PPO

Need Care with Your Health Net PPO?

Use This Key to Start and Go!

Your Health Net PPO individual health insurance plan has you covered! Through your Health Net 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 a doctor in the PPO Network or call the Nurse Advice Line or visit an urgent care center. 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 PPO – Individual 

  Use... When you need... For things like... Contact info
Health Net PPO Network providers Routine and specialty care Annual exams, preventive medicine, specialized care (dermatology, obstetrics/gynecology, cardiology, orthopedics, psychology, etc.) Log in to your account to find providers in the Health Net PPO individual plan provider network.
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 PPO Network; additional out-of-pocket costs will apply Routine and specialty care for any health concern

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 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 PPO Network. That way, you’ll avoid balance billing. 

1-800-893-5597 (TTY: 711)
1-800-893-5597 (TTY: 711)
1-800-893-5597 (TTY: 711)
1-800-893-5597 (TTY: 711)
1-800-893-5597 (TTY: 711)