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Health Net Minimum Coverage PPO

Health Net Minumum Coverage PPO	In-Network	Out-Network
Cost Share Information
Individual Deductible	$7,150	$14,300
Family Deductible	$14,300	$28,600
Out of Pocket Limit-Individual	$7,150 (including deductible)	$25,000 (including deductible)
Out of Pocket Limit-Family	$14,300 (including deductible)	$50,000 (including deductible)
Co-Insurance	0%	50%
Lifetime Maximum	Unlimited	Unlimited
Office Visits
Primary Care	0% deductible waived 1st 3 visits	50% after deductible
Specialist	0% after deductible	50% after deductible
Adult Preventive Care	No Charge	Not Covered
Child Preventive Care	No Charge	Not Covered
Maternity Prenatal/Postnatal Care	No Charge	50% after deductible
Rehabilitation Services	0% after deductible	Not Covered
Chiropractic Care	Not Covered	Not Covered
Inpatient Services
Inpatient Hospital	0% after deductible	50% after deductible
Maternity Delivery/Inpatient	0% after deductible	50% after deductible
Outpatient Services
Outpatient Facility	0% after deductible	50% after deductible
Mental Health Outpatient	0% deductible waived 1st 3 visits	50% after deductible
Lab/X-Ray	0% after deductible	50% after deductible
Emergency Care
Emergency Room	0% after deductible	Paid as in-network
Urgent Care	0% deductible waived 1st 3 visits	50% after deductible
Ambulance	0% after deductible	Paid as in-network
Prescription Drugs
Rx Deductible	Integrated Medical/Rx	N/A
Rx Generic	0% after deductible	Not covered
Rx Preferred	0% after deductible	Not covered
Rx Non-Preferred	0% after deductible	Not covered
Recovery/ Special Needs
Home Health Care	0% after deductible; 100 visits per year	Not covered
Durable Medical Equipment	0% after deductible	Not covered

Optional Benefits	None	None

Complete Benefit Summary

If you you have questions about the Health Net Minimum Coverage 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.

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Please note that we cannot bind insurance via email, fax, or voicemail. Any quotes given are subject to underwriting guidelines by the respective insurance carriers. Any reference of coverage used are not intended to express legal opinion as to the nature of coverage, but rather just a brief generalization of coverages. Please read your policy for coverage details.

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3761 Bernard Street | Bakersfield, CA 93306
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Health Net Minimum Coverage PPO

Health Net Minumum Coverage PPO