2022 Health Net Ambetter & PPO Plans
2021 Health EPO, HMO, PPO California Family Plans
Health Net is proud that Scripps is now part of our Individual EnhancedCare PPO network
We are thrilled to announce Scripps is now in the Individual EnhancedCare PPO network. This allows members in-network access to Scripps facilities and doctors in San Diego. With the Scripps network you get:
- High-quality health system
- More than 3,000 Scripps-affiliated San Diego doctors
2020 Health Net Individual & Family Plans
- Plans by Region IFP Health Net 2020
- Plans CoveredCA Health Net 2020
- Plans OE Direct Health Net 2020 Individual Family
- Rates California IFP Health Net 2020
- Community Care HMO Health Net 2020
- Enhanced Care PPO Health Net 2020
- Pure Care EPO Health Net 2020
- Pure Care HSP Health Net 2020
- Doc on Demand
- ECPPO Plan Changes IFP Health Net 2020
- EPO Plan Changes IFP Health Net 2020
- HMO HSP Plan Changes IFP Health Net 2020
- PPO Plan Changes IFP Health Net 2020
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Al 2017 HMO IFP plans will be renewed, or migrated to a similar plan, in all regions in 2018. Health Net has added Teledoc, telephone consultations with a doctor, for a $0 copayment to the CommunityCare HMO. The Advanced Choice Pharmacy Network will replace the standard pharmacy network and will NOT include Walgreens.
Platinum, Gold, and Silver plans will be discontinued in all regions. Bronze and minimum coverage plans will be renewed in Kern, Los Angeles, Riverside, San Bernardino, Orange, and San Diego counties, and will be discontinued in all other regions.
All 2017 PureCare One EPO plans will be renewed, or migrated to a similar plan, in all regions in 2018. Stanford hospital and physicians will no longer be part of the PureCare One EPO network. Pediatric dental services obtained out-of-network are no longer covered.
All PPO plans will be renewed in 2018 in all regions where offered. Mental and behavioral health benefits will be administered by MHN.
EnhancedCare PPO plans are new for 2018. They have a tailored network that is not as large as the standard off-exchange PPO plans. EnhancedCare PPO will be available both through Covered California and off-exchange directly from Health Net in Los Angeles, Orange, Sacramento, San Diego, and Yolo counties. It will be offered in parts of Placer, Riverside, and San Bernardino counties.
Services obtained from a Non-Preferred or Preferred provider outside of California through the First Health Network will no longer be covered. Only out-of-state urgent care and emergency services will be treated as in-network provider cost shares.
EPO vs HSP
Health Net offers both an EPO (Exclusive Provider Organization) and a HSP (Healthcare Service Plan). They are essentially the same type of health plan. The HSP require a member to list a Primary Care Physician like an HMO. For the EPO, the PCP designation was optional until 2017. More important to Health Net is that the HSP products are listed and regulated by the Department of Managed Health Care, while the EPOs are regulated by the California Department of Insurance, according to Health Net.