35 (ENG) 448kB   11/16/18

Gold 40 (ENG) 546kB   10/31/18

Silver 50 (ENG) 544kB   10/31/18


Salud HMO y Más

Platinum 10 (ENG) 523kB   12/03/18

Platinum 20 (ENG) 523kB   12/03/18

Platinum 30 (ENG) 2.3MB   12/03/18

Gold 30 (ENG) 523kB   12/03/18

Gold 35 (ENG) 2.3MB   12/03/18

Gold 40 (ENG) 523kB   12/03/18

Silver 50 (ENG) 523kB   12/03/18


CommunityCare HMO

Gold 5 581kB   10/31/18

Silver 20 579kB   10/31/18

Bronze 45 579kB   10/31/18


Plan Overviews / Summary of Benefits (Dec '17 - 2018)

Plan Overviews
Platinum $30 plan and Gold $35 plan for new and renewing groups effective 7/1/18. PPO and EnhancedCare PPO Platinum 250/15, Gold 1000/30 and Silver 2000/55 for new and renewing groups effective 10/1/18. All other plans for new and renewing groups effective 1/1/18.

EnhancedCare PPO

Platinum 90 250/15 2.8MB   08/17/18

Gold 80 1000/30 2.8MB   08/17/18

Gold Value 515kB   08/22/17

Silver 70 2000/55 2.8MB   08/17/18

Silver Value 519kB   08/22/17

Silver HDHP 500kB   11/16/17

Bronze HDHP 500kB   11/16/17


PPO

Platinum 90 (ENG) 496kB   11/16/17

Platinum 90 250/15 (ENG) 2.8MB   08/17/18

Gold 80 (ENG) 496kB   11/16/17

Gold 80 (SPN) 502kB   10/15/18

Gold 80 1000/30 (ENG) 2.8MB   08/17/18

Gold 80 1000/30 (SPN) 504kB   10/12/18

Gold Value (ENG) 496kB   11/16/17

Gold Value (SPN) 500kB   10/12/18

Silver 70 (ENG) 521kB   02/14/18

Silver 70 (SPN) 521kB   10/12/18

Silver 70 2000/55 (ENG) 2.8MB   08/17/18

Silver 70 2000/55 (SPN) 504kB   10/15/18

Silver Value (ENG) 500kB   11/16/17

Silver Value (SPN) 3.3MB   10/12/18

Silver HDHP (ENG) 499kB   11/16/17

Silver HDHP (SPN) 524kB   10/12/18

Bronze 60 (ENG) 498kB   11/16/17

Bronze HDHP (ENG) 499kB   11/16/17


PureCare HSP

Platinum 90 496kB   11/16/17

Gold 80 499kB   11/16/17

Silver 70 499kB   11/16/17

Bronze 60 500kB   11/16/17


HMO

Platinum 10 498kB   11/16/17

Platinum 20 499kB   11/16/17

Platinum 30 509kB   05/02/18

Gold 30 498kB   11/17/17

Gold 35 509kB   05/02/18

Gold 40 498kB   11/16/17

Silver 40 495kB   11/16/17


WholeCare HMO

Platinum 10 (ENG) 497kB   11/16/17

Platinum 10 (SPN) 522kB   10/12/18

Platinum 20 (ENG) 498kB   11/16/17

Platinum 20 (SPN) 522kB   10/12/18

Platinum 30 (ENG) 518kB   05/02/18

Platinum 30 (SPN) 2.3MB   10/12/18

Gold 30 (ENG) 498kB   11/16/17

Gold 30 (SPN) 522kB   10/12/18

Gold 35 (ENG) 537kB   05/02/18

Gold 35 (SPN) 481kB   10/12/18

Gold 40 (ENG) 498kB   11/16/17

Gold 40 (SPN) 3.3MB   10/12/18

Silver 40 (ENG) 497kB   11/16/17

Silver 40 (SPN) 3.3MB   10/12/18


SmartCare HMO

Platinum 10 (ENG) 498kB   11/16/17

Platinum 10 (SPN) 522kB   10/12/18

Platinum 20 (ENG) 498kB   11/16/17

Platinum 20 (SPN) 522kB   10/12/18

Platinum 30 (ENG) 517kB   05/02/18

Platinum 30 (SPN) 2.3MB   10/12/18

Gold 30 (ENG) 499kB   11/16/17

Gold 30 (SPN) 522kB   10/12/18

Gold 35 (ENG) 2.3MB   05/02/18

Gold 35 (SPN) 482kB   10/12/18

Gold 40 (ENG) 498kB   11/16/17

Gold 40 (SPN) 522kB   10/12/18

Silver 40 (ENG) 499kB   11/16/17

Silver 40 (SPN) 3.3MB   10/12/18


Salud HMO y Más

Platinum 10 (ENG) 498kB   11/16/17

Platinum 10 (SPN) 3.3MB   10/12/18

Platinum 20 (ENG) 498kB   11/16/17

Platinum 20 (SPN) 3.3MB   10/12/18

Platinum 30 (ENG) 2.3MB   05/02/18

Platinum 30 (SPN) 466kB   10/15/18

Gold 30 (ENG) 498kB   11/16/17

Gold 30 (SPN) 522kB   10/12/18

Gold 35 (ENG) 2.3MB   05/02/18

Gold 35 (SPN) 482kB   10/12/18

Gold 40 (ENG) 498kB   11/16/17

Gold 40 (SPN) 522kB   10/15/18

Silver 40 (ENG) 498kB   11/16/17

Silver 40 (SPN) 3.3MB   10/12/18


CommunityCare HMO

Gold 5 495kB   11/16/17

Silver 20 495kB   11/16/17

Bronze 45 495kB   11/16/17


Summary of Benefits

EnhancedCare PPO

Platinum 90 250/15 4.2MB   10/25/18

Platinum 90 250/15 w/inf 4.2MB   10/25/18

Gold 80 1000/30 4.2MB   10/25/18

Gold 80 1000/30 w/inf 4.2MB   10/25/18

Gold Value 1.6MB   01/25/18

Gold Value w/inf 1.6MB   01/25/18

Silver Value 1.6MB   01/25/18

Silver Value w/inf 1.6MB   01/25/18

Silver 70 2000/55 1.7MB   10/25/18

Silver 70 2000/55 w/inf 1.7MB   10/25/18

Silver HDHP 1.6MB   01/25/18

Silver HDHP w/inf 1.6MB   01/25/18

Bronze HDHP 1.6MB   01/25/18

Bronze HDHP w/inf 1.6MB   01/25/18


PPO

Platinum 90 1.6MB   01/25/18

Platinum 90 w/inf 1.6MB   01/25/18

Platinum 90 250/15 4.2MB   10/25/18

Platinum 90 250/15 w/inf 4.2MB   10/25/18

Gold 80 1.6MB   01/25/18

Gold 80 w/inf 1.6MB   01/25/18

Gold 80 1000/30 1.8MB   10/25/18

Gold 80 1000/30 w/inf 1.8MB   10/25/18

Gold Value 1.6MB   01/25/18

Gold Value w/inf 1.6MB   01/25/18

Silver 70 1.6MB   02/05/18

Silver 70 w/inf 1.6MB   02/05/18

Silver Value 1.6MB   01/25/18

Silver Value w/inf 1.6MB   01/25/18

Silver 70 2000/55 4.2MB   10/25/18

Silver 70 2000/55 w/inf 4.2MB   10/25/18

Silver HDHP 1.6MB   01/25/18

Silver HDHP w/inf 1.6MB   01/25/18

Bronze 60 1.6MB   02/05/18

Bronze 60 w/inf 1.6MB   02/05/18

Bronze HDHP 1.6MB   01/25/18

Bronze HDHP w/inf 1.6MB   01/25/18


PureCare HSP

Platinum 90 1.7MB   07/13/18

Platinum 90 w/inf 1.7MB   07/13/18

Gold 80 1.7MB   07/13/18

Gold 80 w/inf 1.7MB   07/13/18

Silver 70 1.7MB   07/13/18

Silver 70 w/inf 1.7MB   07/13/18

Bronze 60 1.7MB   07/13/18

Bronze 60 w/inf 1.7MB   07/13/18


HMO

Platinum 10 1.6MB   01/25/18

Platinum 10 w/inf 1.6MB   01/25/18

Platinum 20 1.6MB   01/25/18

Platinum 20 w/inf 1.6MB   01/25/18

Platinum 30 1.3MB   08/09/18

Platinum 30 w/inf 1.3MB   08/09/18

Gold 30 1.6MB   01/25/18

Gold 30 w/inf 1.6MB   01/25/18

Gold 35 1.3MB   08/09/18

Gold 35 w/inf 1.3MB   08/09/18

Gold 40 1.6MB   01/25/18

Gold 40 w/inf 1.6MB   01/25/18

Silver 40 1.7MB   02/05/18

Silver 40 w/inf 1.7MB   02/05/18


WholeCare HMO

Platinum 10 1.6MB   01/25/18

Platinum 10 w/inf 1.7MB   01/25/18

Platinum 20 1.6MB   01/25/18

Platinum 20 w/inf 1.7MB   01/25/18

Platinum 30 2.9MB   08/09/18

Platinum 30 w/inf 2.9MB   08/09/18

Gold 30 1.7MB   01/25/18

Gold 30 w/inf 1.7MB   01/25/18

Gold 35 2.9MB   08/09/18

Gold 35 w/inf 2.9MB   08/09/18

Gold 40 1.6MB   01/25/18

Gold 40 w/inf 1.7MB   01/25/18

Silver 40 1.7MB   06/13/18

Silver 40 w/inf 1.7MB   06/13/18


SmartCare HMO

Platinum 10 1.6MB   01/25/18

Platinum 10 w/inf 1.6MB   01/25/18

Platinum 20 1.6MB   01/25/18

Platinum 20 w/inf 1.6MB   01/25/18

Platinum 30 2.9MB   08/09/18

Platinum 30 w/inf 2.9MB   08/09/18

Gold 30 1.6MB   01/25/18

Gold 30 w/inf 1.6MB   01/25/18

Gold 35 2.9MB   08/09/18

Gold 35 w/inf 2.9MB   08/09/18

Gold 40 1.6MB   01/25/18

Gold 40 w/inf 1.6MB   01/25/18

Silver 40 1.7MB   06/13/18

Silver 40 w/inf 1.7MB   06/13/18


Salud HMO y Más

Platinum 10 1.7MB   01/25/18

Platinum 10 w/inf 1.7MB   01/25/18

Platinum 20 1.7MB   01/25/18

Platinum 20 w/inf 1.7MB   01/25/18

Platinum 30 2.4MB   10/25/18

Platinum 30 w/inf 2.4MB   10/25/18

Gold 30 1.7MB   01/25/18

Gold 30 w/inf 1.7MB   01/25/18

Gold 35 3.1MB   10/25/18

Gold 35 w/inf 3.2MB   10/25/18

Gold 40 1.7MB   01/25/18

Gold 40 w/inf 1.7MB   01/25/18

Silver 40 1.8MB   06/13/18

Silver 40 w/inf 1.8MB   06/13/18


CommunityCare HMO

Gold 5 1.6MB   01/25/18

Gold 5 w/inf 1.6MB   01/25/18

Silver 20 1.6MB   01/25/18

Silver 20 w/inf 1.6MB   01/25/18

Bronze 45 1.7MB   02/05/18

Bronze 45 w/inf 1.7MB   02/05/18


Plan Brochures / Product Overviews


Portfolio Plan Desktopper

January 2019 108kB   10/25/18

October 2018 163kB   07/30/18


Portfolio Guide

January 2019 1.2MB   11/09/18

October 2018 1.2MB   08/31/18


Renewal Guide

January 2019 1.9MB   10/18/18

October 2018 1.7MB   07/26/18


Broker PPO Fast Facts

English 135kB   09/13/18


Member Open Enrollment PPO Brochure

English 2.5MB   08/23/18



Standard Product Overview Folders

English 5.5MB   08/29/18

En Español (Spanish) 7.2MB   08/29/18



Presentation Folder, with pocket

English 529kB   11/25/15


Applications and Forms

Enrollment and Change Applications

Top Reasons for Employee Enrollment Delays

English 656kB   05/24/18


Employee Enrollment and Change Form (January 2019)

English 715kB   10/25/18

Must be completed & submitted at time of enrollment in order to enroll new employees & existing dependents. Also used for employees/dependents waiving coverage.


Employee Enrollment and Change Form (October 2018)

English 2.5MB   08/31/18

Must be completed & submitted at time of enrollment in order to enroll new employees & existing dependents. Also used for employees/dependents waiving coverage.


Employee Enrollment and Change Form (July 2018)

English 803kB   07/13/18

En Español (Spanish) 808kB   07/26/18

Chinese (Chinese) 1.1MB   07/26/18

Korean (Korean) 1.4MB   07/26/18

Must be completed & submitted at time of enrollment in order to enroll new employees & existing dependents. Also used for employees/dependents waiving coverage.


Renewal Election and Open Enrollment Medical Plan Change Request Form

January 2019 771kB   10/15/18

October 2018 794kB   07/26/18


Open Enrollment Meeting Request Form

English 107kB   08/25/16


Group Service Agreement/Policy Applications

Small Group 10+ Participation Attestation Form

English 52kB   05/11/18


Group Size Attestation Form

English 473kB   05/11/18

Must be completed & signed by the Employer Group.


Application for Group Service Agreement/Policy

January 2019 643kB   10/09/18

October 2018 666kB   08/31/18

Must be completed & signed by the Employer Group and Broker at time of enrollment and submitted along with check for first month's premium and enrollment forms. For renewals, this form must be completed and signed by the Employer Group and submitted to SBG Account Management for processing.


Renewal Date Change Request Form

English 68kB   11/02/17


Religious Exemption Employer Form

English 892kB   12/12/17


Transition of Care

Continuity of Care Assistance Request Form

English 524kB   01/17/18

En Español (Spanish) 572kB   01/17/18


Prescription Transition form

English 464kB   05/15/18

En Español (Spanish) 463kB   05/15/18


Claims

Commercial Medical Claim Form

English 542kB   12/19/17

En Español (Spanish) 502kB   12/19/17


Prescription Drug Claim Form

English 499kB   09/14/18

En Español (Spanish) 523kB   10/04/18


Dental Claim Form

English 2.8MB   04/12/10


Vision Claim Form

English 84kB   04/14/10


HIPAA Disclosures

Group Health Plan HIPAA Disclosure Forms

Disclosure Directive 95kB   06/13/16


Authorization For Disclosure of PHI

English 98kB   02/01/16

En Español (Spanish) 69kB   02/01/16

Chinese (Chinese) 234kB   02/04/16

Korean (Korean) 219kB   02/01/16


Health Net Life Insurance Forms

Employee Enrollment and Change Form

English 938kB   07/25/17

En Español (Spanish) 549kB   07/25/17


Group Life Insurance Conversion Form

English 61kB   02/20/15


Evidence of Insurability Life Form

English 618kB   02/22/18


Additional Forms

Employer Group Size Verification Form

English 64kB   08/01/17


Electronic Check Form

English 69kB   06/07/17


Proof of Eligibility Statement For Sole Proprietor, Partner or Corporate Officer

English 51kB   01/06/16


Rate Guides

Standard

January 2019

English 2MB   11/06/18

Rates effective January 1, 2019, through March 15, 2019


October 2018

English 1.7MB   08/24/18

Rates effective October 1, 2018, through December 15, 2018


July 2018

English 1.6MB   11/06/18

Rates effective July 1, 2018, through September 15, 2018


April 2018

English 1.3MB   04/03/18

Rates effective April 1, 2018, through June 15, 2018


Covered California

January 2019

English 1.3MB   10/18/18

Rates effective January 1, 2019, through March 15, 2019


October 2018

English 1.5MB   08/24/18

Rates effective October 1, 2018, through December 15, 2018


Cal-Choice

January 2019

English 1.1MB   10/25/18

Rates effective January 1, 2019, through March 15, 2019


October 2018

English 1MB   08/31/18

Rates effective October 1, 2018, through December 15, 2018


Underwriting Guidelines


Underwriting Promotions

English 127kB   12/11/18


October 2018

Enhanced Choice A

English 284kB   08/09/18


Enhanced Choice B

English 286kB   08/09/18


Dental & Vision

English 290kB   08/09/18


Health Net Life

English 285kB   08/09/18


July 2018

Enhanced Choice

English 283kB   05/14/18


EnhancedCare PPO Choice

English 287kB   05/14/18


Dental & Vision

English 290kB   05/14/18


Health Net Life

English 285kB   05/14/18


Support Tools


Broker Portal Overview

English 3.8MB   07/15/16

Broker Portal Overview (Flip Book)


Health Care Reform Materials

Summary of Benefits and Coverage (SBC) Search Flyer

English 385kB   03/13/15

Download only


Ensure Your Employees Understand Their Health Care

English 58kB   05/24/18


Preventive Care Services Overview (ACA Non-Grandfathered Plans)

English 611kB   03/07/18

En Español (Spanish) 613kB   03/07/18


Support Tools

Broker Bonus Program

English 228kB   05/03/18


Heal flyer (PPO, POS and EOA plans only)

English 0kB   12/31/69

En Español (Spanish) 0kB   12/31/69

Available through your PPO insurance plan and the SELECT/ELECT 2 (PPO) tier of your SELECT (POS) or Elect Open Access health plan.


Teladoc (Telehealth) Introductory Flyer

English/Spanish 247kB   11/16/18


Teladoc (Telehealth) FAQs

English 346kB   08/24/18

En Español (Spanish) 432kB   08/24/18


Active&Fit Direct Member Flyer

English 1.7MB   11/16/18

En Español (Spanish) 1.7MB   11/16/18


CommunityCare HMO Sell Sheet

English 216kB   12/11/18


Chiropractic Care flyer

English 159kB   09/28/18


Understanding the Continuity of Care Assistance Policy

English 1MB   07/02/18

Download only


How To Read Your Commission Statement

English 477kB   02/11/16

Download only


Top Reasons to Sell Health Net

English 785kB   09/11/18


Top Reasons for Selling Health Net's Salud Plans

English 253kB   08/15/12


Protect Your Wallet. Always Use the PureCare HSP Network flyer

English 249kB   01/21/16


Cadillac Tax Fact Sheet

English 141kB   01/19/16


Health Net Beginnings

English 193kB   02/22/18

En Español (Spanish) 171kB   02/22/18


MinuteClinics Brochure

English 701kB   06/15/18


Prior-Carrier Deductible Credit Flyer

English 635kB   04/18/18


Commercial Sales Guidelines

English 738kB   05/24/18


Information for Small Business Groups

English 107kB   08/24/18


ER vs. Urgent Care

English/Spanish 150kB   08/14/17


Employer Welcome Guide

English 3.1MB   11/14/18


Uniform Glossary of Health Coverage and Medical Terms

English 117kB   07/22/16

En Español (Spanish) 138kB   07/22/16

Chinese (Chinese) 447kB   07/22/16

Navajo 230kB   07/22/16

Korean (Korean) 1.2MB   07/22/16

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 Brochure

English 319kB   09/13/18


HSA Member Brochure

English 1.7MB   08/29/18


Bank of America HSA Enrollment Packet

English 124kB   05/26/17


Online Support Tools

Group Administrator Registration Guide

English 192kB   07/26/18


EFT Set Up Instructions

English 2.3MB   03/10/17


Broker Book of Business Tool Update

English 559kB   12/18/15


Book of Business Instructional Guide

English 1.6MB   12/01/16


Employer Online Billing and Enrollment Brochure

English 417kB   07/26/18


Health Net Mobile App How-To Guide

English 267kB   03/13/17


Flu Shot Flyer

English 505kB   11/16/18

En Español (Spanish) 105kB   11/16/18


First Health National (Out-of-State) PPO

First Health Physician Nomination Form

English 636kB   03/09/17


Broker First Health National PPO Network FAQ

English 362kB   11/16/18


Member First Health National PPO Network FAQ (for groups renewing before 1/1/2019)

English 366kB   11/16/18


Member First Health National PPO Network FAQ (for groups renewing after 1/1/2019)

English 366kB   11/16/18


Pharmacy


Mail Order Pharmacy and Maintenance Choice® Program

English 538kB   07/13/18

En Español (Spanish) 539kB   07/13/18


Coverage of Blood Glucose Test Strips - For New Members

English 514kB   02/08/18


Generic vs Brand-Name Drugs Information

English 297kB   05/16/16


Getting Started With Mail Order Pharmacy Kit

English 147kB   11/29/17

En Español (Spanish) 151kB   11/29/17


Supplemental Coverage


Pediatric Dental and Vision

Pediatric Dental/Vision (HMO/HSP) 3MB   08/15/18

Pediatric Dental/Vision (PPO) 635kB   08/15/18

Pediatric Dental/Vision (EPO/EC-PPO) 644kB   08/15/18


Exclusions and Limitations

English 489kB   08/31/12


Infertility Benefits

English 177kB   02/24/15


Vision

Vision PPO FAQ

English 622kB   08/29/18


Member HMO Vision Flyer

English 158kB   10/01/15

En Español (Spanish) 158kB   10/01/15


Vision Website (member)

English 5.1MB   02/22/18


Preferred Value Plan 10-2

English 146kB   03/03/14

En Español (Spanish) 157kB   03/03/14


Preferred Plan 1025-2

English 583kB   12/20/17

En Español (Spanish) 583kB   12/20/17


Preferred Plan 1025-3

English 147kB   03/03/14

En Español (Spanish) 158kB   03/03/14


Dental

Dental Overview

English 166kB   03/03/14


Dental Provider Search

English 554kB   04/18/18

En Español (Spanish) 584kB   04/18/18


Your Dental Website (member)

English 5.1MB   02/22/18


DHMO

Plus (150) Plan Overview

English 1.1MB   02/14/18

En Español (Spanish) 3.4MB   02/14/18


Plus (150) Schedule of Benefits

English 313kB   01/23/17


Plus (225) Plan Overview

English 1.1MB   02/14/18

En Español (Spanish) 3.5MB   02/14/18


Plus (225) Schedule of Benefits

English 275kB   01/23/17


DPPO

Classic 4 1500

English 1.1MB   02/14/18

En Español (Spanish) 3.5MB   02/14/18


Classic 5 1500

English 1.1MB   02/14/18

En Español (Spanish) 3.4MB   02/14/18


Essential 2 1000

English 1.1MB   02/14/18

En Español (Spanish) 3.4MB   02/14/18


Essential 5 1500

English 1.1MB   02/14/18

En Español (Spanish) 3.4MB   02/14/18


Essential 6 1500

English 646kB   02/14/18

En Español (Spanish) 3.5MB   02/14/18


Health Net Life

Product Guide

English 194kB   01/22/13


Basic Life Insurance with AD&D

English 565kB   01/17/18

En Español (Spanish) 565kB   01/17/18

These forms are customizable to allow for the addition of benefit level ($15,000, $25,000 or $50,000).


Additional Forms / Brochures

Travel Guides

HMO/POS Travel Guide

English 3.1MB   07/13/18

En Español (Spanish) 3.1MB   08/09/18

Members can download claim forms at www.healthnet.com. Claim forms can also be found under the Applications and Forms section on this page.


PPO Travel Guide

English 3.1MB   07/13/18

Members can download claim forms at www.healthnet.com. Claim forms can also be found under the Applications and Forms section on this page.


Additional Materials

Understanding your Explanation of Benefits (EOB)

English 359kB   05/19/15


Understanding Your Billing Statement

English 336kB   08/26/16

Download only


Premium Only Plans (POP)


FlexSystem Highlights Overview

English 350kB   07/26/18


FlexSystem Premium Only Plan (POP) Information Sheet

English 1.1MB   07/26/18


Premium Only Plan Marketing Manual

English 253kB   07/26/18


Decision Power/Wellness - Member


Decision Power™ Member Brochure

English 1.2MB   09/13/18

En Español (Spanish) 1.2MB   09/13/18


Wellness Online

English 679kB   03/28/18

En Español (Spanish) 610kB   05/15/18


Wellness Incentive Member Brochure and FAQ

English 1.3MB   10/04/18

En Español (Spanish) 3.1MB   10/04/18


Healthy Discounts Member Flyer

English 3.2MB   09/13/18

En Español (Spanish) 850kB   09/13/18


myStrength Program Flyer

English 864kB   09/13/18

En Español (Spanish) 879kB   09/13/18


Health Coaching Program Flyer

English 553kB   09/13/18


Smoking and Tobacco Cessation

English 563kB   09/13/18

En Español (Spanish) 541kB   09/13/18


Tips to Stop Smoking

English 121kB   10/04/18

En Español (Spanish) 143kB   10/04/18


Decision Power Ready to Lose Weight?

English 560kB   09/13/18

En Español (Spanish) 560kB   09/13/18


Preventive Screening Guidelines – Web PDF only

English 204kB   09/13/18

En Español (Spanish) 150kB   09/13/18


Text4Baby Flyer - PDF Only

English 112kB   04/29/16

En Español (Spanish) 118kB   06/22/16

Promotional flyer and press releases for Health Net's new "Text4Baby" program. This new service provides the expectant mother with 3 free text messages a week, providing helpful information throughout her pregnancy and for baby's first year.


Decision Power/Wellness - Employer/Broker

Broker / Employer Materials

Decision Power Employer/Broker Toolkit

English 575kB   05/15/18


Wellness Incentive Broker Flyer

English 204kB   09/13/18


Wellness Incentive Employer FAQ

English 167kB   09/13/18


National Observances Calendar for Employers

English 229kB   01/12/18


Wellness Webinar flyer for Employers

English 157kB   01/12/18


Wellness Seminars Menu

English 253kB   09/13/18


Salud con Health Net


Salud Hmo y Más service area

English 141kB   03/16/18


Member

Salud HMO y Más Brochure

Eng/Span 636kB   09/06/18


Provider Directories / Tailored Network Comparison Lists
Refer to County Reference Quick Guide to determine service areas in each directory.

Tailored Networks Comparison Lists

Northern California 390kB   09/06/18

Central California 373kB   09/06/18

Los Angeles County 401kB   09/06/18

Orange County 376kB   09/06/18

Riverside County 367kB   09/06/18

San Bernardino County 369kB   09/06/18

San Diego County 370kB   09/06/18



How Soon Can I See the Doctor

English 776kB   05/04/18

En Español (Spanish) 40kB   04/18/18



ProviderSearch Information

English 1.7MB   09/13/18

En Español (Spanish) 3.9MB   09/13/18


County Reference Quick Guide

English 61kB   02/05/15


Provider Directories
If you are looking for a participating provider, please use ProviderSearch.


Pharmacy

Standard Pharmacy Network

English 0kB   12/31/69


Advanced Choice Pharmacy Network

English 0kB   12/31/69


Ancillary

Acupuncturists (Statewide)

English 9.3MB   06/06/18


Chiropractors (Statewide)

English 9.8MB   06/06/18


Health Net Vision (Statewide)

English 16.1MB   06/06/18


Health Net Dental

DHMO (North)

English 4MB   06/06/18


DHMO (South)

English 2.4MB   06/06/18


DPPO (North)

English 5.4MB   06/06/18


DPPO (South) Region A

English 4.8MB   06/06/18


DPPO (South) Region B

English 5.9MB   06/06/18



Information last updated 12-06-2018

Select documents in the language you desire, then click mail or email.

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In Addition, Please See Plan Overviews for Medical Benefit Plan Overviews.

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