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.
Want to know more before making your choice? Connect here to learn the ratings of medical groups and hospitals:
|Location||Coverage level||Plan name
(Select during search for Doctors and Services)
|Northern California||Gold II and Platinum HMO||AON Northern California CanopyCare HMO|
|California||Bronze, Bronze Plus, Silver PPO||AON California PPO (Bronze, Bronze Plus, Silver)|
|California||Platinum PPO||California PPO (Platinum PPO)
Call 888-926-1692 to confirm provider availability
|California out-of-state travel/dependents||Bronze, Bronze Plus, Silver, and Platinum PPO||National PPO – First Health
NEW for 2023! CanopyCare HMO
Northern California in-network only plan
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 5 prominent medical groups with 5,500+ physicians, 29 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.
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 First Health network that's available to members in Health Net's PPO plans provides access to participating providers 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.
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.*
* Refer to your Evidence of Coverage (EOC) document for benefit and coverage information pertaining to urgent care services.