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Using HealthNet.com

Using HealthNet.com

The information provided below is designed to help optimize your experience.

Looking for information about accessibility? Please visit our Accessibility and HealthNet.com page.

COMPATIBLE BROWSERS

For the best experience, we recommend using the following browsers:

  • Internet Explorer 9 and above
  • Firefox 40 and above
  • Safari 7 and above
  • Google Chrome 45 and above
PASSWORDS

Health Net's password policy contains a set of rules designed to enhance security. Each user is required to create a password that contains the following:

  • between 6 and 15 characters long and contain at least one alpha (A to Z) and one numeric (0 to 9) character
  • contain at least one alpha (A to Z)
  • contain at least one numeric character (0 to 9)
  • accounts are locked after 5 unsuccessful password entry attempts

Still experiencing issues with Passwords?

Remember that cutting and pasting, for example from a password vault, does not work.

To make this process easier for members, we have added the option to see your password as you type. To make your password temporarily visible, just click the checkbox for "Unmask my password (this attempt only)."

SIGN-IN SEAL

A sign-in seal is part of Health Net's security system designed to provide security at login, no matter what computer you sign in from. It adds an extra layer of protection to prevent unauthorized access and protect you against online fraud.

How does a sign-in seal protect me?

A sign-in seal is a secret between the computer on which you set it up and HealthNet.com. So when you sign in to HealthNet.com from this computer, your sign-in seal tells you that you're seeing a genuine HealthNet.com site, not a phishing site. To learn more about sign-in seals click here.

FONT SIZES

Some browsers allow the user to make the website's fonts larger or smaller.

  • Internet Explorer: Click the "gear" icon in the top right corner and select Zoom.
  • Firefox: Select Zoom from the View menu.
  • Safari: Select Zoom In or Zoom Out from the View menu.
  • Google Chrome: Select the - or + next to "Zoom" under the "Customize and Control Google Chrome" icon.

Other browsers: To find out if you can adjust the font size on other browsers, consult the browser's help section.

Note: Adjusting the size of the text on HealthNet.com could result in alterations to the site layout that may make the page difficult to read.

MONITOR SETTINGS

You may want to adjust the screen resolution in your monitor settings either to help HealthNet.com pages fit better on your screen, or to make items appear larger. Our website is designed for a screen resolution of 1024 x 768.

Lower resolutions, such as 800 x 600, will make items on the page appear larger. However, less of the Web page will fit on the screen, so you may have to scroll horizontally to view the entire page.

Higher resolutions, such as 1366 x 768, will make more of the Web page fit on your screen, but individual items will appear smaller.

To change your screen resolution:

  • Windows 7: From the Control Panel, click on Display. On the Make it easier to read what's on your screen, choose from one of the following and click Apply: Smaller - 100%, Medium - 125%, or Larger - 150%
  • Mac OS X: From the Apple menu, go to System Preferences and select Displays. Select your desired setting under "Resolutions."
  • Other operating systems: To adjust your screen resolution on other operating systems, consult your computer's help section.
COOKIES

Cookies are pieces of information that a website transfers to a user's computer for purposes of storing information about a user's preferences, delivering content specific to your interests, or maximizing the performance of our website and services. Cookies do not personally identify users (such as by collecting your name or address), but they do assign a unique data element to each visitor so that the website can recognize repeat users, track usage patterns, and better serve you when you return to the website.

If you have your browser set to private browsing, or refuse or delete cookies, you may not be able to take full advantage of HealthNet.com features. To learn more about privacy related to cookies, click here.

SECURE MESSAGING

In response to the privacy challenges posed in the Internet age, Health Net uses a private email exchange called "Secure Messaging Center." Secure Messaging Center allows us to communicate with you regarding confidential financial and business matters as well as legislatively defined Protected Health Information (PHI). Please use the Secure Messaging Center for communications regarding, among other things, benefit payments, medical conditions, treatment protocols, claims status, behavioral health issues, and chronic illness management services. Health Net's customer service team will create a Secure Messaging account for you, if needed. For more information, contact us.

Access Secure Messaging Center

MAINTENANCE SCHEDULE

Regular maintenance to healthnet.com is performed on the 2nd Saturday of each month from 9:00 pm to 2:00 am Pacific. Additionally, as needed, the site may be down for maintenance outside of the normal maintenance window. When this occurs, a message is posted 48 hours in advance of the "non-standard" maintenance window.

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Disclaimer

You are now leaving Health Net's website for Medicare.gov. While Health Net believes you may find value in reading the contents of this site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information contained on the destination server.

To proceed to Medicare.gov, click 'Continue'. To stay on the Health Net website, click 'Cancel'.

If you would prefer to speak to a Health Net representative about this issue, please click here to go to our Customer Service Center page.


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Important Notice

General Purpose
Health Net's National Medical Policies (the "Policies") are developed to assist Health Net in administering plan benefits and determining whether a particular procedure, drug, service, or supply is medically necessary. The Policies are based upon a review of the available clinical information including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the drug or device, evidence-based guidelines of governmental bodies, and evidence-based guidelines and positions of select national health professional organizations. Coverage determinations are made on a case-by-case basis and are subject to all of the terms, conditions, limitations, and exclusions of the Member's contract, including medical necessity requirements. Health Net may use the Policies to determine whether, under the facts and circumstances of a particular case, the proposed procedure, drug, service, or supply is medically necessary. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. The policy provides for clearly written, reasonable and current criteria that have been approved by Health Net's National Medical Advisory Council (MAC). The clinical criteria and medical policies provide guidelines for determining the medical necessity criteria for specific procedures, equipment and services. In order to be eligible, all services must be medically necessary and otherwise defined in the Member's benefits contract as described in this "Important Notice" disclaimer. In all cases, final benefit determinations are based on the applicable contract language. To the extent there are any conflicts between medical policy guidelines and applicable contract language, the contract language prevails. Medical policy is not intended to override the policy that defines the Member's benefits, nor is it intended to dictate to providers how to practice medicine.


Policy Effective Date and Defined Terms.
The date of posting is not the effective date of the Policy. The Policy is effective as of the date determined by Health Net. All policies are subject to applicable legal and regulatory mandates and requirements for prior notification. If there is a discrepancy between the policy effective date and legal mandates and regulatory requirements, the requirements of law and regulation shall govern. In some states, prior notice or posting on the website is required before a policy is deemed effective. For information regarding the effective dates of Policies, contact your provider representative. The Policies do not include definitions. All terms are defined by Health Net. For information regarding the definitions of terms used in the Policies, contact your provider representative.


Policy Amendment without Notice.
Health Net reserves the right to amend the Policies without notice to providers or Members. In some states, prior notice or website posting is required before an amendment is deemed effective.


No Medical Advice.
The Policies do not constitute medical advice. Health Net does not provide or recommend treatment to Members. Members should consult with their treating physician in connection with diagnosis and treatment decisions.


No Authorization or Guarantee of Coverage.
The Policies do not constitute authorization or guarantee of coverage of any particular procedure, drug, service, or supply. Members and providers should refer to the Member contract to determine if exclusions, limitations and dollar caps apply to a particular procedure, drug, service, or supply.


Policy Limitation: Member's Contract Controls Coverage Determinations.
Statutory Notice to Members: The materials provided to you are guidelines used by this plan to authorize, modify or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. The determination of coverage for a particular procedure, drug, service, or supply is not based upon the Policies, but rather is subject to the facts of the individual clinical case, terms and conditions of the Member's contract, and requirements of applicable laws and regulations. The contract language contains specific terms and conditions, including pre-existing conditions, limitations, exclusions, benefit maximums, eligibility, and other relevant terms and conditions of coverage. In the event the Member's contract (also known as the benefit contract, coverage document, or evidence of coverage) conflicts with the Policies, the Member's contract shall govern. The Policies do not replace or amend the Member contract.


Policy Limitation: Legal and Regulatory Mandates and Requirements
The determinations of coverage for a particular procedure, drug, service, or supply is subject to applicable legal and regulatory mandates and requirements. If there is a discrepancy between the Policies and legal mandates and regulatory requirements, the requirements of law and regulation shall govern.


Reconstructive Surgery
California Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following:


1. To improve function; or
2. To create a normal appearance, to the extent possible.


Reconstructive surgery does not mean "cosmetic surgery," which is surgery performed to alter or reshape normal structures of the body in order to improve appearance.


Requests for reconstructive surgery may be denied, if the proposed procedure offers only a minimal improvement in the appearance of the enrollee, in accordance with the standard of care as practiced by physicians specializing in reconstructive surgery.


Reconstructive Surgery after Mastectomy
California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Coverage for prosthetic devices and reconstructive surgery shall be subject to the copayment, or deductible and coinsurance conditions, that are applicable to the mastectomy and all other terms and conditions applicable to other benefits. "Mastectomy" means the removal of all or part of the breast for medically necessary reasons, as determined by a licensed physician and surgeon.


Policy Limitations: Medicare and Medicaid
Policies specifically developed to assist Health Net in administering Medicare or Medicaid plan benefits and determining coverage for a particular procedure, drug, service, or supply for Medicare or Medicaid Members shall not be construed to apply to any other Health Net plans and Members. The Policies shall not be interpreted to limit the benefits afforded Medicare and Medicaid Members by law and regulation.

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