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Health Net of California, Inc. (Health Net)CommunityCare HMOHEALTH-BOOSTING, LOW-PRICED HMOS WITH EXTRA FLEXIBILITYCommunityCare HMO lets small business groups in L.A., Orange and San Diego counties offer aSilver or Bronze level plan – and save! Employees gain the benefits that put health first. And theyhave more choices because CommunityCare HMOs have fewer restrictions for specialist care andurgent care than other HMOs.Network advantagesTailored medical and pharmacy networks have lower costs while offering a widerange of care options. Over 12,440 physicians and specialists as well as 79 hospitals in theCommunityCare HMO tailored network. Advanced Choice Pharmacy Network, our first tailored pharmacy network,includes CVS, Walmart, Costco, Safeway, Vons, and more1.More ways to access careCommunityCare HMO is an HMO with more flexibility for specialist care and urgentcare – plus a range of other care options. Members can:Choose a primary care physician (PCP) contracted with theCommunityCare tailored network to coordinate their care.BROKER COMMUNICATIONS Their PCP can refer to any specialist in the CommunityCareNetwork. Care doesn’t need to stay within the PCP’s participatingprovider group (PPG).Seek care at any urgent care facility in the CommunityCareNetwork – even those outside their PPG.Visit MinuteClinics (available at some CVS locations) forconvenient care for common illnesses, wellness screenings,vaccinations, and more.Use Teladoc telehealth services by phone, mobile app or Web24/7 for a 0 copayment. Teladoc providers can treat manynon-emergency common illnesses, such as sinus problems,upper respiratory infections, allergies, bronchitis, and pinkeye.(continued)1Walgreens is excluded.Coverage forevery stage of life
CommunityCare HMO plansMember(s) responsibilityPlannameOffice Visit (PCP /Specialist)Deductible(single /family)InpatienthospitalSilver 50 501 / 701 1,750 / 3,50040%Bronze60 HMO6300/65 653 / 953 6,300 / urgeryRx drugmaximumRx deductibleroom(ASC /Tier1/2/3(single / family)(single / family)hospital) 151 / 40%2 /30% / 40% 7,800 / 15,60040% 250 / 50040%240% / 40% 7,800 / 15,60040% 500 / 1,000 18 / 40%4 /40%4Rx drugTier 440%240%41 Deductible waived.2 Maximum copayment after deductible of 250 for an individual prescription of up to a 30-day supply.3 Visits 1–3: The calendar year deductible is waived (combined between office visits, urgent care, prenatal and postnatal visits, outpatient mental health/substance abuse).Visits 4–unlimited: The calendar year deductible applies.4Maximum copayment after deductible of 500 for an individual prescription of up to a 30-day supply.There is no limit to how many HMO plans a small group may offer. CommunityCare HMO can be offered on a standalone basis orcan be paired with additional tailored network HMO plans in either of our Enhanced Choice A or Enhanced Choice B packages.2131From our home page (www.healthnet.com), click onProviderSearch – Find a Doctor.2Enter a location (street address, city, county, state, orZIP code).3Further narrow your search by Provider Name/ID/LicenseNumber or by Plan/Network.4Select type of provider (doctor, hospital, medical group,etc.) to get your results.5Finally, you can click on Print Plan Providers to print yoursearch results.6You may also select Export Results to obtain a spreadsheetlisting of providers by medical group.465
Local network – trusted health care partnersBuilding tailored networks of well-respected doctors and hospitals that allowmembers to access trusted services where they live is one of the thingsHealth Net does best. By partnering with select providers – in conjunction withdesigning benefits that encourage cost-effective care – the CommunityCareNetwork creates value and offers lower costs for employers without compromisingemployee satisfaction.Health Net’s CommunityCare Network features: 79 hospitals More than 300 clinics – Federally Qualified Health Centers, Rural Health Clinics, etc. Full ancillary providers and services 2,664 Direct Network providers in addition to the participating provider groupsbelowLos Angeles CountyParticipating provider groupsAccess IPAAll Care Medical Group, Inc.Allied Pacific of California IPAAltaMed Medical Group – CommerceAssociated Hispanic Physicians of Southern CaliforniaCommunity Family Care IPA – Los AngelesDirect Network of Southern CaliforniaHealth Care LA, IPAMartin Luther King Jr. Community Medical Group – ComptonOmnicare Medical GroupProspect Medical GroupSeoul Medical Group, IPAHospitalsAlhambra Hospital Medical CenterBeverly HospitalCalifornia Hospital Medical CenterCentinela Hospital Medical CenterChildren’s Hospital of Los AngelesCoast Plaza HospitalCommunity Hospital of Huntington Park Management LLCEast Los Angeles Doctors HospitalEmanate Health Foothill Presbyterian HospitalEmanate Health Medical CenterEmanate Health Queen of the Valley HospitalEncino Hospital Medical CenterGarfield Medical CenterGlendale Memorial Hospital and Health CenterGood Samaritan HospitalGreater El Monte Community HospitalHollywood Presbyterian Medical CenterHuntington Memorial HospitalKeck Hospital of USCLakewood Regional Medical CenterLittle Company of Mary HospitalFor an up-to-date list of doctorsand hospitals in the Health NetCommunityCare Network, go towww.healthnet.com ProviderSearch.(continued)
Los Angeles CountyHospitals (continued)Little Company of Mary Medical Center San PedroLong Beach Memorial Medical CenterLos Angeles Community HospitalMartin Luther King, Jr. Community HospitalMemorial Hospital of GardenaMethodist Hospital of Southern CaliforniaMiller Children’s HospitalMonterey Park HospitalNorwalk CommunityPalmdale Regional Medical CenterPIH Health Hospital – DowneyPIH Health Hospital – WhittierPomona Valley Hospital Medical CenterProvidence Holy Cross Medical CenterProvidence Saint Joseph Medical CenterProvidence Tarzana Medical CenterSan Dimas Community HospitalSan Gabriel Valley Medical CenterSherman Oaks HospitalSouthern California Hospital at Culver CitySouthern California Hospital at HollywoodSt. Francis Medical CenterSt. Mary Medical CenterSt. Vincent Medical CenterTorrance Memorial Medical CenterUSC – Kenneth Norris Jr. Cancer HospitalUSC Verdugo Hills Hospital LLCValley Presbyterian HospitalWhite Memorial Medical CenterWhittier Hospital Medical CenterImportant! This listing is a general guide only and is subject to change. It’s important to note thatPPGs and PCPs typically affiliate with specific hospitals. Please confirm that the PPG and/or PCP isaffiliated with the hospital listed prior to selecting a PCP.Orange CountyParticipating provider groupsAltaMed Health Services IPA – OrangeDirect Network of Southern CaliforniaProspect Gateway Medical GroupProspect Genesis Health CareProspect Medical GroupProspect Professional Care Medical Group, Inc.HospitalsAHMC Anaheim Regional Medical Center LPAnaheim Global Medical CenterChapman Global Medical CenterFountain Valley Regional Hospital and Medical CenterGarden Grove Hospital Medical Center(continued)
Orange CountyHospitals (continued)Huntington Beach HospitalLa Palma Intercommunity HospitalLos Alamitos Medical CenterOrange Coast Memorial Medical CenterOrange County Global Medical CenterPlacentia Linda HospitalSaddleback Memorial Medical CenterSouth Coast Global Medical CenterWest Anaheim Medical CenterImportant! This listing is a general guide only and is subject to change. It’s important to note thatPPGs and PCPs typically affiliate with specific hospitals. Please confirm that the PPG and/or PCP isaffiliated with the hospital listed prior to selecting a PCP.San Diego CountyParticipating provider groupsArch Health PartnersDirect Network of Southern CaliforniaGreater Tri-Cities IPA – Community CarePrimary Care Associated Medical GroupScripps ClinicsScripps Coastal Medical CentersHospitalsAlvarado Hospital Medical CenterPalomar Medical Center – Downtown EscondidoPalomar Medical Center – EscondidoPalomar Medical Center – PowayParadise Valley HospitalRady Children’s Hospital – San DiegoScripps Green HospitalScripps Memorial Hospital – EncinitasScripps Memorial Hospital – La JollaScripps Mercy HospitalScripps Mercy Hospital – Chula VistaTri-City Medical CenterUCSD Medical Center – HillcrestUCSD Thornton HospitalImportant! This listing is a general guide only and is subject to change. It’s important to note thatPPGs and PCPs typically affiliate with specific hospitals. Please confirm that the PPG and/or PCP isaffiliated with the hospital listed prior to selecting a PCP.Get a quote today!Find out what CommunityCareHMO can do for your clientsin L.A., Orange and San Diegocounties. Call your Health Net salesrepresentative. Call your Broker Servicesteam at 1-800-448-4411,option 4.Health Net HMO health plans are offered by Health Net of California, LLC. Health Net of California, Inc. is a subsidiary of Health Net, LLC. Health Net is a registered service mark of Health Net, LLC.All other identified trademarks/service marks remain the property of their respective companies. All rights reserved.FLY030414EL00 (10/19)
Care doesn't need to stay within the PCP's participating provider group (PPG). Seek care at any urgent care facility in the CommunityCare Network - even those outside their PPG. Visit MinuteClinics (available at some CVS locations) for convenient care for common illnesses, wellness screenings, vaccinations, and more. Use Teladoc .
