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When you enroll in Health Net Healthy Heart, you will select a Health Net Healthy Heart participating provider from our network. You'll also choose a PCP from this Health Net Healthy Heart participating provider group. Health Net Healthy Heart uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Seniority Plus Ruby Plan 2, you will select a Health Net Seniority Plus Ruby Plan 2 participating provider from our network. You'll also choose a PCP from this Health Net Seniority Plus Ruby Plan 2 participating provider group. Health Net Seniority Plus Ruby Plan 2 uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Healthy Heart Plan 1, you will select a Health Net Healthy Heart Plan 1 participating provider from our network. You'll also choose a PCP from this Health Net Healthy Heart Plan 1 participating provider group. Health Net Healthy Heart Plan 1 uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Ruby Select, you will select a Health Net Ruby Select participating provider from our network. You'll also choose a PCP from this Health Net Ruby Select participating provider group. Health Net Ruby Select uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Seniority Plus Ruby Plan 1, you will select a Health Net Seniority Plus Ruby Plan 1 participating provider from our network. You'll also choose a PCP from this Health Net Seniority Plus Ruby Plan 1 participating provider group. Health Net Seniority Plus Ruby Plan 1 uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Gold Select, you will select a Health Net Gold Select participating provider from our network. You'll also choose a PCP from this Health Net Gold Select participating provider group. Health Net Gold Select uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
When you enroll in Health Net Ruby Select, you will select a Health Net Ruby Select participating provider from our network. You'll also choose a PCP from this Health Net Ruby Select participating provider group. Health Net Ruby Select uses specific providers only. Not all participating provider groups (PPGs) and their affiliated primary care physicians (PCPs) and facilities are available to you in your service area for this plan. It is important to understand that Health Net offers a variety of plans in each service area; if your provider of choice is not available through this plan, the provider may be available through a different Health Net plan offering.
Our doctor network has primary care physicians and specialists. They work in general medicine, family medicine, internal medicine, pediatrics, and many other specialties. Health Net credentials the doctors in our network. This means they meet our standards. We also select doctors so that members have access to care within a reasonable driving distance. Health Net does not use special measures- like quality, member experience or costs- to choose doctors who go with our Silver-level plan networks.
Hospitals are part of the networks that go with our health plans. All hospitals are accredited by a known accreditation organization. Health Net also credentials our network hospitals. This means they meet our standards. We also look at the number of hospitals in each county. We do this to make sure member have access within a reasonable driving distance and/or time.
Please read more on our
provider verification process.
Use our
Hospital Advisor
tool to find procedure-specific and condition-specific
information on number of patients, mortality rates, complications, cost and
length of stay.
Disclaimer: You are now leaving Health Net's website for WebMD Hospital Advisor. While Health Net believes you may find value in reading the contents of that site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information found there. If you wish to stay on the Health Net website, please click Cancel.
Go to
Cal Hospital Compare
to compare information on how well nearby hospitals rate
on providing care in key areas, like patient safety, maternity services,
and patient experience.
Disclaimer: You are now leaving Health Net's website for Cal Hospital Compare. While Health Net believes you may find value in reading the contents of that site, Health Net does not endorse, control or take responsibility for this organization, its views or the accuracy of the information found there. If you wish to stay on the Health Net website, please click Cancel.
Login to your Member Account to view your plan benefits, manage your claims, get your ID card, and get cost estimates for care within your plan.
Provider information appearing in ProviderSearch represents data in Health Net systems as of
Health Net builds and maintains the provider networks based on the network adequacy regulations as outlined by state and federal regulators. While every effort has been made to ensure accuracy, from time to time the status or contact information of a physician/provider may change, meaning that a new physician/provider may be added or a current physician/provider may either leave our network or decline to accept new patients. We suggest that you call the Health Net customer service number on the back of your member ID card to verify that the physician/provider is still in the plan.
Health Net does not provide any coverage for out-of-network claims under EPO and HSP plans.
Member should contact PCP/PPG prior to going to an Urgent Care facility.
Please Note: Some hospitals and other providers do not provide one or more of
the following services that may be covered under your plan contract
and that you or your family member might need: family planning;
contraceptive services, including emergency contraception;
sterilization, including tubal ligation at the time of labor and
delivery; infertility treatments; or abortion.
Read More..
"Some hospitals and other providers do not provide one or more of
the following services that may be covered under your plan contract
and that you or your family member might need: family planning;
contraceptive services, including emergency contraception;
sterilization, including tubal ligation at the time of labor and
delivery; infertility treatments; or abortion.
You should obtain more information before you enroll. Call your prospective doctor, medical
group, independent practice association, or clinic, or call the
health plan to ensure that you can obtain the health care services that you
need."
Customer Contact Centers |
Telephone Numbers |
Customer Contact Center
Hours of Operation |
CA-coverage from your employer |
800-522-0088 |
8:00 am - 6:00 pm |
CA-coverage through Covered CA |
888-926-4988 |
8:00 am - 6:00 pm |
CA Medi-Cal |
800-675-6110 |
24 hours a day |
Cal MediConnect-Los Angeles |
855-464-3571 |
8:00 am - 8:00 pm |
Cal MediConnect-San Diego |
855-464-3572 |
8:00 am - 8:00 pm |
Medicare Advantage |
800-275-4737 |
February 15-September 30
Monday-Friday, 8:00 am-8:00 pm
October 1-February 14
7 Days a week,8:00 am-8:00 pm
|
AZ-coverage from your employer |
800-289-2818 |
7:00 am - 6:00 pm |
AZ-coverage through AZ Marketplace |
888-926-5057 |
7:00 am - 7:00 pm |
OR-coverage from your employer |
888-802-7001 |
7:30 am - 5:00 pm |
Read Less
In order to find all the Medical Groups that service your plan, you may want to expand your search to include neighboring areas. To find the doctors affiliated with a specific Medical Group, please use the doctor channel and filter your results by the Medical Group of your choice.
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ANCILLARY SERVICES can be located using the link(s) below.
To locate a Alternative Care provider, please visit
American Specialty Health
To locate a Behavioral Health provider, please visit
MHN
To locate a Dental provider, please visit
State Health Programs - Health Net Dental
To locate a Vision provider, please visit
EyeMed
VSP
National PPO - First Health
To locate a provider, please visit
Go to American Specialty Health now
Go to MHN now
Go to DELTA DENTAL
Go to VSP
To locate an Alternative Care provider, please visit
*NOTE: Employers are considered based in the state in which their contract was written. If you have any questions on where your employer is based please contact your Benefit Adminstrator.
Behavioral Health
Behavioral Health (Psychiatry, Psychology, etc.)
To locate a Behavioral Health provider, please visit
Go to MHN now
Go to Mercy Maricopa Integrated Care now
Go to Doctor Channel
or refer to the back of your ID card.
Dental
Dental (Dentists, Dental Hygienists, etc.)
Health Net has partnered with DBP to provide dental care to members on your plan.
Health Net has partnered with Envolve to provide dental care to members on your plan.
View a list of Envolve Dental providers now
To locate a Medicare Dental provider, please visit
State Health Programs - Health Net Dental
Medicare Plans - Optum
Dental - Medicare (Dentists, Dental Hygiensts, etc.)
Commercial Health Plans - Optum
Go to DBP now
Chiropractic Provider Search (pdf)
Dental Provider Search (pdf)
Vision Provider Search (pdf)
Go to DBP now
Go to Delta Dental now
Go to HN Dental
To locate a Dental Information and a provider, please visit
Go to Health Net Medi-Cal Dental
Go to Health Net Dental
Go to Envolve Dental now
Vision
Vision (Optometry, Ophthalmology, etc.)
Vision - Health Net Employees
Vision - Health Net Employees (Optometry, Ophthalmology, etc.)
Health Net has partnered with Eyemed to provide vision care to members on your plan.
To locate a Vision provider for Health Net employees, please visit
Go to VSP now
Go to Envolve Vision now
Go to EyeMed now
Go to VSP
Go to VSP
Health Net has partnered with VSP to provide vision care to members on your plan.
Health Net has partnered with Envolve Vision to provide vision care to members on your plan.
View
Health Net has partnered with Envolve Vision to provide vision services to members on your plan.
Go to Envolve Vision now
River City members in Sacramento County are directed to contact their assigned PPG/PCP for vision providers.
Please confirm when making your appointment that the provider is currently participating with Health Net Access and provides the services you need.
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ProviderSearch Lets You Search All Sorts of Ways!
It's important to choose the right doctor to meet your health care needs. With ProviderSearch, you can find a doctor to help you to protect your overall health. Your doctor will also treat for long term conditions and refer you to a specialist if needed.
Urgent Care facilities treat injuries or illnesses that are not life threatening. Use these facilities when you need care within a few hours or the same day. Examples of urgent medical conditions are sprains and fractures. If your regular doctor is not available, we will refer you to a facility where you'll get the care you need. Many medical groups offer urgent care at their main offices.
Walk-in clinics are health care facilities generally located within retail pharmacies, which are
designed to offer an alternative to a physician's office visit for the unscheduled treatment of
non-emergency illnesses or injuries such as strep throat, pinkeye or seasonal allergies.
Walk-in clinics may also offer preventive services such as vaccinations and blood pressure screenings.
These facilities care for those who need emergency care. Hospitals also help those who are critically sick or injured.
A Medical Group is a team of doctor, nurses and technicians. They also include other health care professionals contracted with Health Net. Many of these doctors are "Specialists" and offer special types of care.
These can include:
- Clinical labs
- Ambulatory surgery centers
- Dialysis centers
- Radiology
- Sleep disorder clinics
- Skilled nursing
- Community Supports
- Enhanced Care Management
- Intermediate Care Facility (ICF)
- Community Health Worker Services
- Doula Services
- Street Medicine
Ancillary Services are providers that are contracted by third parties to support supplemental benefit plans such as Alternative Care (for example - Chiropractic & Acupuncture), Vision, Dental, and Behavioral Health. These doctors are not directly contracted with Health Net, and you will be taken to another web site to search for these types of doctors.
These can include clinical labs, ambulatory surgery centers, dialysis centers, radiology, sleep disorder clinics, skilled nursing, and more.
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in multiple networks.
Health Net has partenered with American Specialty Health to provide alternative care to members on your plan.
Health Net provides behavioral health services to members on your plan through MHN, a subsidiary of Health Net.
If your ID Card has an MHN Claims address, use the "Go to MHN now" link. If your ID card does not have an MHN Claims address, use the "Doctor Channel" link.
If your medical ID Card has an MHN Claims address on it, Health Net provides behavioral health services to members on your plan through MHN, a subsidiary of Health Net.
Health Net Access provides behavioral health services to members on your plan through Mercy Maricopa Integrated Care.
Health Net provides behavioral health services to members on your plan.Please use the Doctor Channel to search for a specialist.
Health Net provides behavioral health services to members on your plan through MHN, a subsidiary of Health Net.
Health Net has partnered with DBP to provide dental care to members on your plan.
Health Net has partnered with Envolve to provide dental care to members on your plan.
Health Net has partnered with Delta Dental to provide dental care to members on your plan.
Health Net has partnered with HN Dental to provide dental care to members on your plan.
Health Net has partnered with Delta Dental to provide dental care to members on your plan.
Health Net has partnered with Eyemed to provide vision care to members on your plan.
Alternative Care Providers
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If you are a CA PPO Group Plan member, please review your search at the county, city or zip code level to make sure the information you entered is correct. If the information is correct, and you are looking for a provider outside of California please visit
Cigna Healthcare PPO Network (click the National PPO Network link located on the right) to find a listing of network providers in your area.
The location you entered is not currently available to CalPERS members.
Please try your search again or contact Health Net at 888-926-4921 Monday - Saturday 8:00 A.M. - 8:00 P.M.
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Please try your search again or contact Health Net Access Customer Service at 1-888-788-4408
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The Health Net PPO plan in Washington utilizes both Health Net directly contracted providers and providers that are participating through the First Choice Health network. Please attempt your provider search at the county, city or zip code level to return results for a specific geography.
Health Net utilizes both Health Net directly contracted providers and providers that are participating through the Cigna Healthcare PPO Network. Please attempt your provider search at the county, city or zip code level to return results for a specific geography.
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Accessibility:
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Below is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a guarantee you will find total accessibility at the location. Since disabilities and related needs vary, we suggest you call the doctor's office to discuss your specific access requirements.
Accessibility Requirements:
Basic:(P, EB, IB, R, E)
Limited: Facility is missing one or more of the five accessibility requirements.
Indicator |
Definition |
Criteria |
P |
Parking |
Parking spaces, including van accessible space(s), are accessible. Pathways have curb ramps between the parking lot, office, and at drop off locations. |
EB |
Exterior Building |
Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp.
Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. There is an "accessible" entrance to the building. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. |
IB |
Interior Building |
Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use at all times the building is open. The elevator has easy
to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help. |
R |
Restroom |
The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use. |
E |
Exam Room |
The entrance to the exam room is accessible, with a clear path. The doors open wide enough to accommodate a wheelchair or scooter and are easy to open. The exam room has enough room for a wheelchair or scooter to turn around. |
T |
Exam table/scale |
The exam table moves up and down and the scale is accessible with handrails to assist people with wheelchairs and scooters. The weight scale is able to accommodate a wheelchair. |
Health Net does not and cannot guarantee the initial or continued availability of any participating provider and/or accessibility requirement. The current provider and/or accessibility status can be obtained by calling Health Net's Member Services Department at 1-800-675-6110.
Self-Reported accessibility is reported by the provider and Health Net cannot verify the accuracy of the information provided. Information provided for reference use only.
Below is information used in the provider directory to indicate accessibility at a provider office or building site. This information is not a guarantee you will find total accessibility at the location. Since disabilities and related needs vary, we suggest you call the doctor's office to discuss your specific access requirements.
Accessibility Requirements:
Basic:(P, EB, IB, R) and (PA or PD)
Limited: Facility is missing one or more of the five accessibility requirements.
Indicator |
Definition |
Criteria |
P |
Parking |
Parking spaces, including van accessible space(s), are accessible. Pathways have curb ramps between the parking lot, office, and at drop off locations. |
EB |
Exterior Building |
Curb ramps and other ramps to the building are wide enough for a wheelchair or scooter user. Handrails are provided on both sides of the ramp.
Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. There is an "accessible" entrance to the building. Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. |
IB |
Interior Building |
Doors open wide enough to let a wheelchair or scooter user enter, and have handles that are easy to use. Interior ramps are wide enough and have handrails. Stairs, if present, have handrails. If there is an elevator, it is available for public/patient use at all times the building is open. The elevator has easy
to hear sounds and Braille buttons within reach. The elevator has enough room for a wheelchair or scooter user to turn around. If there is a platform lift, it can be used without help. |
R |
Restroom |
The restroom is accessible and the doors are wide enough to accommodate a wheelchair or scooter and are easy to open. The restroom has enough room for a wheelchair or scooter to turn around and close the door. There are grab bars which allow easy transfer from wheelchair to toilet. The sink is easy to get to and the faucets, soap, and toilet paper are easy to reach and use. |
T |
Medical Equipment |
Patients can get on or off medical equipment with or without help. |
PA |
Patient Areas |
Members can get to and use all common areas and equipment with or without help. |
PD |
Patient Diagnostic And Treatment Use |
Patients are able to access and use testing and treatment areas, and equipment. |
Health Net does not and cannot guarantee the initial or continued availability of any participating provider and/or accessibility requirement. The current provider and/or accessibility status can be obtained by calling Health Net's Member Services Department at 1-800-675-6110.
Self-Reported accessibility is reported by the provider and Health Net cannot verify the accuracy of the information provided. Information provided for reference use only.
Parking (P)
Exterior Building (EB)
Interior Building (IB)
Restroom (R)
Exam Room (E)
Exam Table/Scale (T)
Medical Equipment (T)
Participant Areas (PA)
Patient Diagnostic and Treatment Use (PD)
Accessibility Requirements
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Primary Care Physicians and Specialists
Urgent Care facilities can treat injuries that are not life threatening and Walk in clinics can be used for preventive care or minor illnesses.
These facilities provide specialized care for those in need of emergency care or the critically sick or injured.
A medical group is a team of physicians from various specialties assisted by nurses, technicians and other health care professionals affiliated contractually with Health Net.
These can include clinical labs, ambulatory surgery centers, dialysis centers, sleep disorder clinics, Provider Community Supports (CS) and Provider Enhanced Care Management services (ECM).
Dental, mental/behavioral health, chiropractic, acupuncture, vision providers for members with these additional benefit plans.
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all providers in this plan.
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Please contact your Medical Group to determine your access to these facilities.
Community Based Adult Services, Multiple Support Services Program, Skilled Nurse Facilities, and Long Term Acute Care providers for the Cal MediConnect plan are listed below. For other types of facilities, please contact your Medical Group.
For accessibility indicators related to other facilities, please contact Health Net.
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SMARTCARE IS EXPANDING IN 2016, CLICK HERE TO SEE OUR PREFERRED PROVIDERS.
Includes Clinics & Treatment Facilities.
For Clinics & Treatment Facilities, click this link
Community Based Adult Services, Multiple Support Services Program,
Skilled Nurse Facilities, and Long Term Acute Care providers for the Medi-Cal plan are listed below.
For other types of facilities, please contact your Medical Group.
For accessibility indicators related to other facilities, please contact Health Net.
To find information on patient - provided quality
ratings on providers, you can visit the following
publicly accessible websites:
HealthGrades.com
Vitals.com
RateMDs.com
Health Net expresses no opinion on the validity
of the opinions contained at the sites listed above.
Instead, these sites are listed here only as a
convenience to you.
To find information on provider malpractice or
disciplinary actions, check for Enforcement Actions at the
To find patient reviews of providers,
you can visit this website:
HealthGrades.com
This site above is listed here as a
convenience to you.Health Net expresses no
opinion on the validity of the opinions contained
at this site.
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its views or the accuracy of the information found there. If you wish to stay on the Health Net website, please click Cancel.
Every plan includes a network of physicians to choose from. If you select the wrong plan, you might pick a Primary Care Physician (PCP)
who isn't part of your plan. If that happens, you could end up paying more for coverage. So remember to select the correct
Plan Type and Plan Name after you click Continue.
To locate an Alternative Care provider, please visit the Molina Healthcare website.
To locate a Behavioral Health provider, please visit the Molina Healthcare website.
To locate a Vision provider, please visit the Molina Healthcare website.
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Authorization Requirements
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HMO (Health Maintenance Organization) Full Network, Primary care physician coordinates all your care (referral required)
HMO (Health Maintenance Organization) ExcelCare Network, Primary care physician coordinates all your care (referral required)
PPO (Preferred Provider Organization) contracted Health Net network physician (no referral required)