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Welcome Center - Activate Your Plan

Welcome to Health Net

Thanks for choosing Health Net. You've successfully enrolled in via Covered California. Now it's time to choose your doctor and pay your first premium. Do these easy steps today!

Step one: tell us how to keep you updated

Thank you for submitting your contact information. Please proceed to step two of this form.

First name
Last name
Email address
Confirm email address
Language preference
Exchange name

Please complete the form below so that we can send you updates about the status of your plan.

Enter your Application ID number here. You will find it on the letter from the Health Insurance Marketplace that tells you the results of your application. The Application ID is in the upper left corner of the letter.

Your Exchange ID is the Subscriber ID listed on your Household Enrollment Summary from Covered California. You will find it under the "Health Plan" column. That is the number to put here.

Please check to make sure the above info is correct before submitting!

Step two: make your first payment

Payment already made. Are you sure want to pay?

Please note,you must make your first month's premium payment or your plan will not take effect.

If you have already submitted your first payment, please skip this step.

BillMatrix is our secure payment vendor.

Pay by mail.

[+] Learn more about paying by mail.[-] Hide info about paying by mail.

You can pay by mail with a check, money order or cashier's check.

Make your check, money order or cashier's check payable to Health Net, Inc. Write your number and the subscriber's name (if different from your own) in the memo line.

Mail the payment to Health Net at the following address:

HEALTH NET
PO BOX 60515
CITY OF INDUSTRY, CA 91716-0515

The address is on the payment coupon. Have questions or want more information about paying? Give our Member Services a call at

Step three: choose your doctor

Now it's time to select your doctor also known as a PCP (Primary Care Provider). You visit your PCP for preventive and routine care. Your PCP will also refer you to a specialist if necessary.

Please note: You must select a doctor for yourself and for each covered family member, otherwise Health Net will assign a PCP to help coordinate your care. The name of the assigned PCP will appear on the ID card for each covered family member.

First, select a doctor for the primary subscriber

Before selecting a doctor, please make sure that the above information is correct, and that it matches the information you entered on the Exchange for this person.

After you select a PCP for the primary subscriber, you will have the opportunity to select a PCP for each dependent.

[+] Select a doctor for another person on this plan

Thank you for selecting your doctors. Next, we need to wait until we receive the information about your plan from Covered California. After we hear from Covered California, we'll contact you with more information.

Have you selected all your doctors?

If you're done selecting doctors for members on your plan, please click the button below.

[+] View FAQs about choosing a doctor[-] Hide FAQs about choosing a doctor

Frequently Asked Questions: Doctor and Provider Network

(Q) Where do I find a PCP or confirm that my current doctor is in my plan's network?
(A) Simply type in a doctor's name and if he or she is in your plan's network, their name will appear. Your plan and location information are already included in the search.

(Q) How do I change PCPs?
(A) Click on the "change" link above.

(Q) What kinds of doctors can be a PCP?
(A) Depending on your health care needs, there are many different types of doctors you can choose as your PCP:

  • Internist - a doctor specializing in internal medicine.
  • Pediatrician - doctor who provides medical care for infants, children, and adolescents.
  • Family medicine - doctor who provides comprehensive health care for people of all ages.
  • Gynecology - doctor who specializing in the health of the female reproductive systems.
  • Obstetrics - doctor who deals with pregnancy, childbirth, and postpartum period (including care of the newborn).
  • Osteopathic medicine - doctor who practices a more holistic type of medicine.
  • PPG/Medical Group Affiliation - any number of physicians, medical centers, laboratories, physical therapy and urgent care centers and more, all belonging to a medical group.

(Q) How often are Health Net's online doctor and hospital directories updated?
(A) We work to maintain a current online directory of doctors. This online directory is updated daily, however we suggest you contact the doctor you wish to see to verify that he or she participates in our network and that he or she are accepting new patients.

Based on your plan type or region, it is not necessary to select a doctor at this time.

Select a different plan type

Step four: get educated!

The Learning Center is well-stocked with easy-to-use tools and resources, all designed to help you get the most out of your Health Net plan. You'll find Frequently Asked Questions and helpful "how to" videos. Visit the Learning Center now

Tip!

Having a PCP is required starting January 2017. Enrolling in new coverage for a January 1, 2017 start date? If yes, choose your primary case physician now. Your choice will take effect on January 1st.

If you are enrolling before January, you do not have to choose a PCP but you can.


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Disclaimer

You are now leaving Health Net's website for Medicare.gov. While Health Net believes you may find value in reading the contents of this site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information contained on the destination server.

To proceed to Medicare.gov, click 'Continue'. To stay on the Health Net website, click 'Cancel'.

If you would prefer to speak to a Health Net representative about this issue, please click here to go to our Customer Service Center page.


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Important Notice

General Purpose
Health Net's National Medical Policies (the "Policies") are developed to assist Health Net in administering plan benefits and determining whether a particular procedure, drug, service, or supply is medically necessary. The Policies are based upon a review of the available clinical information including clinical outcome studies in the peer-reviewed published medical literature, regulatory status of the drug or device, evidence-based guidelines of governmental bodies, and evidence-based guidelines and positions of select national health professional organizations. Coverage determinations are made on a case-by-case basis and are subject to all of the terms, conditions, limitations, and exclusions of the Member's contract, including medical necessity requirements. Health Net may use the Policies to determine whether, under the facts and circumstances of a particular case, the proposed procedure, drug, service, or supply is medically necessary. The conclusion that a procedure, drug, service, or supply is medically necessary does not constitute coverage. The Member's contract defines which procedure, drug, service, or supply is covered, excluded, limited, or subject to dollar caps. The policy provides for clearly written, reasonable and current criteria that have been approved by Health Net's National Medical Advisory Council (MAC). The clinical criteria and medical policies provide guidelines for determining the medical necessity criteria for specific procedures, equipment and services. In order to be eligible, all services must be medically necessary and otherwise defined in the Member's benefits contract as described in this "Important Notice" disclaimer. In all cases, final benefit determinations are based on the applicable contract language. To the extent there are any conflicts between medical policy guidelines and applicable contract language, the contract language prevails. Medical policy is not intended to override the policy that defines the Member's benefits, nor is it intended to dictate to providers how to practice medicine.


Policy Effective Date and Defined Terms.
The date of posting is not the effective date of the Policy. The Policy is effective as of the date determined by Health Net. All policies are subject to applicable legal and regulatory mandates and requirements for prior notification. If there is a discrepancy between the policy effective date and legal mandates and regulatory requirements, the requirements of law and regulation shall govern. In some states, prior notice or posting on the website is required before a policy is deemed effective. For information regarding the effective dates of Policies, contact your provider representative. The Policies do not include definitions. All terms are defined by Health Net. For information regarding the definitions of terms used in the Policies, contact your provider representative.


Policy Amendment without Notice.
Health Net reserves the right to amend the Policies without notice to providers or Members. In some states, prior notice or website posting is required before an amendment is deemed effective.


No Medical Advice.
The Policies do not constitute medical advice. Health Net does not provide or recommend treatment to Members. Members should consult with their treating physician in connection with diagnosis and treatment decisions.


No Authorization or Guarantee of Coverage.
The Policies do not constitute authorization or guarantee of coverage of any particular procedure, drug, service, or supply. Members and providers should refer to the Member contract to determine if exclusions, limitations and dollar caps apply to a particular procedure, drug, service, or supply.


Policy Limitation: Member's Contract Controls Coverage Determinations.
Statutory Notice to Members: The materials provided to you are guidelines used by this plan to authorize, modify or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract. The determination of coverage for a particular procedure, drug, service, or supply is not based upon the Policies, but rather is subject to the facts of the individual clinical case, terms and conditions of the Member's contract, and requirements of applicable laws and regulations. The contract language contains specific terms and conditions, including pre-existing conditions, limitations, exclusions, benefit maximums, eligibility, and other relevant terms and conditions of coverage. In the event the Member's contract (also known as the benefit contract, coverage document, or evidence of coverage) conflicts with the Policies, the Member's contract shall govern. The Policies do not replace or amend the Member contract.


Policy Limitation: Legal and Regulatory Mandates and Requirements
The determinations of coverage for a particular procedure, drug, service, or supply is subject to applicable legal and regulatory mandates and requirements. If there is a discrepancy between the Policies and legal mandates and regulatory requirements, the requirements of law and regulation shall govern.


Reconstructive Surgery
California Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following:


1. To improve function; or
2. To create a normal appearance, to the extent possible.


Reconstructive surgery does not mean "cosmetic surgery," which is surgery performed to alter or reshape normal structures of the body in order to improve appearance.


Requests for reconstructive surgery may be denied, if the proposed procedure offers only a minimal improvement in the appearance of the enrollee, in accordance with the standard of care as practiced by physicians specializing in reconstructive surgery.


Reconstructive Surgery after Mastectomy
California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Coverage for prosthetic devices and reconstructive surgery shall be subject to the copayment, or deductible and coinsurance conditions, that are applicable to the mastectomy and all other terms and conditions applicable to other benefits. "Mastectomy" means the removal of all or part of the breast for medically necessary reasons, as determined by a licensed physician and surgeon.


Policy Limitations: Medicare and Medicaid
Policies specifically developed to assist Health Net in administering Medicare or Medicaid plan benefits and determining coverage for a particular procedure, drug, service, or supply for Medicare or Medicaid Members shall not be construed to apply to any other Health Net plans and Members. The Policies shall not be interpreted to limit the benefits afforded Medicare and Medicaid Members by law and regulation.

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Schedule of Benefits Disclaimer

This Schedule of Benefits is a brief list of benefits, with applicable copayments, coinsurance and deductibles information for your health plan. It does not list the exclusions and limitations or other important terms applicable to your plan.

For more information, please review carefully the disclosure form for your plan. It includes additional terms and information on certain exclusions and limitations.

The Evidence of Coverage (EOC) for your plan contains the complete terms and conditions of your Health Net coverage. It is important for you to thoroughly review the disclosure form and EOC for your plan, especially those sections that apply to those with special health care needs. You may view your Evidence of Coverage by: closing the current window and clicking on MY MEDICAL BENEFITS.

You may request copies of the forms referenced above for your health plan by: closing this window and clicking on Contact Us at the top of any web page.
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Thank you for choosing Health Net again in . Let's get started.

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Add/Delete Members on Your Plan

How do I add or delete family members (ex. newborns,adoptions)?

You may add or delete family members during your open enrollment period. In addition, we will generally accept enrollments for newly eligible members within 30 days after the following events (with proper documentation submitted to us):



Questions? Contact Member Services

Important Notice Regarding Access To This Site

Your medical coverage expired on . For your convenience, we have allowed you to access your medical information and data on this site through .

IMPORTANT

It is time to renew your AHCCCS application. To keep getting AHCCCS health insurance you need to apply again.


HOW TO APPLY


If you have questions about your Health Net Access health plan call Member Services


Sincerely,


Health Net Access

1-888-788-4408


This enrollee's premiums are past due. Coverage will be suspended if premiums remain past due for more than 1 month. When coverage is suspended, outstanding authorizations for service are no longer valid. And there is no further coverage for any services rendered unless premiums are paid in full by the end of a 3 month grace period. Please contact us for more information.

This enrollee's premiums are more than 1 month past due. Coverage is currently suspended due to non-payment of premiums. Outstanding authorizations for service are no longer valid. There is no further coverage for any services rendered unless premiums are paid in full by the end of a 3 month grace period. Please contact us for more information.

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New Website for You!


Your Health Net coverage comes complete with a brand-new website. The design and menus are easier to navigate. And it's packed with helpful information about your plan, your network and all the extras that come with your coverage.