91367, LOS ANGELES, CA Change Zip Code
Health Net of California, Inc. and Health Net Life Insurance Company (Health Net) are proud to participate in Covered California, giving you and your employees a new way to access our affordable health plans and quality networks of doctors.
For more information about Health Net plans please visit coveredca.com >>
Health Net Life Insurance Company brings value to the table with a competitively priced PPO insurance plan – for small group businesses that want more flexibility and choice. Our popular PPO plan offers your employees the freedom to choose from our broad network of doctors and hospitals. Through our PPO network, your employees will receive the highest level of benefits at the lowest possible cost. And, they'll appreciate the flexibility to choose their care from doctors and hospitals outside of our network, at a higher out-of-pocket cost.
Plus, we've designed our PPO plan to give you all the advantages of the Covered California marketplace. Our Health Net PPO is available in all four cost levels – platinum, gold, silver, and bronze – making it easy for you to find the right mix of coverage and cost for your business.
Plan | Deductible | Out of Pocket Maximum | Office Visits | Inpatient Care | Outpatient Surgery: Hospital or ASC1 | Urgent Care | Emergency | Prescriptiom drugs Generic/Preferred brand/Non-preferred brand |
---|---|---|---|---|---|---|---|---|
PPO Platinum $20 / $0 | none | $4,000 single / $8,000 family | $20 | 10% | 10% | $40 | $150 2 | $5 / $15 / $25 3 |
PPO Gold $30 / $0 | none | $6,350 single / $12,700 family | $30 | 20% | 20% | $60 | $250 2 | $19 / $50 / $70 3 |
PPO Silver $45 / $1,500 | $1,500 single / $3,000 family | $6,350 single / $12,700 family | $45 3 | 20% | 20% 3 | $90 3 | $250 2 | $500 brand deductible $19 / $50 / $70 |
PPO Bronze $60 / $5,000 | $5,000 single / $10,000 family | $6,350 single / $12,700 family | $60 4 | 30% | 30% | $120 4 | $300 2 | $19 / $50 / $75 |
All benefits are subject to deductible unless otherwise noted.
This is only a summary of in-network benefits.
1ASC: Ambulatory Surgery Center.
2Copay waived if admitted.
3Deductible waived.
4Visits 1-3, deductible waived. Visits 4 and over, the deductible applies.
Pediatric vision coverage for children through age 18 is included with our health plans available through Covered CaliforniaTM.
Health Net PPO insurance plans are underwritten by Health Net Life Insurance Company. Health Net Life Insurance Company is a subsidiary of Health Net, Inc. Health Net is a registered service mark of Health Net, Inc. Covered California is a registered trademark of the State of California. All rights reserved.
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