Health Net MAPD

Steve on Medicare Plans

Not all of these Health Net plan options are available in every Area. Click here for pricing & benefits & availability.

Medicare Advantage Plans
with built-in prescription drug plan (includes Special Needs Plans)

Plans offering both medical and drug coverage.

Amber 1		Amber 2
Monthly premium: $0.10- $29.10** Deductible: $0 Primary doctor copay: $0.00 Specialist copay: $0.00 Coverage in the gap: Yes Generic drug copay: $0.00 / $1.10 / $2.50* Preferred drug copay: $0.00 / $1.10 / $2.50* Non-preferred drug copay: $0.00 / $3.30 / $6.30* Chiropractic*		Same
*Summary of Benefits Evidence of Coverage		Summary of Benefits Evidence of Coverage
Amber 1 is for Partial Eligibles and gives 48 one way trips to the Doctor and depending on LIS (Low Income Subsidy) higher copays.		Amber 2 is for Full Dual and has unlimited transportation to the Doctor.

Medicare Advantage with no prescription drug program

Plans offering medical benefits but no prescription drug coverage.

THE GREEN PLAN (can NOT get a separate Part D - Rx Plan, OK if you have VA Rx or Group Rx)

Monthly premium: $0.00
Deductible: $0
Primary doctor copay: $7.00
Specialist copay: $10.00

Summary of Benefits
Evidence of Coverage

application

MEDICARE SUPPLEMENT PLANS
You keep your Original Medicare Card

Health Net Provider - Doctor MD Finder

We also have plans if you have Medicare and you are under 65

When can you enroll in a Medi Gap, Medicare Advantage or Rx Plan?

Broker ONLY

HN Forms & Brochures

https://www.healthnet.com/

Producer Manual

Do's & Don'ts

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THE HEALTHY HEART PLAN
Summary of Benefits
Evidence of Coverage
Paper Application

Monthly premium: $0.00
Deductible: $0.00
Primary doctor copay: $0.00
Specialist copay: $0.00
Coverage in the gap: Preferred Generic
Generic drug copay: $5.00
Preferred drug copay: $39.00
Non-preferred drug copay: $78.00

Formulary
Pharmacy directory
Enrollment Application for ALL plans

THE HEALTHY HEART PLAN II

Monthly premium: $0.00
Deductible: $0
Primary doctor copay: $0.00
Specialist copay: $0.00
Coverage in the gap: Preferred Generic Tiers 1 and 2
Generic drug copay: $5.00
Preferred drug copay: $39.00
Non-preferred drug copay: $78.00

Summary of Benefits
Evidence of Coverage

THE RUBY PLAN

Monthly premium: $0.00
Deductible: $0
Primary doctor copay: $8.00
Specialist copay: $11.00
Coverage in the gap: Preferred Generic
Generic drug copay: $5.00
Preferred drug copay: $39.00
Non-preferred drug copay: $78.00

Summary of Benefits
Evidence of Coverage

Choose a Medi Gap Policy

Medicare Advantage Plans with built-in prescription drug plan (includes Special Needs Plans)

Plans offering both medical and drug coverage.

Medicare Advantage with no prescription drug program

Plans offering medical benefits but no prescription drug coverage.

THE GREEN PLAN (can NOT get a separate Part D - Rx Plan, OK if you have VA Rx or Group Rx)

MEDICARE SUPPLEMENT PLANS You keep your Original Medicare Card

Health Net Provider - Doctor MD Finder

THE HEALTHY HEART PLAN Summary of Benefits Evidence of Coverage Paper Application

Monthly premium: $0.00 Deductible: $0.00 Primary doctor copay: $0.00 Specialist copay: $0.00 Coverage in the gap: Preferred Generic Generic drug copay: $5.00 Preferred drug copay: $39.00 Non-preferred drug copay: $78.00

THE HEALTHY HEART PLAN II

THE RUBY PLAN

Medicare Advantage Plans
with built-in prescription drug plan (includes Special Needs Plans)

MEDICARE SUPPLEMENT PLANS
You keep your Original Medicare Card

THE HEALTHY HEART PLAN
Summary of Benefits
Evidence of Coverage
Paper Application

Monthly premium: $0.00
Deductible: $0.00
Primary doctor copay: $0.00
Specialist copay: $0.00
Coverage in the gap: Preferred Generic
Generic drug copay: $5.00
Preferred drug copay: $39.00
Non-preferred drug copay: $78.00