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:
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Laboratory services, X-rays, and diagnostic
tests
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Pre-natal and post-natal care
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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:
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Open access to any participating specialist without a
referral
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Discounts on quality contact lenses and supplies
through an arrangement with TruVisionâ„¢.
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The Health Net AlternaCareSM program
which offers benefits for acupuncture and chiropractic treatment, plus
discounts for massage therapy.
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No deductibles or coinsurance.
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No claim forms and virtually no paperwork.
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Worldwide emergency coverage.
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Contact a Health Coach for one-to-one support on
managing illness and chronic conditions.
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Smart StartSM: This
reminder program helps parents keep track of their children's immunizations
form birth to age two.
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Health club/fitness center discounts
www.healthnet.com - 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.
Cost
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.