Health Net has been providing health care in California for over 30 years. Health Net is concerned about your complete health and is proud to be the only Medi-Cal Plan in Los Angeles and Sacramento counties to offer both medical and dental coverage.
Health Net Dental Plans fit the needs of today's busy families. The focus is on providing access to quality, affordable dental care through a variety of plan types and coverage levels. Health Net Dental Plans provide access to one of the largest dental networks in California – giving you more choices for dental care near your home or workplace.
Health Net’s Medi-Cal Dental Plan Member Services
1-800-977-7307
Medi-Cal Beneficiaries
If you are considering joining Health Net’s Medi-Cal dental plan as a new member and have any questions, please contact us at our toll free number, Monday through Friday, 7:30 a.m. to 7:00 p.m.
1-800-213-6991
Your Consumer Rights
You have the right to get full and equal access to health care services covered by your health plan. This is also true if you have a disability, according to the following laws:
Help in Your Language
You can ask for someone to help you talk with your doctor in your language. This is an interpreter. To ask for an interpreter at no cost to you, please call
Member Services. (Los Angeles County 1-800-977-7307, Sacramento County 1-877-550-3868, TTY 711) Please have your member ID number when you call. You must call at least three days before your doctor visit to have an interpreter there with you on the day of your doctor visit. For sign language services, please call five days before your doctor visit.
Providers
For information or inquiries regarding Health Net's Dental plan for Los Angeles or Sacramento County, please call our toll free number.
1-877-550-3868
Health Net Dental's Utilization Management (UM) decision making is based only on the appropriateness of care, service, and existence of coverage. Health Net Dental does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for UM decision makers do not encourage decisions that result in underutilization.
A message to State Health Program members, from the Department of Managed Health Care
The California Department of Managed Health Care is responsible for regulating health care service plans. If you have a grievance against your health plan, you should first telephone your health plan at 1-800-977-7307 (Health Net Dental Customer Service for State Health Plans) and use your health plan’s grievance process before contacting the department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you. If you need help with a grievance involving an emergency, a grievance that has not been satisfactorily resolved by your health plan, or a grievance that has remained unresolved for more than 30 days, you may call the department for assistance. You may also be eligible for an Independent Medical Review (IMR). If you are eligible for IMR, the IMR process will provide an impartial review of medical decisions made by a health plan related to the medical necessity of a proposed service or treatment, coverage decisions for treatments that are experimental or investigational in nature and payment disputes for emergency or urgent medical services. The department also has a toll-free telephone number (1-888-HMO-2219) and a TDD line (1-877-688-9891) for the hearing and speech impaired. The department's internet web site http://www.hmohelp.ca.gov has complaint forms, IMR application forms and instructions online.
Beginning on July 1, 2017, you will be required to use your dental plan’s appeal procedures before you will be able to file for a state fair hearing. Federal law has changed and now requires this new process. You are not losing your right to a state fair hearing.
Get helpful language services
at no cost to you!
1-800-977-7307
Language Assistance (pdf)
Assistencia de Idiomas (pdf)
(pdf)
Telephonic interpreter services are available by calling Health Net Dental Member Services
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