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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.

All documents are in PDF format. 

Materials & Forms


Enrollment Tools

Individual & Family Plans (IFP) Enrollment Applications - Effective January 1, 2020

CommunityCare HMO
PureCare HSP
PureCare EPO
EnhancedCare PPO

2020 Disclosures

EnhancedCare PPO

Dental and Vision

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 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.