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Health Net New & Improved 2025 Large Group Portfolio

Easily promote and sell a full range of benefits and extra-value programs

Health Net’s 2025 Enhanced Choice portfolio is now refreshed and ready for you to sell! It offers Health Net's appealing “Pick Your Plan, Pick Your Network” strategy with even more of their most popular plan designs. It also has new plans to help meet the diverse needs of your large employer groups.

 

The 2025 Enhanced Choice portfolio offerings equip you with choices designed to satisfy your clients and to help streamline your sales process.

 

New for 2025

Keep your business growing with Enhanced Choice 2025:

  • Expanded Access for Salud HMO y Más plans: New for 2025, Imperial County has been added to the Salud network of providers.
  • Doula Coverage: Health Net now covers Doula services. Their Doula program provides personalized care and support throughout the pregnancy journey. This applies to all Health Net products and networks.

 

The following new plan designs have been added to the 2025 Enhanced Choice “Pick Your Plan, Pick your Network” strategy.

  • New HMO/EOA plan designs available with the Full Network HMO, ExcelCare HMO, Full Network EOA, ExcelCare EOA, SmartCare HMO, Salud HMO y Más networks:
    • 35/750a ($3,500/$7,000)
    • 40/750a ($4,500/$9,000)
  • New Deductible EOA/Salud plan designs available with the Elect Open Access, ExcelCare EOA, Salud HMO y Más networks:
    • 30/3000/30% ($4,500/$9,000)
    • 40/4000/40% ($6,500/$13,000)
  • New PPO plan designs available with the PPO network:
    • 25/1000/10%
    • 20/2500/5000/20%

 

Simple, smart and sustainable values remain

Simple:

  • Pick your plan, pick your network for Enhanced Choice. Choose from 22 standard plan designs available in Health Net's existing HMO/EOA products.
  • Enhanced Choice Solutions. Designed for employer groups with 101–500 eligible employees that have difficulty meeting standard participation guidelines. This includes flexible participation requirements. Employers can offer their employees up to three plans.

 

Smart:

  • More ways for members to get easy, early access to care. This includes telehealth services through Teladoc Health¹ and the Nurse Advice Line.
  • Essentials to complement medical coverage. This includes: 
    • Dental
    • Vision
    • Chiropractic
    • Acupuncture
    • Life
    • Wellness
  • Wellness Rewards Program. Supports members with an Incentive Program that rewards healthy habits. Members can earn up to $100 in gift card rewards for taking part in online programs.²
  • Easy, convenient access to behavioral health. Members have access to Health Net's numerous in-network providers.

 

Sustainable:

  • Expand your sales by offering any of Health Net's budget-friendly Salud HMO y Más plans on a standalone basis alongside Kaiser-only groups.
  • Affordable plans are available in all products and networks.
  • Sell more PPO with Health Net's Enhanced Choice PPO-Only Package.
  • Multiproduct bundling discount program helps large groups get up to 3% off their medical premiums.

 

Get ready to sell!

 

For questions or help with a Health Net Large Group quote, please contact your B&P Sales Rep - (888) 722-3373.

 

 

1 Members may receive services on an in-person basis or via telehealth, if available, from their primary care provider, a treating specialist or from another contracting individual health professional, contracting clinic, or contracting health facility consistent with the service and existing timeliness and geographic access standards required under California law. Any cost share for services received through Teladoc Health (Teladoc) will accrue toward the member’s out-of-pocket maximum and deductible (if their plan has a deductible). By scheduling through Teladoc, members consent to receive services via telehealth through Teladoc. Members can see their health plan coverage document for coverage information and for the definition of telehealth services. Members have a right to access their medical records for services received through Teladoc. Unless members choose otherwise, any services provided through Teladoc shall be shared with their primary care provider.

 

2 Commercial eligible plans include: Large Group: Full Network HMO & PPO, SmartCare HMO, Salud HMO y Más, HMO ExcelCare, EOA & EOA ExcelCare, PPO plans (including OOS PPO). To receive reward, members must complete the Eat Right Now – Mindful Eating; Craving to Quit tobacco cessation program; and/or participate in health challenges.