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Plan Materials

Want to learn more about a specific plan? Here you'll find all the details about your Health Net coverage choices to find the plan that fits your needs. Check back during Open Enrollment for additional materials, which begins November 1, 2020.

All documents are in PDF format.

Materials & Forms

Brochures

Enrollment Tools

Individual & Family Plans (IFP) Enrollment Applications – Effective January 1, 2022

Ambetter HMO
Ambetter HSP
Ambetter EPO
PPO
Ambetter PPO

2022 Disclosures

HMO/HSP
EPO
PPO
Ambetter PPO

Dental and Vision

Brochures

Enrollment Tools

Individual & Family Plans (IFP) Enrollment Applications - Effective January 1, 2021

CommunityCare HMO
PureCare HSP
PureCare EPO
PPO
EnhancedCare PPO

2021 Disclosures

HMO/HSP

2021 – CommunityCare HMO and PureCare HSP Disclosure – English (PDF)

EPO

2021 – PureCare One EPO Disclosure – English (PDF)

PPO

2021 – PPO Disclosure – English (PDF)

EnhancedCare PPO

2021 – EnhancedCare PPO Disclosure - English (PDF)

Dental and Vision


Plan Overviews

CommunityCare HMO

EnhancedCare PPO

PureCare One EPO

PureCare HSP


Summary of Benefits and Coverage (SBC)

CommunityCare HMO

EnhancedCare PPO

PureCare One EPO

PureCare HSP

Looking for a Summary of Benefits and Coverage for a specific plan? Use our SBC Search Tool


Plan Contract and Evidence of Coverage/Policies

Evidence of Coverage for Ambetter HMO Plans (off Marketplace)

Evidence of Coverage for HSP Ambetter Plans (off Marketplace)

Policies for EPO Ambetter One Plans (off Marketplace)

Policies for PPO Plans (off Marketplace)

Policies for Ambetter PPO Plans (off Marketplace)

Evidence of Coverage for CommunityCare HMO Plans (off Marketplace)

Evidence of Coverage for HSP PureCare Plans (off Marketplace)

Policies for EPO PureCare One Plans (off Marketplace)

Policies for PPO Plans (off Marketplace)

Policies for EnhancedCare PPO Plans (off Marketplace)


Other Documents

Health insurance companies and group health plans are required to make available a uniform glossary of health coverage and medical terms commonly used in plan documents. The Uniform Glossary is meant to help the consumer understand some of the most common language used in health insurance documents. Please log in to request a hardcopy of the document by mail.