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Health Net Plans Name

Provider Finder

 Deductible Out-of-Pocket
Maximum (Preferred Providers)

Physician
Office Visits(in-network)

 Maternity
Care
(in-network)		 Prescription
Drugs
(in-network)

Health Net HMO 40

Get A Quote / Apply Online		 $1,500 per calendar year for inpatient hospital services  $3,000 individual $6,000 family  $40 Copay $1,500 inpatient hospital services deductible applies  $100 deductible then: $15 generic $25 brand $50 non-formulary
 
 
Health Net HMO 15

Get A Quote / Apply Online		 $1,000 per calendar year for inpatient hospital services  $3,000 individual $6,000 family  $15 Copay $1,000 inpatient hospital services deductible applies  $100 deductible then: $15 generic $25 brand $50 non-formulary

Health Net HMO Plans with Dental and Vision Included
Health Net Plans Name Deductible Out-of-Pocket
Maximum (Preferred Providers)		 Physician
Office Visits (in-network)		 Maternity
Care
(in-network)		 Prescription
Drugs
(in-network)

Health Net HMO 40 Plus

Dental and Vision Included
Get A Quote / Apply Online		 $1,500 per calendar year for inpatient hospital services  $3,000 individual $6,000 family  $40 Copay $1,500 inpatient hospital services deductible applies  $100 deductible then: $15 generic $25 brand $50 non-formulary
 

Health Net HMO 15 Plus

Dental and Vision Included
Get A Quote / Apply Online		 $1,000 per calendar year for inpatient hospital services  $3,000 individual $6,000 family  $15 Copay $1,000 inpatient hospital services deductible applies  $100 deductible then: $15 generic $25 brand $50 non-formulary

 
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