Health Net of California, Inc..
The government is giving finacial help to people who qualify. The less income you make, the less you pay for coverage.
In order to offer you the best plan options, we need to know if you qualify for this financial help.
This plan offers coverage from day one with no medical deductible. You pay a $50 copay for each doctor or specialist visit and 50 percent copay for inpatient and outpatient hospital services.)
Is your current doctor included on this plan? Find out with our ProviderSearch tool
|Prescription Drug Deductible:|
|Prescription drugs:||$400 brand deductible / $15 Level I / $35 Level II / 50% or $100 (whichever is less) Level III/ Effective 1/1/2013, most FDA approved prescription contraceptive methods will be covered at $0 member cost share. Note, Health Net may impose cost sharing on brand name drugs when a generic version is available.|
|Inpatient hospital services:||50%|
|Outpatient hospital services/ambulatory surgical center services:||Outpatient services other than surgery - 50% Outpatient surgery at ambulatory care center - 45%|
|Preventive care:||Covered in full|
|Outpatient imaging and testing services:||x-ray and lab - Covered in full Complex Radiology (CT, MRI, PET, SPECT, MUGA) - $300|
|Emergency room services:||$300 (waived if admitted)|
|Urgent care services:||$75|
|Rehabilitative and Habilitative Services:|
|DME (Durable Medical Equipment):|
|Skilled nursing facility services:||$0 (days 1-10) $25 per day (days 11-100)|
|Chiropractic services:||Not Covered|
|Mental health services:||Inpatient: 50% (max 30 days per year) <br> Outpatient: $50 (max 20 visits per year)|
With an HMO, you choose one main doctor called a primary care physician who coordinates all your care. You choose your doctor from the HMO network and see him/her for checkups, advice and care when sick or hurt. If you need to see a specialist or get other services, you have to do two things. First you need a referral from your PCP. Then you have to use the HMO network. There is no coverage for services provided outside of the HMO network.
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To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.