Plan Details - Northern California
Plans and Networks - ProviderSearch
Important: Reference the plan grid to find a doctor, hospital or other provider in your plan. Select Find a Doctor or Hospital to get started.
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| Location | Coverage level | Plan name (Select during search for Doctors and Services) |
|---|---|---|
| Northern California | In-Network Only | HMO – CanopyCare |
| California | In & Out-of-Network | Aon Northern California PPO (In & Out-of-Network) |
| California out-of-state travel/dependents | In & Out-of-Network | Visit the National PPO Network website |
CanopyCare HMO
Available in Northern California Gold and Platinum levels
(In-Network Only)
Health Net's CanopyCare HMO uses the Canopy Health provider network that connects you to local, trusted, high-quality providers and hospitals. You simply choose a primary care physician (PCP) from our CanopyCare HMO provider networks. Your PCP will oversee all your health care-related services, including referrals and authorizations to specialists.
With CanopyCare HMO you have access to the entire Canopy Health network made up of 6 prominent medical groups with over 5,500 physicians, 30+ contracted hospitals/medical centers, and 70+ urgent care centers.* Your doctor can refer you to any specialist in the Canopy Health network even if that doctor isn't part of your medical group.
See if your providers are in the CanopyCare network:
- Search doctors and services with the ProviderSearch tool
- From the menu:
- Enter a location (street address, city, county, or state).
- Go to Filter by type of Plan/Network and choose HMO – CanopyCare
PPO
Available in Northern California Bronze, Bronze Plus, Silver, and Platinum levels
Health Net's PPO plans give members the flexibility to go directly to any doctor of their choosing – without having to select a PCP for care or referrals. Our PPO plans offer a large network of local medical providers and cover a wide range of medical services. For even more convenience, no claims need to be filed when members visit an in-network provider. And the Cigna Healthcare PPO Network1 that's available to members in Health Net's PPO plans provides access to participating providers when they live or travel outside of California.
Remember, to keep your costs as low as possible, go to doctors and specialists in your plan's PPO network. Doctors who aren't in your network may charge more than Health Net will pay. You may have to pay the difference between what the out-of-network doctor charges and what Health Net pays. This is called balance billing. You pay these costs in addition to your deductible, copays, coinsurance and your monthly premium. Balance billing amounts are not covered by your plan and won't apply to your annual deductible or your out-of- pocket maximum. You cannot be balanced billed for emergency services, including hospital or emergency room charges, emergency physician treatment and ground or air ambulance transportation.
Get cost estimates
Log in to your Health Net member account to get estimates of your costs for medical procedures and services ahead of time. Compare these costs at different providers to make more informed choices.
Find a Chiropractor, Acupuncturist or Behavioral Health Provider
Urgent Care Centers
Urgent care is for a situation that is urgent but not life-threatening. Urgent care centers are convenient and economical and staffed by physicians. They are especially useful when you are out of your usual service area.*
Find a doctor or facility when traveling or for dependents living out of state
Cigna Healthcare PPO Network providers are available to you only when traveling outside your home state or for your dependents who live outside of California.
* Refer to your Evidence of Coverage (EOC) document for benefit and coverage information pertaining to urgent care services.
1 The Cigna HealthcareSM PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.
Cigna HealthcareSM is an independent company and not affiliated with Health Net of California, Inc.. Access to the Cigna Healthcare PPO Network is available through the contractual relationship between Health Net of California, Inc. and Cigna Healthcare. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other marks are owned by Cigna Intellectual Property, Inc.