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Salud con Health NetSalud HMO y Más PlansLatino focused. Community centered. Budget friendly.Josefinasefina Bravo,Health NetWe help membersalthy habits.build healthy

Salud HMO y MásA Different Kind of Health PlanYou deserve the most from your health careChristian Aparicio,Health NetWe make using healthcare benefits simple.benefits. Health Net’s Salud is a budget-friendlyhealth care option that caters to the distinct needsof the Hispanic community.

What is Salud?Salud HMO y Más plan features:Simply put, Salud was specifically designedfor members of the Hispanic communitywho are looking for access to affordable,community-based, culturally competenthealth care. With comprehensive benefits,predictable copays and culturally connectedmedical professionals, it’s Latino-focusedhealth care at its best.Salud HMO y Más is a health maintenanceorganization (HMO) health plan that gives you:t -PX ĕYFE DPQBZT GPS NBOZ TFSWJDFT t " RVBMJUZ DVMUVSBMMZ CBTFE OFUXPSL PG doctors and hospitals in California.t PPSEJOBUFE DBSF UISPVHI ZPVS QSJNBSZ care physician.t &NFSHFODZ TFSWJDFT DPWFSFE XPSMEXJEF Salud network – that local touchThe Salud network is a culturally-based, carefullyselected group of caring medical doctors andstaff who understand the health care preferencesof Latinos. So you can feel confident about thehealth care services you receive.t "DDFTT UP QBSUJDJQBUJOH 4*./4" QSPWJEFST in Mexico.Members also have access to medical carethrough participating SIMNSA providers inMexico without a referral.All our Salud plans come with wellnessprograms, services and online tools to helpyou lead a healthy lifestyle. As a member, youcan log on to www.healthnet.com for accessto trained clinicians, wellness trackers andprograms for weight loss, tobacco cessation,nutrition, and more.Salud plan advantagesWith Salud HMO y Más plans, you get flexible,budget-friendly benefit options for you andyour enrolled family members. Plus, you canchoose from a large network of culturallycompetent doctors and hospitals in theHealth Net Salud Network.Herminia Escobedo,Health NetWe get members whatthey need.

Choosing your doctorWhen you enroll in a Salud HMO y Más plan,you select a contracted primary care physician(PCP) and participating physician group (PPG)GSPN UIF 4BMVE OFUXPSL JO BMJGPSOJB &BDI member of your family can choose a differentPCP and PPG to suit their individual needs.Your doctor will coordinate most of yourcare and will refer you to specialists andhospitals, with the exception of emergencyand urgent care.To find a provider, visit www.healthnet.comor call the Customer Contact Center number.4FF ZPVS &WJEFODF PG PWFSBHF GPS ZPVS TQFDJĕD plan benefit details.1AMexico provider networkSalud HMO y Más members and yourdependents can receive medical care fromparticipating SIMNSA1 doctors and facilitiesin Tijuana, Rosarito, Mexicali, and Tecate atlow copays and without referrals.t &MJHJCMF NFNCFST NVTU MJWF PS XPSL XJUIJO 50 miles of either side of the CaliforniaMexico border.t :PVS 4*./4" USFBUJOH QIZTJDJBO XJMM coordinate all of your care.SIMNSA is the only Mexican health planregulated by the California Department ofManaged Health Care (DMHC).network of physicians contracting with Sistemas Medicos Nacionales, S.A. de C.V. (SIMNSA) has been selected to provide servicesto Health Net Salud HMO y Más members. Family members residing in Mexico cannot receive plan benefits from Californiaproviders, except for emergencies or urgently needed care, which are covered worldwide.

Enrolling is easy!Service that makes a differenceComplete your enrollment form.“Making health care work for you” is morethan words, it’s how we do business, especiallywhen it comes to service:t %PO U GPSHFU UP JODMVEF ZPVS TFMFDUFE 1 1 number, and PPG name and number.t .FNCFST SFTJEJOH JO .FYJDP EP OPU OFFE UP select a PCP – Simply write “SIMNSA” onthe form.Once you and your family are enrolled asHealth Net members, you can begin usingyour benefits and Health Net’s helpfulresources.t 4JNQMZ TIPX ZPVS )FBMUI /FU *% DBSE BU UIF time of your doctor visit.t 'JMM ZPVS QSFTDSJQUJPOT BU B )FBMUI /FU participating pharmacy.t 1SFTDSJQUJPOT XSJUUFO CZ B 4*./4" QSPWJEFS should be filled at a SIMNSA contractedpharmacy in Mexico.t 0VS UFBN PG EFEJDBUFE QSPGFTTJPOBMT TIPXT up every day ready to provide a positivecustomer experience.Health Net, Inc. is proudto receive the Distinctiont 8F PČFS B DPNQSFIFOTJWF MBOHVBHF assistance program that enables you tospeak in the language you prefer, enhancingyour communication and comfort level.Status in Multiculturalt 8F NBLF JU FBTZ BOE DPOWFOJFOU GPS ZPV UP EP business with us in ways that work for you –by phone or online. We even have Health NetMobile to give you smartphone access.its commercial lines ofEmergency and urgent care services&NFSHFODZ DBSF JT GPS BOZ NFEJDBM TJUVBUJPO UIBU you believe to be life-threatening. Urgent care isGPS TJUVBUJPOT UIBU SFRVJSF JNNFEJBUF BUUFOUJPO but are not life-threatening. To find the nearesturgent care center, visit www.healthnet.com.You should always contact your PCP for anynecessary follow-up care.For emergency situations, call 911 orggo to the nearest hospital. Use urgent careinstead of emergency care whenever possible.inHealth Care (MHC)from the NCQA forbusiness.

Salud con Health Net – a systemof health care designed for theneeds of Latinos!Health Net Customer Contact Center1-800-522-0088Assistance for the hearing andspeech impaired1-800-995-0852Visit us at www.healthnet.com formore information.6027062 CA92660 (7/12)Salud con Health Net HMO is offered by Health Net of California, Inc., a subsidiary of Health Net, Inc.Health Net and Salud con Health Net are registered service marks of Health Net, Inc. All rights reserved.

Salud con Health Net: ¡un sistema decuidado de la salud diseñado para lasnecesidades de la comunidad latina!Health Net Customer Contact Center1-800-522-0088Asistencia para las personas conimpedimentos auditivos y del habla1-800-995-0852Visítenos en www.healthnet.com paraobtener más información.6027062 CA92660 (7/12)Salud con Health Net HMO es ofrecido por Health Net of California, Inc., una subsidiaria de Health Net, Inc.Health Net y Salud con Health Net son marcas de servicio registradas de Health Net, Inc. Todos los derechos reservados.

¡Inscribirse es fácil!Servicio que marca la diferenciaComplete su formulario de inscripción.i)BDFNPT RVF FM DVJEBEP EF MB TBMVE TFB BEFDVBEP QBSB VTUFEw FT NÈT RVF VOB GSBTF FT nuestra manera de trabajar, en especial, en loRVF SFTQFDUB BM TFSWJDJP t /P PMWJEF JODMVJS FM OÞNFSP EFM NÏEJDP EF BUFODJØO QSJNBSJB RVF TFMFDDJPOØ BTÓ DPNP FM OPNCSF Z FM OÞNFSP EFM HSVQP NÏEJDP participante.t -PT BĕMJBEPT RVF SFTJEFO FO .ÏYJDP OP OFDFTJUBO TFMFDDJPOBS VO NÏEJDP EF atención primaria; simplemente debenescribir “SIMNSA” en el formulario.6OB WF[ RVF VTUFE Z TV GBNJMJB TF JOTDSJCFO como afiliados a Health Net, pueden comenzarB VTBS TVT CFOFĕDJPT Z MPT SFDVSTPT ÞUJMFT EF Health Net.t 4JNQMFNFOUF NVFTUSF TV UBSKFUB EF identificación de Health Net en el momentoEF MB DPOTVMUB DPO TV NÏEJDP t 4VSUB TVT SFDFUBT FO VOB GBSNBDJB participante de Health Net.t -BT SFDFUBT IFDIBT QPS VO QSPWFFEPS EF SIMNSA deben surtirse en una farmaciaDPOUSBUBEB QPS 4*./4" FO .ÏYJDP ÏYJDP t /VFTUSP FRVJQP EF QSPGFTJPOBMFT comprometidos está disponible todos losdías para brindar una experiencia al clientepositiva.Health Net, Inc. seenorgullece de haberrecibido la Calificación det 0GSFDFNPT VO QSPHSBNB JOUFHSBM EF BTJTUFODJB EF JEJPNBT RVF MF QFSNJUF IBCMBS en el idioma de su preferencia, y mejora sunivel de comunicación y comodidad.Distinción en el programat )BDFNPT RVF MF SFTVMUF GÈDJM Z DPOWFOJFOUF USBCBKBS DPO OPTPUSPT EF MB NBOFSB RVF TFB BEFDVBEB QBSB VTUFE QPS UFMÏGPOP P FO MÓOFB Incluso tenemos Health Net Mobile paraCSJOEBSMF BDDFTP EFTEF TV UFMÏGPOP JOUFMJHFOUF Multicultural, MHC)Servicios de atención de emergenciay de urgencia-B BUFODJØO EF FNFSHFODJB FT QBSB DVBMRVJFS TJUVBDJØO NÏEJDB RVF DPOTJEFSF EF SJFTHP WJUBM La atención de urgencia es para situacionesRVF SFRVJFSFO BUFODJØO JONFEJBUB QFSP RVF OP son de riesgo vital. Para encontrar el centro deatención de urgencia más cercano, visitewww.healthnet.com. Siempre debe comunicarseDPO TV NÏEJDP EF BUFODJØO QSJNBSJB QBSB DVBMRVJFS BUFODJØO EF TFHVJNJFOUP OFDFTBSJB Para situaciones de emergencia, llame alP9911 o vaya al hospital más cercano. Usela atención de urgencia en vez de la deemergencia cuando sea posible.emMulticultural Health Care(Cuidado de la Saludpor parte del ComitéNacional de Control deCalidad (por sus siglasen inglés, NCQA) porsus líneas de productoscomerciales.

Cómo elegir a su médicoRed de proveedores de MéxicoCuando se inscribe en un plan Salud HMOZ .ÈT TFMFDDJPOB VO NÏEJDP EF BUFODJØO QSJNBSJB QPS TVT TJHMBT FO JOHMÏT 1 1 DPOUSBUBEP Z VO HSVQP NÏEJDP QBSUJDJQBOUF QPS TVT TJHMBT FO JOHMÏT 11( EF MB SFE 4BMVE en California. Cada uno de sus familiaresQVFEF FMFHJS B VO NÏEJDP EF BUFODJØO QSJNBSJB Z VO HSVQP NÏEJDP QBSUJDJQBOUF EJGFSFOUF QBSB satisfacer sus necesidades individuales.Los afiliados a Salud HMO y Más y susEFQFOEJFOUFT QVFEFO SFDJCJS BUFODJØO NÏEJDB EF MPT NÏEJDPT Z DFOUSPT QBSUJDJQBOUFT EF SIMNSA1 en Tijuana, Rosarito, Mexicali yTecate con co-pagos bajos y sin referencias.4V NÏEJDP DPPSEJOBSÈ MB NBZPS QBSUF EF TV atención, excepto la atención de emergenciay de urgencia, y le referirá a especialistas yhospitales.t &M NÏEJDP RVF MF USBUB EF 4*./4" coordinará toda su atención.Para buscar un proveedor, visiteXXX IFBMUIOFU DPN P CJFO MMBNF BM OÞNFSP del Centro de Comunicación con el Cliente.t -PT BĕMJBEPT FMFHJCMFT EFCFO WJWJS P USBCBKBS EFOUSP EF MBT NJMMBT EF DVBMRVJFSB EF MPT dos lados de la frontera entre CaliforniaZ ڀ .ÏYJDP 4*./4" FT FM ÞOJDP QMBO EF TBMVE NFYJDBOP regulado por el Departamento de Atención.ÏEJDB "ENJOJTUSBEB QPS TVT TJHMBT FO JOHMÏT %.) EF BMJGPSOJB Para obtener detalles sobre los beneficiosFTQFDÓĕDPT EF TV QMBO DPOTVMUF TV &WJEFODJB EF Cobertura.11BSB CSJOEBS TFSWJDJPT B MPT BĕMJBEPT B )FBMUI /FU 4BMVE ).0 Z .ÈT TF IB TFMFDDJPOBEP VOB SFE EF NÏEJDPT DPOUSBUBEPT QPS 4JTUFNBT .FEJDPT /BDJPOBMFT 4 " EF 7 4*./4" -PT GBNJMJBSFT RVF SFTJEFO FO .ÏYJDP OP QVFEFO SFDJCJS CFOFĕDJPT EFM QMBO EF QBSUF EF QSPWFFEPSFT EF BMJGPSOJB FYDFQUP QBSB FNFSHFODJBT P BUFODJØO SFRVFSJEB EF VSHFODJB RVF FTUÈO DVCJFSUBT B OJWFM JOUFSOBDJPOBM