Plans and Networks - ProviderSearch
Important: Reference the plan grid below to find a doctor, hospital or other provider in your plan. Click the green FIND A DOCTOR OR HOSPITAL button below 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 ProviderSearch) |
|---|---|---|
| Northern California | Bronze, Bronze Plus, Silver, Gold, and Platinum | Northern California HSP PureCare (All Coverage Levels) |
| Southern California | Bronze, Bronze Plus, Silver | Southern California PPO (Bronze, Bronze Plus, Silver) |
| Southern California | Gold II | Southern California HMO SmartCare (Gold II) |
| Southern California | Platinum HMO | Southern CA HMO SmartCare (Platinum HMO) Call 888-926-1692 to confirm provider availability |
| Southern California | Platinum PPO | Southern CA PPO (Platinum PPO) Call 888-926-1692 to confirm provider availability |
| Southern California out-of-state travel /dependents | Bronze, Bronze Plus, Silver, Platinum PPO | National PPO – First Health |
SmartCare HMO Network
Available in Southern California Gold and Platinum levels
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 predictable costs. Simply choose a primary care physician (PCP) from our SmartCare network of providers.
PureCare Health Care Services Plan (HSP)
Available in Northern California Bronze, Bronze Plus, Silver, Gold, and Platinum levels
Health Net's PureCare Health Care Services Plan (HSP)* is similar to an HMO but with more flexibility. Though members must pick a PCP from the PureCare HSP network for checkups and care when sick or hurt, PureCare HSP allows members to self-refer directly to any doctor or specialist in the network for services that do not require pre-authorization.
PPO
Available in Southern 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 and out-of-state 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.
Find a Chiropractor, Acupuncturist or Behavioral Health Provider
HMO/HSP:
- American Specialty Health (ASH) – Chiropractor, Acupuncture providers
- Managed Health Network (MHN) – Behavioral health providers
PPO:
Chiropractors, acupuncturists and behavioral health providers are part of your PPO medical
plan – not a supplemental plan. To search for these providers, use our ProviderSearch tool and follow these steps:
- Select plan year and location.
- Choose "Filter by Plan Name" and select the AON Active Health Exchange from the options in the drop down menu, then click Continue.
- Click the Doctors icon.
- Under "Filter doctors by", select "Specialty" in the drop down menu.
- Check the appropriate box(es). Providers will immediately be listed.
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
PPO: First Health® providers are available to you only when traveling outside your home state.
*Health Net of California, Inc., does not provide any coverage for out-of-network claims under the HSP plan.
**Refer to your Evidence of Coverage (EOC) or Certificate of Insurance (COI) document for benefit and coverage information pertaining to urgent care services.
