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Canopy Health for the Bay Area

Canopy Health for the Bay Area


What is Canopy Health?
Canopy Health is a network alliance that gives members expanded access to specialists, hospitals and other medical services.

Which medical groups is part of the Canopy Health alliance*?

  • Hill Physicians Medical Group – Alameda
  • Hill Physicians Medical Group – Contra Costa
  • Hill Physicians Medical Group – San Francisco/UCSF
  • John Muir Physician Network
  • Meritage Medical Network

Who has access to Canopy Health?
Health Net SmartCare HMO members who are enrolled with a primary care physician (PCP) from the medical groups in the Canopy Health alliance 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:

  • Currently not a Health Net member. Select Health Net SmartCare HMO during the 2019 open enrollment and a primary care physician (PCP) from the medical groups in the Canopy Health alliance. When you do that, you'll have access to Canopy Health for 2019.
  • Enrolled in Health Net SmartCare HMO but have a PCP with another physician group. Give us a call at 1-888-926-4921, and we'll help you select a PCP from the medical groups in the Canopy Health alliance. After the change, you will have access to Canopy Health.
  • Enrolled in Health Net SmartCare HMO and have a PCP from a Canopy Health alliance. You do not have to do anything! You will automatically experience the added benefits of Canopy Health.

How does Canopy Health work?
The Canopy Health Network alliance works like this:

  • You'll continue to see your PCP as your main doctor when you need care or a referral to a specialist in your medical group.
  • 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.

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 ProviderSearch to begin your search. Any of the providers affiliated with the medical groups in 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, 2019. If you are in Canopy Health, your medical group name will reference "Canopy" in one of these ways:

  • Hill Physicians Medical Group – Alameda – Canopy Health
  • Hill Physicians Medical Group – Contra Costa – Canopy Health
  • Hill Physicians Medical Group – San Francisco/UCSF – Canopy Health
  • John Muir Physician Network – Canopy Health
  • Meritage Medical Network – Canopy Health

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.

* Your PCP and medical group must be part of the Canopy Health alliance for you to access in-network services within Canopy Health's entire network of doctors, specialists and hospitals.

** 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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