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  • Health Net Ppo Plan Overview

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Insured person(s) responsibility In-network Out-of-network1 $2,700 / $5,400 single / family $2,700 / $5,400 single / family $3,000 / $6,000 single / family $3,000 / $6,000 single / family Lifetime maximum No maximum Coinsurance 30% 50% 30% 50% Preventive care services $0 (ded waived) Not covered Telehealth services through Teladoc $0 (ded applies) Not covered X-ray and laboratory procedures (includes CT, SPECT, PET, MUGA, and MRI) 30% 50% 30% 50% 30% / $250 max per 30-d.

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Preferred Provider Organizations (PPOs) A PPO has a network (or group) of preferred providers. You pay less if you go to these providers. Preferred providers are also called in-network providers. With a PPO, you can go to a doctor or hospital that is not on the preferred provider list.

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Disadvantages of PPO plans Typically higher monthly premiums and out-of-pocket costs than for HMO plans. More responsibility for managing and coordinating your own care without a primary care doctor.

Advantages Do not have to select a Primary Care Physician. Can choose any doctor you choose but offers discounts to those within their preferred network. No referral required to see a specialist. More flexibility than other plan options. Greater control over your choices as long as you don't mind paying for them.

If you have any questions about your Health Net membership, please call our Health Net Member Services at Arizona: 1-800-977-7522; California: (HMO) 1-800-275-4737, (PPO) 1-800-960-4638, (HMO SNP) 1-800-431-9007; Oregon/ Washington: 1-888-445-8913 (TTY/TDD Arizona: 1-800-977-6757; California/Oregon/Washington: 1-800- ...

The deductible is a specified annual dollar amount you must pay for covered medical services before the plan begins to pay benefits. PPO deductibles are based on a percentage of your effective salary, as shown on the PPO Deductibles and Medical Out-of-Pocket Maximums chart.

Unlike an HMO, a PPO offers you the freedom to receive care from any provider—in or out of your network. This means you can see any doctor or specialist, or use any hospital. In addition, PPO plans do not require you to choose a primary care physician (PCP) and do not require referrals.

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232