For more than 40 years, Health Net has built a reputation as one of California’s most trusted health carriers. Health Net’s 3,000 employees and 85,000 network providers serves over three million members – 1 in 12 Californians – enrolled in a range of health insurance and health care programs.
 
At Health Net, we offer an array of small business benefit solutions. We’re committed to offering the right-size plans and networks that are designed to suit small business’s needs, and their budgets. And with concierge-style service, behavioral health available to all plans, wellness programs, and other extras, we believe our plans offer value beyond benefits. The net result is satisfaction.
 
Health Net offers its members access to a choice of HMO (Health Maintenance Organization) plans in all four Affordable Care Act (ACA) metal tiers, including: 
      • 8 Platinum HMO plans
      • 9 Gold HMO plans
      • 3 Silver HMO plans
      • 1 Bronze HMO plan

 

Why Health Net?

HMO Plans: you choose a primary care physician, who coordinates all your care
 

Network Name	Where Available	Why Choose this Network?
Full Network HMO	30 Counties Statewide	The Full Network HMO is our broadest HMO option spanning 30 counties across California and offering access to over 67,900 physicians (PCPs & Specialists) and over 263 hospitals within the service area. This network is great for employers looking to offer wide provider choice and broad access across California, within a classic HMO structure.
WholeCare HMO	30 Counties Statewide	The WholeCare HMO network includes a select subset of our Full HMO network to include the most cost-efficient providers without compromise in quality or benefits. This flagship network spans 30 counties across California and offers access to over 34,700 physicians (PCPs/ Specialists) and over 250 hospitals within the service area.
Salud HMO y Más	Southern CA and Parts of      Mexico	A community-based HMO network available in most of Southern California which has been awarded the National Committee for Quality Assurance (NCQA) Distinction in Multicultural Health Care. We connect a carefully selected group of respected, local doctors and hospitals to the people in their area. In addition, participants will have flexible cross-border access to healthcare in portions of northern Mexico via the SIMNSA network1. In total, this includes more than 11,100 physicians (PCPs/specialists) and 50 hospitals across the Salud service area. All while being one of the most affordably priced HMOs in Southern California.
CommunityCare        HMO	Los Angeles, Orange, and     San Diego counties	A tailored HMO network available in Los Angeles, Orange, and San Diego counties that offers more freedom than our other HMO options. Your primary care physician can refer you to any specialist within the entire CommunityCare HMO network, not just specialists within your physician group. This network also includes plans that have deductibles to allow for greater control of costs and premiums, while providing access to over 20,400 physicians (PCPs/Specialists) and over 78 hospitals within the service area.
SmartCare	Los Angeles, Orange, Riverside, San Bernardino, San Diego, Santa Clara, Santa Cruz Counties	A tailored HMO network available in most of Southern California, as well as Santa Clara and Santa Cruz counties. The network includes over 14,400 physicians (PCPs/Specialists) and over 144 hospitals within the service area.

¹A network of physicians contracting with Sistemas Medicos Nacionales, S.A. de C.V. (SIMNSA) has been selected to provide services to Health Net Salud HMO y Más members. Family members residing in Mexico cannot receive plan benefits from California providers, except for emergencies or urgently needed care, which are covered worldwide.

Value Beyond Benefits
We want your employees to get the most from their health plans. That’s why we offer programs and services to support their health and wellness. Learn more about our valuable programs that help empower members to make healthy lifestyle.

Ensure around-the-clock access to care
Our members can always get the care they need, when they need it. All of our plans offer a 24/7 toll-free nurse advice line, access to MinuteClinic clinics across the country, and virtual doctor visits via our select telehealth services provider.
Teladoc
Teladoc Health (Teladoc) offers virtual health care that's convenient, with confidential access to quality U.S. board-certified doctors. Teladoc is an option when members can't see their regular doctor. Medical appointments are available 24 hours a day, 7 days a week from wherever members are. Behavioral health professionals can be booked 7 days a week 7:00 a.m. to 9:00 p.m. (Pacific time). Members can book appointments through the Teladoc app, website or call 1-800-TELADOC (835-2362).1,2

The Active&Fit Direct program
Members who enroll in the Active&Fit Direct Program³ can choose from 11,000+ participating fitness centers nationwide for just $29.99 a month (plus a one-time $29.99 enrollment fee and applicable taxes).

Ask our at-your-service team
Our concierge-style customer care team is ready to help. Have a question or concern? We’ve made it our mission to respond quickly by phone or email with the help you need.

Stay connected on the go
Members can log in to healthnet.com from their device to access benefit information, wellness programs, identification (ID) cards, and more.

¹Go straight to the nearest emergency room or call 911 if you have an emergency.
²You may receive services on an in-person basis or via telehealth, if available, from your primary care provider, a treating specialist or from another contracting individual health professional, contracting clinic, or contracting health facility consistent with the service and existing timeliness and geographic access standards required under California law. Any cost share for services received through Teladoc will accrue toward your out-of-pocket maximum and deductible (if your plan has a deductible). By scheduling through Teladoc, you consent to receive services via telehealth through Teladoc. See your health plan coverage document for coverage information and for the definition of telehealth services. You have a right to access your medical records for services received through Teladoc. Unless you choose otherwise, any services provided through Teladoc shall be shared with your primary care provider.
³Members/spouses must be 18 years or older to take part. Fees will vary based on fitness center selection. There is a 2-month commitment required. The Active&Fit Direct program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Active&Fit Direct is a trademark of ASH and used with permission herein. Not all services may be available in all areas and the program may be changed (including monthly and enrollment fees and/or the introductory period) or discontinued at any time.
 

Health & Wellness
When members want to take their health to the next level, we have tools made for them. Whether members are a joiner or just dipping their toe in the water, check out Health Net’s Health & Wellness offerings.

Care reminder messages
Members get useful reminders about steps they can take to help prevent gaps in their care. These include tests to help keep them healthy, yearly shots and more!

Doctors may also get these reminders so that they can better observe the member’s health status.

RealAge® Program
RealAge Program is our healthy behavior program targeting the 4 highest lifestyle risks — Stress, Sleep, Nutrition, and Activity. The program is personalized to the individual based on risk level for each lifestyle category gleaned through RealAge test responses and personal interest. It’s fully integrated with other features of the Sharecare platform, such as trackers, to drive sustained engagement and promote behavior change that can help lead to a lower RealAge.

RealAge® Test
The RealAge Test provides members with a custom report of their behavioral and medical health risks. Immediately after taking the online survey, they will receive a personalized action plan.

Health Coaching program

• Health Coaching Program (telephonic): With one-on one support, you and your Health Coach find what motivates you and address the specific health behaviors that affect short-term health risks and long-term goals.
• Health Coaching Program (digital): Consists of multiple lessons related to stress, smoking cessation, exercise, weight, gaps in care and more!

Craving to Quit® program (tobacco cessation) cessation program
Once members enroll in the Craving to Quit tobacco cessation program (telephonic), they get a coach to guide them through the quit process. Plus, members get access to useful tools to help you quit. These include:

•  A website with eLearning tools.
• An online chat forum.
• Access to their quit coach via email.
• Text messaging support.
•  A Coaching Guidebook.

Eat Right Now program:
Eat Right Now is a new evidence-based program that combines neuroscience and mindfulness tools to help members identify eating triggers and ride out cravings to change their eating patterns for good. With help from videos and exercises, members will learn to listen to their body’s hunger signals so they can differentiate between real hunger and emotional cravings. This progressive 28- day program helps members reshape how they eat in about 10 minutes a day.

Through video, audio, and animated lessons, clinically validated exercises and on-demand tools, members learn how to identify, work with, and eliminate their emotional eating triggers.

myStrength
myStrength is a virtual wellness platform (both web and app based) offering private access to self-help tools, tips and daily inspiration. The programs are designed to help empower members to become and stay mentally and physically healthy. Programs members can choose from are:

• Managing anxiety
• Balancing intense emotions
• Managing chronic pain
• Managing depression
• Improving sleep
• Mindfulness and meditation
• Pregnancy and early parenting program
• Reducing stress

We've got your back, 24/7
Your health and satisfaction are our priorities. When you become a Health Net member, our customer service center representatives, and our robust website, are here to provide you with the support you need.

Visit us at www.healthnet.com

Disclaimer
Health Net HMO plans are offered by Health Net of California, Inc. and is a subsidiary of Health Net, LLC and Centene Corporation. Health Net and Salud con Health Net are registered service marks of Health Net, LLC. All other identified trademarks/service marks remain the property of their respective companies. All rights reserved. 

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