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Health Net California Health Insurance in CALIFORNIA – Health Plan Options

Health Net California — Salud PPO 15

A comparison of the Salud PPO 15 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	50%
Office Visit	Visit to physician (including specialist consultations)- $15 (deductible waived)	50% after deductible
Copay	Visit to physician (including specialist consultations)- $15 (deductible waived)	N/A
Deductible	$1,500 single/2 per family	$3,000 single/2 per family

Health Net California — Salud PPO 25

A comparison of the Salud PPO 25 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	50%
Office Visit	Visit to physician (including specialist consultations)- $25 (deductible waived)	50% after deductible
Copay	Visit to physician (including specialist consultations)- $25 (deductible waived)	N/A
Deductible	$2,500 single/2 per family	$5,000 single/2 per family

Health Net California — Salud HMO Y Mas 10

A comparison of the Salud HMO Y Mas 10 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Visit to physician (including specialist consultations)- $10	Visit to physician (including specialist consultations)- $10
Copay	Visit to physician (including specialist consultations)- $10	Visit to physician (including specialist consultations)- $10
Deductible	N/A	N/A

Health Net California — Salud HMO Y Mas 25

A comparison of the Salud HMO Y Mas 25 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Visit to physician (including specialist consultations)- $25	Visit to physician (including specialist consultations)- $25
Copay	Visit to physician (including specialist consultations)- $25	Visit to physician (including specialist consultations)- $25
Deductible	N/A	N/A

Health Net California — HMO 40

A comparison of the HMO 40 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Visit to physician: $40 Specialist consultations: $40 Prenatal and postnatal office visits: $40	Visit to physician: $40 Specialist consultations: $40 Prenatal and postnatal office visits: $40
Copay	$40	$40
Deductible	$1,500 per calendar year for inpatient hospital services only(prescription deductible applies)	$1,500 per calendar year for inpatient hospital services only(prescription deductible applies)

Health Net California — HMO 15

A comparison of the HMO 15 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Visit to physician: $15 Specialist consultations: $15 Prenatal and postnatal office visits: $15	Visit to physician: $15 Specialist consultations: $15 Prenatal and postnatal office visits: $15
Copay	$15	$15
Deductible	$1,000 per calendar year for inpatient hospital services only(prescription deductible applies)	$1,000 per calendar year for inpatient hospital services only(prescription deductible applies)

Health Net California — Optimum Advantage HSA 4500

A comparison of the Optimum Advantage HSA 4500 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50%
Copay	N/A	N/A
Deductible	$4,500 ($9,000 per family)	$4,500 ($9,000 per family)

Health Net California — Optimum Advantage HSA 2500

A comparison of the Optimum Advantage HSA 2500 offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	50% after deductible
Office Visit	100% after deductible	50%
Copay	N/A	N/A
Deductible	Single: $2,500, Family: $5,000	Single: $2,500, Family: $5,000

Health Net California — NetFirst Combo Rx

A comparison of the NetFirst Combo Rx offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	65%	50%
Office Visit	$35 copay	50%
Copay	$35 copay	50%
Deductible	$0 (Individual only)	$0 (Individual only)

Health Net California — NetFirst Generic Rx

A comparison of the NetFirst Generic Rx offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	65%	50%
Office Visit	$35 copay	50%
Copay	$35 copay	50%
Deductible	$0 (Individual only)	$0 (Individual only)

Health Net California — ValueNet

A comparison of the ValueNet offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	65%	50%
Office Visit	$35 copay (deductible waived for first 2 visits of any combination of professional services and preventive care), additional visits- 65% after deductible	50%
Copay	$35 copay (deductible waived for first 2 visits of any combination of professional services and preventive care), additional visits- 65% after deductible	50%
Deductible	$4,000 (Individual only)	$4,000 (Individual only)

Health Net California — BalanceNet

A comparison of the BalanceNet offered by Health Net California is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	65%	50%
Office Visit	$35 copay (deductible waived for first 2 visits of any combination of professional services and preventive care), additional visits- 65% after deductible	50%
Copay	$35 copay (deductible waived for first 2 visits of any combination of professional services and preventive care), additional visits- 65% after deductible	50%
Deductible	$3,500 Individual, $7,000 Family	$3,500 Individual, $7,000 Family