Health Net

Local affordable health insurance that helps keep people healthy and companies growing. It is our mission to help people be healthy, secure and comfortable.

Provider Finder

Form Name Effective Date Download Form
New Group Submission
Small Group Business Submission Checklist
01/01/2020 Download
Employer Application 1.21
01/01/2021 Download
Electronic Check Form
01/01/2020 Download
Group Size Attestation Form
07/01/2020 Download
Proof of Eligibility Statement for Sole Proprietor, Partner or Corporate Officer
01/01/2020 Download
The HSA for Life from Bank of America Flyer
01/01/2020 Download
Religious Organization Exemption Form
01/01/2020 Download
In Force Group Forms
Employer Group Size Verification Form
01/01/2020 Download
Renewal Plan Election & Open Enrollment Change Form
01/01/2020 Download
Ancillary Add-On or Change Form
01/01/2020 Download
Administration
Welcome To Health Net Employer Guide
01/01/2020 Download
EFT Online Set Up Instructions
01/01/2020 Download
HSA Member Enrollment Guide
01/01/2020 Download
Registering as a Client Administrator Flyer
01/01/2020 Download
2020 Free Wellness Webinars Flyer for Employers
01/01/2020 Download
Wellness Seminars Menu for Employers
01/01/2020 Download
Form Name Effective Date Download Form
Enrollment and Change Forms
Employee Enrollment/Change Form 1.21
01/01/2021 Download
Understanding the Continuity of Care Assistance Policy
04/01/2020 Download
Continuity of Care Assistance Form
01/01/2020 Download
Prescription Transition Form
01/01/2020 Download
Life Insurance Employee Enrollment/Change Form
01/01/2020 Download
Evidence of Insurability Form
01/01/2020 Download
Claim Forms
Authorization to Use and Disclose Health Information
01/01/2020 Download
Medical Claim Form
01/01/2020 Download
Prescription Drug Claim Form
01/01/2020 Download
Dental Claim Form
01/01/2020 Download
Vision Claim Form
01/01/2020 Download
Form Name Effective Date Download Form
2021 Medical HMO
Full HMO Network
Full Network HMO Platinum $0
01/01/2021 Summary SBC
Full Network HMO Platinum $0 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Platinum $10
01/01/2021 Summary SBC
Full Network HMO Platinum $10 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Platinum $20
01/01/2021 Summary SBC
Full Network HMO Platinum $20 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Platinum $30
01/01/2021 Summary SBC
Full Network HMO Platinum $30 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Gold $30
01/01/2021 Summary SBC
Full Network HMO Gold $30 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Gold $35
01/01/2021 Summary SBC
Full Network HMO Gold $35 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Gold $40
01/01/2021 Summary SBC
Full Network HMO Gold $40 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Gold $50
01/01/2021 Summary SBC
Full Network HMO Gold $50 INF (with Infertility)
01/01/2021 SBC
Full Network HMO Silver $50
01/01/2021 Summary SBC
Full Network HMO Silver $50 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Network
WholeCare HMO Platinum $0
01/01/2021 Summary SBC
WholeCare HMO Platinum $0 +INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Platinum $10
01/01/2021 Summary SBC
WholeCare HMO Platinum $10 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Platinum $20
01/01/2021 Summary SBC
WholeCare HMO Platinum $20 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Platinum $30
01/01/2021 Summary SBC
WholeCare HMO Platinum $30 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Gold $30
01/01/2021 Summary SBC
WholeCare HMO Gold $30 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Gold $35
01/01/2021 Summary SBC
WholeCare HMO Gold $35 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Gold $40
01/01/2021 Summary SBC
WholeCare HMO Gold $40 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Gold $50
01/01/2021 Summary SBC
WholeCare HMO Gold $50 INF (with Infertility)
01/01/2021 SBC
WholeCare HMO Silver $50
01/01/2021 Summary SBC
WholeCare HMO Silver $50 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Network
SmartCare HMO Platinum $0
01/01/2021 Summary SBC
SmartCare HMO Platinum $0 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Platinum $10
01/01/2021 Summary SBC
SmartCare HMO Platinum $10 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Platinum $20
01/01/2021 Summary SBC
SmartCare HMO Platinum $20 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Platinum $30
01/01/2021 Summary SBC
SmartCare HMO Platinum $30 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Gold $30
01/01/2021 Summary SBC
SmartCare HMO Gold $30 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Gold $35
01/01/2021 Summary SBC
SmartCare HMO Gold $35 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Gold $40
01/01/2021 Summary SBC
SmartCare HMO Gold $40 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Gold $50
01/01/2021 Summary SBC
SmartCare HMO Gold $50 INF (with Infertility)
01/01/2021 SBC
SmartCare HMO Silver $50
01/01/2021 Summary SBC
SmartCare HMO Silver $50 INF (with Infertility)
01/01/2021 SBC
CommunityCare HMO Network
CommunityCare HMO Silver $1750/$50
01/01/2021 Summary SBC
CommunityCare HMO Silver $1750/$50 INF (with Infertility)
01/01/2021 SBC
Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental
01/01/2021 Summary SBC
Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental INF (with Infertility)
01/01/2021 SBC
Salud y Mas HMO Network
Salud HMO y Mas Platinum $0
01/01/2021 Summary SBC
Salud HMO y Mas Platinum $0 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Platinum $10
01/01/2021 Summary SBC
Salud HMO y Mas Platinum $10 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Platinum $20
01/01/2021 Summary SBC
Salud HMO y Mas Platinum $20 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Platinum $30
01/01/2021 Summary SBC
Salud HMO y Mas Platinum $30 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Gold $30
01/01/2021 Summary SBC
Salud HMO y Mas Gold $30 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Gold $35
01/01/2021 Summary SBC
Salud HMO y Mas Gold $35 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Gold $40
01/01/2021 Summary SBC
Salud HMO y Mas Gold $40 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Gold $50
01/01/2021 Summary SBC
Salud HMO y Mas Gold $50 INF (with Infertility)
01/01/2021 SBC
Salud HMO y Mas Silver $50
01/01/2021 Summary SBC
Salud HMO y Mas Silver $50 INF (with Infertility)
01/01/2021 SBC
2021 Medical HSP
Health Net PureCare Platinum 90 HSP 0/15 + Child Dental
01/01/2021 Summary SBC
Health Net PureCare Platinum 90 HSP 0/15 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net PureCare Gold 80 HSP 350/25 + Child Dental
01/01/2021 Summary SBC
Health Net PureCare Gold 80 HSP 350/25 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net PureCare Silver 70 HSP 2250/50 + Child Dental
01/01/2021 Summary SBC
Health Net PureCare Silver 70 HSP 2250/50 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental
01/01/2021 Summary SBC
Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental INF (with Infertility)
01/01/2021 SBC
2021 Medical PPO
Full PPO Network
Health Net Platinum 90 PPO 0/15 + Child Dental
01/01/2021 Summary SBC
Health Net Platinum 90 PPO 0/15 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net Platinum 90 PPO 250/15 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Platinum 90 PPO 250/15 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 PPO 0/30 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Gold 80 PPO 0/30 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 PPO 350/25 + Child Dental
01/01/2021 Summary SBC
Health Net Gold 80 PPO 350/25 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 PPO 500/20 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Gold 80 PPO 500/20 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 Value PPO 750/15 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Gold 80 Value PPO 750/15 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 PPO 1000/30 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Gold 80 PPO 1000/30 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Gold 80 PPO 1500/0 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Gold 80 PPO 1500/0 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Silver 70 PPO 2250/50 + Child Dental
01/01/2021 Summary SBC
Health Net Silver 70 PPO 2250/50 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net Silver 70 PPO 2250/55 + Child Dental Alt
01/01/2021 Summary SBC
Health Net Silver 70 PPO 2250/55 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt
01/01/2021 Summary SBC
Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net Bronze 60 PPO 6300/65 + Child Dental
01/01/2021 Summary SBC
Health Net Bronze 60 PPO 6300/65 + Child Dental INF (with Infertility)
01/01/2021 SBC
Health Net Bronze 60 HDHP PPO 7000/0% + Child Dental
01/01/2021 Summary SBC
Health Net Bronze 60 HDHP PPO 7000/0% + Child Dental INF (with Infertility)
01/01/2021 SBC
EnhancedCare PPO Network
Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Gold 80 PPO 1500/0 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt
01/01/2021 Summary SBC
Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (with Infertility)
01/01/2021 SBC
2020 Medical HMO
Full HMO Network
Full Network HMO Platinum $10
01/01/2020 Summary SBC
Full Network HMO Platinum $10 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Platinum $20
01/01/2020 Summary SBC
Full Network HMO Platinum $20 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Platinum $30
01/01/2020 Summary SBC
Full Network HMO Platinum $30 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Gold $30
01/01/2020 Summary SBC
Full Network HMO Gold $30 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Gold $35
01/01/2020 Summary SBC
Full Network HMO Gold $35 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Gold $40
01/01/2020 Summary SBC
Full Network HMO Gold $40 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Gold $50
01/01/2020 Summary SBC
Full Network HMO Gold $50 INF (with Infertility)
01/01/2020 SBC
Full Network HMO Silver $50
01/01/2020 Summary SBC
Full Network HMO Silver $50 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Network
WholeCare HMO Platinum $10
01/01/2020 Summary SBC
WholeCare HMO Platinum $10 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Platinum $20
01/01/2020 Summary SBC
WholeCare HMO Platinum $20 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Platinum $30
01/01/2020 Summary SBC
WholeCare HMO Platinum $30 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Gold $30
01/01/2020 Summary SBC
WholeCare HMO Gold $30 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Gold $35
01/01/2020 Summary SBC
WholeCare HMO Gold $35 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Gold $40
01/01/2020 Summary SBC
WholeCare HMO Gold $40 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Gold $50
01/01/2020 Summary SBC
WholeCare HMO Gold $50 INF (with Infertility)
01/01/2020 SBC
WholeCare HMO Silver $50
01/01/2020 Summary SBC
WholeCare HMO Silver $50 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Network
SmartCare HMO Platinum $10
01/01/2020 Summary SBC
SmartCare HMO Platinum $10 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Platinum $20
01/01/2020 Summary SBC
SmartCare HMO Platinum $20 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Platinum $30
01/01/2020 Summary SBC
SmartCare HMO Platinum $30 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Gold $30
01/01/2020 Summary SBC
SmartCare HMO Gold $30 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Gold $35
01/01/2020 Summary SBC
SmartCare HMO Gold $35 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Gold $40
01/01/2020 Summary SBC
SmartCare HMO Gold $40 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Gold $50
01/01/2020 Summary SBC
SmartCare HMO Gold $50 INF (with Infertility)
01/01/2020 SBC
SmartCare HMO Silver $50
01/01/2020 Summary SBC
SmartCare HMO Silver $50 INF (with Infertility)
01/01/2020 SBC
CommunityCare HMO Network
CommunityCare HMO Silver $50
01/01/2020 Summary SBC
CommunityCare HMO Silver $50 INF (with Infertility)
01/01/2020 SBC
Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental
01/01/2020 Summary SBC
Health Net CommunityCare Bronze 60 HMO 6300/65 + Child Dental INF (with Infertility)
01/01/2020 SBC
Salud y Mas HMO Network
Salud HMO y Mas Platinum $10
01/01/2020 Summary SBC
Salud HMO y Mas Platinum $10 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Platinum $20
01/01/2020 Summary SBC
Salud HMO y Mas Platinum $20 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Platinum $30
01/01/2020 Summary SBC
Salud HMO y Mas Platinum $30 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Gold $30
01/01/2020 Summary SBC
Salud HMO y Mas Gold $30 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Gold $35
01/01/2020 Summary SBC
Salud HMO y Mas Gold $35 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Gold $40
01/01/2020 Summary SBC
Salud HMO y Mas Gold $40 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Gold $50
01/01/2020 Summary SBC
Salud HMO y Mas Gold $50 INF (with Infertility)
01/01/2020 SBC
Salud HMO y Mas Silver $50
01/01/2020 Summary SBC
Salud HMO y Mas Silver $50 INF (with Infertility)
01/01/2020 SBC
2020 Medical HSP
Health Net PureCare Platinum 90 HSP 0/15
01/01/2020 Summary SBC
Health Net PureCare Platinum 90 HSP 0/15 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net PureCare Gold 80 HSP 250/25 + Child Dental
01/01/2020 Summary SBC
Health Net PureCare Gold 80 HSP 250/25 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net PureCare Silver 70 HSP 2250/50 + Child Dental
01/01/2020 Summary SBC
Health Net PureCare Silver 70 HSP 2250/50 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental
01/01/2020 Summary SBC
Health Net PureCare Bronze 60 HSP 6300/65 + Child Dental INF (with Infertility)
01/01/2020 SBC
2020 Medical PPO
Full PPO Network
Health Net Platinum 90 PPO 0/15 + Child Dental
01/01/2020 Summary SBC
Health Net Platinum 90 PPO 0/15 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net Platinum 90 PPO 250/15 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Platinum 90 PPO 250/15 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Gold 80 PPO 0/30 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Gold 80 PPO 0/30 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Gold 80 PPO 250/25 + Child Dental
01/01/2020 Summary SBC
Health Net Gold 80 PPO 250/25 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net Gold 80 PPO 500/20 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Gold 80 PPO 500/20 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Gold 80 PPO 1000/30 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Gold 80 PPO 1000/30 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Gold 80 Value PPO 750/15 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Gold 80 Value PPO 750/15 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Silver 70 PPO 2250/50 + Child Dental
01/01/2020 Summary SBC
Health Net Silver 70 PPO 2250/50 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net Silver 70 PPO 2250/55 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Silver 70 PPO 2250/55 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt
01/01/2020 Summary SBC
Health Net Silver 70 Value PPO 1700/50 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt
01/01/2020 Summary SBC
Health Net Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net Bronze 60 PPO 6300/65 + Child Dental
01/01/2020 Summary SBC
Health Net Bronze 60 PPO 6300/65 + Child Dental INF (with Infertility)
01/01/2020 SBC
Health Net Bronze 60 HDHP PPO 5600/20% + Child Dental Alt
01/01/2020 Summary SBC
Health Net Bronze 60 HDHP PPO 5600/20% + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
EnhancedCare PPO Network
Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Platinum 90 PPO 250/15 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Gold 80 PPO 0/30 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Gold 80 PPO 500/20 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Gold 80 PPO 1000/30 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Gold 80 Value PPO 750/15 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Silver 70 PPO 2250/55 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Silver 70 Value PPO 1700/50 + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Silver 70 HDHP PPO 1400/40% + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Health Net EnhancedCare Bronze 60 HDHP PPO 5600/20% + Child Dental Alt
01/01/2020 Summary SBC
Health Net EnhancedCare Bronze 60 HDHP PPO 5600/20% + Child Dental Alt INF (with Infertility)
01/01/2020 SBC
Form Name Effective Date Download Form
General Information
2021 Small Group Broker Portfolio Guide
01/01/2021 Download
2021 Small Group Portfolio Desktopper
01/01/2021 Download
2021 Small Group Ancillary Products Guide
01/01/2021 Download
Small Group Renewal Guide Q1 2021
01/01/2021 Download
HealthNet.com Flyer
01/01/2020 Download
Mobile App Flyer
01/01/2020 Download
Online Provider Search Instructions
01/01/2020 Download
Underwriting Simplified Flyer April 2021 - June 2021
04/01/2021 Download
Enhanced Choice A Underwriting Guidelines 3.21
03/01/2021 Download
Enhanced Choice B Underwriting Guidelines 3.21
03/01/2021 Download
Dental & Vision Underwriting Guidelines 3.21
03/01/2021 Download
Life Underwriting Guidelines 3.21
03/01/2021 Download
SBG Infertility Benefits GA-Broker Talking Points
02/01/2020 Download
Top 10 Reasons for Employee Enrollment Delays
01/01/2020 Download
Medical
Active & Fit Member Flyer
01/01/2020 Download
California MinuteClinic Health Reference Guide
01/01/2020 Download
Decision Power Healthy Discounts Guide
01/01/2020 Download
Decision Power Health & Wellness Member Guide
01/01/2020 Download
Employee Guide to Health Net Benefits
01/01/2020 Download
ER vs Urgent Care Flyer
01/01/2020 Download
First Health Network Member FAQs [PPO Network for Traveling CA and Out-of-State Members]
01/01/2020 Download
Generic vs Brand-Name Drugs Information
01/01/2020 Download
Getting Started with Mail Order Pharmacy Kit
01/01/2020 Download
Maintenance Choice Pharmacy Program
01/01/2020 Download
Advanced Choice Pharmacy Network [used for CommunityCare, Salud y Mas, SmartCare HMO plans and EnhancedCare PPO plans]
01/01/2020 Download
Standard Pharmacy Network
01/01/2020 Download
Heal Flyer for PPO Members
01/01/2020 Download
Health Coaching Program
01/01/2020 Download
CommunityCare Network Guide
01/01/2020 Download
HMO Network Guide – Central California
01/01/2021 Download
HMO Network Guide – Los Angeles County
01/01/2021 Download
HMO Network Guide – Northern California
01/01/2021 Download
HMO Network Guide – Orange County
01/01/2021 Download
HMO Network Guide – Riverside County
01/01/2021 Download
HMO Network Guide – San Bernardino County
01/01/2021 Download
HMO Network Guide – San Diego County
01/01/2021 Download
Beginnings Open Enrollment Flyer
01/01/2020 Download
Preventive Care Services Overview
01/01/2020 Download
Preventive Screening Guidelines
01/01/2020 Download
HMO Open Enrollment Flyer
01/01/2020 Download
HSA Compatible PPO Plans Brochure
01/01/2020 Download
myStrength Program Brochure
01/01/2020 Download
PPO Fast Facts
01/01/2020 Download
PPO Open Enrollment Brochure
01/01/2020 Download
Prior Carrier Deductible Credit Flyer
01/01/2020 Download
Salud HMO y Mas Member Brochure-Bilingual
01/01/2020 Download
Salud HMO y Mas Service Area
01/01/2020 Download
Teladoc Flyer
01/01/2020 Download
Teladoc Frequently Asked Questions
01/01/2020 Download
Teladoc for Caregivers Flyer
01/01/2020 Download
Teladoc for Caregivers Frequently Asked Questions
01/01/2020 Download
Text4Baby Flyer
01/01/2020 Download
Travel Guide - HMO and POS plans
01/01/2020 Download
Travel Guide - PPO plans
01/01/2020 Download
Uniform Glossary of Health Coverage and Medical Terms
01/01/2020 Download
Wellness Rewards Program
01/01/2020 Download
Dental
Dental Overview Flyer
01/01/2020 Download
Dental Member Website Flyer
01/01/2020 Download
Dental Provider Search Instructions
01/01/2020 Download
Vision
Vision Plan Brochure
01/01/2020 Download
Vision Member Website Flyer
01/01/2020 Download
Life
Life Product Guide
03/01/2020 Download
Form Name Effective Date Download Form
SBG Rate Guide - All Rating Areas [effective 4/1/2021]
04/01/2021 Download
SBG Rate Guide - All Rating Areas [effective 7/1/2021]
07/01/2021 Download