California Health Insurance: Health Net Platinum 90 PPO

California Health Insurance: Health Net Platinum 90 PPO Health Net Platinum 90 PPO In-Network Out-Network Cost Share Information  Individual Deductible  $0 $5,000 Family Deductible  $0 $10,000 Out of Pocket Limit-Individual  $4,000 $25,000 Out of Pocket Limit-Family  $8,000 $50,000 Co-Insurance  10% 50%  Lifetime Maximum  Unlimited Unlimited   Primary Care  $15 50% Specialist  $40 50% Adult Preventive Care  No Charge Not Covered  Child Preventive Care  No Charge Not Covered  Maternity Prenatal/Postnatal Care  No Charge 50% Rehabilitation Services  $15 Not covered Chiropractic Care  Not Covered  Not Covered  Inpatient Services  Inpatient Hospital 10% 50% after deductible  Maternity Delivery/Inpatient  10% 50% after deductible  Outpatient Services  Outpatient Facility  10%   50% after deductible Mental Health Outpatient  No charge 50% after deductible Lab/X-Ray  $20/$40 50% after deductible Emergency Care  Emergency Room  $150 (waived if admitted) Paid as in-network Urgent Care  $15  50% Ambulance  $150  Paid as in-network Prescription Drugs  Rx Deductible  N/A N/A  Rx Generic  $5 Not covered  Rx Preferred  $15 Not covered  Rx Non-Preferred  $25 Not covered  Recovery/ Special Needs  Home Health Care 10%; 100 visits per year Not covered  Durable Medical Equipment  10% Not covered    Optional Benefits  None  None  Complete Benefit Summary If you you have questions about the Health Net Platinum 90 PPO plan or any other plans from Health Net of California please call The Lynn Company at (800)-326-5966 for more information on California Health Insurance Plans.