Need Care with Your Health Net EnhancedCare PPO?
Use This Key to Start and Go!
Your Health Net EnhancedCare PPO individual health insurance plan has you covered! Through your Health Net EnhancedCare PPO provider network, you have access to doctors, nurses, hospitals, pharmacies, urgent care centers, and more.
And when you need care, you have options. For example, if you believe you might have the flu, you could see your primary care physician (PCP) or contact Teladoc or call the Nurse Advice Line. Just refer to the chart below to find what you need. You can also print a copy of our Mini Care Key wallet card so your Health Net options can always be close at hand.
Your Care Key
Health Net EnhancedCare PPO – Individual
|Use...||When you need...||For things like...||Contact info|
|Your primary care physician (PCP)||Routine and preventive care||Annual wellness exams, general medical care||Your PCP’s name and number are on your Health Net ID card.|
|Health Net EnhancedCare PPO Network providers||Care from specialists and other providers; no PCP referral required||Matters of dermatology, obstetrics/gynecology, cardiology, orthopedics, psychology, etc.||Log in to your account to find providers in the Health Net EnhancedCare PPO individual plan provider network.|
|Teladoc telehealth services||Health information, diagnoses and prescriptions by phone, Web or mobile app for non-emergency medical situations or when your PCP’s office is closed1||Sinus problems, upper respiratory infections, allergies, bronchitis, pinkeye, etc.||
|Heal™||Primary, preventive and urgent care same-day “house calls” from a doctor who comes to your home, office or hotel1||General medical and preventive care when you need a doctor to come to you; available by appointment in select urban areas||
|Nurse Advice Line||24/7/365 advice by phone from a registered nurse1||Urgent health concerns and care for minor injuries like fevers and the flu||1-800-893-5597 (TTY: 711)|
|Walk-in retail clinics, such as MinuteClinics (found in select CVS stores)||In-person care for common illnesses and preventive care1||Same-day help with non-emergency services, wellness screenings, vaccinations, and more||Visit cvs.com/minuteclinic to search for locations near you.|
|Urgent care centers||Same-day treatment for non-emergency illnesses or injuries1||Minor sprains, earaches, colds, back pain, etc.||Go to Find a Doctor to search for locations near you.|
|Out-of-network providers||Care from health providers outside of the Health Net EnhancedCare PPO Network; additional out-of-pocket costs will apply||Routine and specialty care for any health concern|
|Health Benefit Navigator team||Help with making the most of your EnhancedCare PPO benefits||Deciding when to go where for care, and solving other issues related to your health and your health coverage||1-844-463-8188 (TTY: 711)|
1Go immediately to the nearest emergency room or call 911 if you have an emergency.
Tip! Put the addresses for the closest urgent care center and ER in your phone or wallet so you always have them handy. To find in-network providers, just go to Find a Doctor. Then enter your ZIP code and plan type and follow the steps for Urgent Care and Hospital options in your area.
A note about balance billing: Doctors, specialists, emergency rooms, and hospitals that are not in the EnhancedCare PPO Network usually can bill you for any balance between what they charge and what Health Net pays. This is called “balance billing.” The amount Health Net pays – the allowed amount – is set by the insurance plan benefits you have. Balance billing amounts are not covered by your insurance plan. They are in addition to your copayment and monthly premium. And these amounts do not count toward your annual deductible or out-of-pocket maximum. If your doctor refers you to a specialist or to a laboratory for tests, make sure that the provider is in the EnhancedCare PPO Network. That way, you’ll avoid balance billing.