Plan Details - Southern California
Plans and Networks - ProviderSearch
Important: Reference the plan grid to find a doctor, hospital or other provider in your plan. Select Find Doctors and Services to get started.
Want to know more before making your choice? Connect here to learn the ratings of medical groups and hospitals:
Choosing a Hospital
When you or a loved one needs hospital care, check ratings among your local options. Compare patient safety scores and ratings on the services that matter to you when choosing a hospital. Find out more about Hospital Quality.
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.
| Location | Coverage level | Plan name (Select during Provider Search) |
|---|---|---|
| Southern California | In & Out-of-Network | Aon Southern California PPO (In & Out-of-Network) |
| Southern California | In-Network Only | Aon Southern California HMO (In-Network Only) |
| California out-of-state travel/dependents | In & Out-of-Network | Visit the National PPO Network website |
SmartCare HMO Network
Available in Southern California Gold and Platinum levels
(In-Network Only)
The heart of SmartCare is a local HMO provider network that connects members to providers and hospitals. Ideal for members that prefer a primary doctor to coordinate all their medical care at more predictable costs. Simply choose a primary care physician (PCP) from our SmartCare network of providers.
PPO
Available in Southern California Bronze, Bronze Plus, Silver, and Platinum levels
(In and Out-of-Network)
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.
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.