What is Canopy Health?
Canopy Health is a network alliance that expands member access to specialists, hospitals and other medical services that support your care.
Who has access to Canopy Health?
Health Net SmartCare HMO members who are enrolled with a primary care physician (PCP) from Hill Physicians Medical Group in Alameda, Contra Costa, and San Francisco counties, including Hill Physicians-UCSF, John Muir Physician Network or Meritage Medical Network (the Meritage physicians in Marin and southern Sonoma Counties*) will automatically be part of the Canopy Health alliance.
How can I be part of Canopy Health?
Canopy Health is available to SmartCare HMO members in the Bay Area. Follow the steps that apply to your coverage:
How does Canopy Health work?
The Canopy Health Network alliance works like this:
How does Canopy Health change my access to specialists?
You have more choices. As always, you see your PCP first for a specialist referral. If there isn't a specialist available for your specific condition in your medical group, or if you need one closer to work or home, your PCP can provide a referral to other specialists in the Canopy Health alliance. As an example, if you have a PCP with John Muir Physician Network, but work in San Francisco and are in the need of specialty care, you can ask your PCP to refer you to a doctor in San Francisco. The specialist may also recommend a further course of treatment or a procedure to take place at any of the Canopy alliance participating hospitals or participating providers.
Can I self-refer to any specialist in Canopy Health?
No, you must contact your PCP first for a specialist referral.
How can I find specialists or other providers who participate in Canopy Health?
Go to Provider Search Tips and click ProviderSearch to begin your search. Any of the providers affiliated with Hill Physicians or Hill Physicians/UCSF in San Francisco, or Hill Physicians in Alameda and Contra Costa counties, or John Muir Physician Network or Meritage Medical Network (Marin and southern Sonoma) are part of the Canopy Health alliance. The online information is always the most current; however, you can also call us at 1-888-926-4921 for help searching for providers.
How will I know I am in Canopy Health?
Health Net will send you a new ID card prior to January 1, 2018. If you are in Canopy Health, your medical group name will reference “Canopy” in one of these ways:
If you have questions about your ID card, or another physician group is listed, please contact The Health Net Customer Contact Center at 1-888-926-4921.
*Meritage Medical Network in Sonoma County – Canopy Health. Meritage PCPs, whose office address is in the following Sonoma County ZIP codes, are associated with Canopy Health: 94928, 94931, 94951, 94952, 94954, 95442, 95452, and 95476. Note: All Meritage providers in Marin County are part of Canopy Health.
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