|
Health Net SimpleChoice
HSA
Get
A Quote / Apply
Online |
$4,000
Individual / $8,000 Family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Not
Covered |
Covered
in full after deductible
is met |
|
|
Health Net NetSaver 1500
Online Enrollment Only
Get
A Quote /
Apply Online
|
$1,500
Individual / 2 per family |
$4,000
Individual / 2 per family |
Covered
in full after OOPM is
met |
Not
Covered |
Not
Covered |
|
|
Health Net PPO ValueChoice
1500
Get
A Quote / Apply
Online |
$1,500
Individual (Subscriber
only Contract) |
$4,000
Individual |
Covered
in full after OOPM is
met |
Not
Covered |
$15
(generic only) |
|
|
Health Net SmartChoice
HSA
Get
A Quote / Apply
Online |
$2,500
Individual / $5,000 Family |
$4,000
Individual / $10,000 Family |
30%
Coinsurance |
Not
Covered |
30%
after plan deductible
|
|
|
Health Net SimpleValue
50 Generic
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$50 |
Not
Covered |
$10
Level 1 (generic)
|
|
|
Health Net SimpleValue
50 Combo
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$50 |
Not
Covered |
$10
Level 1 (generic); $750
brand deductible; $35
Level II (brand); $50
or 50% whichever is greater
Level III (non-formulary)
|
|
|
Health Net SimpleValue
40 Generic
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$40 |
Not
Covered |
$10
Level 1 (generic)
|
|
|
Health Net PPO SimpleChoice
50
Get
A Quote / Apply
Online |
$5,000
Individual / 2 per family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Not
Covered |
$5
generic
$250 brand deductible:
$35 brand
$50 non-formulary
|
|
|
Health Net SimpleValue
30 Generic
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$30 |
Not
Covered |
$10
Level 1 (generic)
|
|
|
Health Net SimpleValue
40 Combo
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$40 |
Not
Covered |
$10
Level 1 (generic); $750
brand deductible; $35
Level II (brand); $50
or 50% whichever is greater
Level III (non-formulary)
|
|
|
Health Net PPO SimpleChoice
35
Get
A Quote / Apply
Online |
$3,500
Individual / 2 per family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Not
Covered |
$5
generic
$250 brand deductible:
$35 brand
$50 non-formulary
|
|
|
Health Net SimpleValue
30 Combo
Get
A Quote / Apply
Online |
$0
(Subscriber Only) |
$7,500 |
$30 |
Not
Covered |
$10
Level 1 (generic); $750
brand deductible; $35
Level II (brand); $50
or 50% whichever is greater
Level III (non-formulary)
|
|
|
Health Net PPO SimpleChoice
40
Get
A Quote / Apply
Online |
$4,000
Individual / 2 per family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Covered
in full after deductible
is met |
$5
generic
$250 brand deductible:
$35 brand
$50 non-formulary
|
|
|
Health Net PPO SimpleChoice
25
Get
A Quote / Apply
Online |
$2,500
Individual / 2 per family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Not
Covered |
$5
generic
$250 brand deductible:
$35 brand
$50 non-formulary
|
|
|
Health Net FirstChoice
PPO
Get
A Quote / Apply
Online |
$3,000
Individual / 2 per family |
$3,750
Individual / 2 Per Family |
30%
Coinsurance |
Not
Covered |
$15
(generic only) |
|
|
Health Net PPO SimpleChoice
15
Get
A Quote / Apply
Online |
$1,500
Individual / 2 per family |
Deductible
is out-of-pocket max |
Covered
in full after deductible
is met |
Not
Covered |
$5
generic
$250 brand deductible:
$35 brand
$50 non-formulary
|