Individual Plan Descriptions - California Healthy Families - State of ...

Multilingual Customer Service
Call toll - free 1-888-231-9473, 24 hours a day, 7 days a week
Why Choose Health Net Health Maintenance Organization (HMO)?
Our business is making healthcare work for you. Health Net has been
providing valuable health care coverage to Californians for over 30 years.
Our plan is affordable and designed to cover your unique health care needs.
Our Healthy Families HMO plan achieved the “Multicultural Health Care
Distinction” award from the National Committee for Quality Assurance
(NCQA).
Health Net offers:
• One of California’s largest health care plan provider with more than 2.2
million members.
• By selecting the Community Provider Plan, Health Net, in Fresno,
Madera, Sacramento, and Tulare Counties, you will pay lower monthly
premiums than if you selected another Healthy Families Plan in these
counties.
• A large selection of physicians, hospitals, and pharmacies, located in
your community.
• Excellent member assistance, 24 hours a day, 7 days a week, with
representatives, who may speak your language.
• A 24-hour Nurse Advice Line for all members.
• Local Health Net staff in your community to help you.
• Access to health and wellness resources and materials at no charge to
you, such as childhood obesity, diabetes and asthma management.
• A website, www.healthnet.com/shp, where you can look for a doctor and
find information about health programs and services.
How Health Net HMO works
• Choose a Primary Care Physician (PCP) who will be your child’s regular
doctor. The PCP and their medical group will provide or arrange for your
child’s care.
• Your child’s PCP will refer your child to a specialist doctor when
needed.
• You may switch your child’s PCP an unlimited amount of times.
• For after-hours care, contact your child’s regular doctor’s office or
medical group for immediate response.
• For life-threatening emergencies, call 911 or go to the nearest emergency
room.
• Prescriptions are covered at participating pharmacies. We use Costco,
CVS, Rite-Aid, Target, Walgreens and Walmart pharmacies; along with
many other local independent pharmacies.
• Doctors use our approved list of drugs that has both generic and brand
name medications.
How to Choose
Write Health Net HMO-1010 in the space provided on the form. If you need
assistance choosing a doctor or completing the application form, call
1-800-327-0502.
164
The Healthy Families Program Handbook - September 2012