Plan Details – Southern California

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Find a Provider – FAST!

With Find a Provider, you’ll quickly find the most up-to-date listings of qualified in-network doctors, urgent care centers, hospitals, and other types of healthcare providers near your home or work.

 

  1. Enter a location (address, city, county or zip code) and click on Select your plan.
  2. Select your health plan or network:
    • For Southern California, In & Out-of-Network, select Aon Southern California PPO (In & Out-of-Network)
    • For Southern California, In-Network Only, select Aon Southern California HMO (In-Network Only)
    • For California Out-of-State Travel/Dependents, In & Out-of-Network, visit National PPO Network website
    then click Continue.
  3. Choose to search by specialty, facility/group name, provider name, or the NPI (National Provider Identifier) or, choose a Category to select the type of provider you need (medical professionals, medical facilities, Behavioral Health, etc.).
  4. You can narrow your search within these categories, and then further filter the results using the filter options on the left side of the screen, including distance, languages spoken, gender and office features.
  5. Finally, you can click on Print to print your search results.

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.

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.

Urgent Care Centers – the right choice?

You'll want to visit an urgent care center when your condition is serious but not life-threatening. With wait times in California emergency rooms averaging 164 minutes,1 urgent care centers (UCC) can save you time and money, and are staffed by physicians. They are also useful when you are out of your main service area.2 Use Find a Provider to find your nearest UCC.

If you feel that you are experiencing an emergency, call 911 immediately or go to the nearest ER.

Not sure what to do? Call our Nurse Advice Line

Our 24/7 Nurse Advice Line offers timely access to registered nurses for help with everyday health questions on the phone, any time, day or night.

You can get instant support by calling the number on the back of your Member ID card. Get answers to questions about concerns such as cold and flu, minor illness and injury, chronic pain, and medications. Refer to your Evidence of Coverage (EOC) document for benefit and coverage information pertaining to urgent care services.

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 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.

Find a Cigna Healthcare PPO Network Provider

* Refer to your Evidence of Coverage (EOC) document for benefit and coverage information pertaining to urgent care services.

1 The Cigna Healthcare® PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration.

Cigna Healthcare® 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.