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Health Benefits
HMOs > Health Net

Health Net

Health Net offers more than 76,000 provider office locations. The Health Net network will meet your needs in the tri-state (New York/New Jersey/Connecticut) area.

With Health Net, you decide when to see a participating specialist. This benefit plan provides open access, which means that you're able to see a participating specialist without a referral. Office visits are covered with a $15 co-payment per PCP visit and $20 co-payment per specialist visit.  Also covered are:

  • Laboratory services, X-rays, and diagnostic tests
  • Pre-natal and post-natal care
  • Emergency and urgent care services

Health Net offers a full range of preventive care benefits, including adult physicals, well-child care and immunizations, and eye exams, to help you detect potential health problems early, when they are easier to treat.

Here are some important features included in the base plan:

  • Open access to any participating specialist without a referral
  • Discounts on quality contact lenses and supplies through an arrangement with TruVisionâ„¢.
  • The Health Net AlternaCareSM  program which offers benefits for acupuncture and chiropractic treatment, plus discounts for massage therapy.
  • No deductibles or coinsurance.
  • No claim forms and virtually no paperwork.
  • Worldwide emergency coverage.
  • Contact a Health Coach for one-to-one support on managing illness and chronic conditions. 
  • Smart StartSM: This reminder program helps parents keep track of their children's immunizations form birth to age two.
  • Health club/fitness center discounts - Visit Health Net anytime to find a participating physician or provider, obtain information comparing and ranking hospitals across more than 50 procedures and medical conditions, and access current scientific writing and clinically tested procedures for over 10,000 medical conditions. You can update membership information and have materials you may need sent to you. You can also use our Internet site to e-mail our Member Services department with questions, order ID cards, notify us of address changes and more.

Prescription Drugs
An optional rider is available that covers prescription drugs, subject to a $15 copayment per prescription, with an unlimited annual maximum.  Mail order is also available, subject to 2X the  copayment for a 90-day supply.

Please see rate chart for payroll and pension deductions.
See the rate page

For More Information
If you have any questions about any aspect of the program, please call Health Net at (800) 441-5741, 8:00 am - 6:00 pm, Monday through Friday. You can write Health Net at:

Health Net
One Far Mill Crossing
PO Box 904
Shelton, CT 06484-0944
Visit the Plan Web site

Updated to reflect office copays and prescription drug benefit changes effective July 1, 2007. 



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