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Health Net Portfolio & Network Glossary

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Health Net Small Group Plans & Networks Description
HMO

HMO plans available in 5 networks:

  • HMO: Full HMO network
  • WholeCare HMO: Narrower HMO network
  • SmartCare HMO: Narrow HMO network 
  • Salud y Mas HMO: Narrow HMO network limited to specific service areas with cross border access to the SIMNSA network
  • CommunityCare HMO: Narrower HMO network only available in certain Southern California regions (this network is no longer be available beginning in 2025)
PPO PPO: Full PPO network
HSA

HSA-compatible PPO plans available in the PPO network.
   
Other Important Information Description

Enhanced Choice Package Portfolio

Full HMOs, WholeCare, HMOs, SmartCare HMOs, Salud y Mas HMOs, CommunityCare HMOs, HSPs, EPOs, and Full PPOs.

EnhancedCare PPO Choice Package Portfolio

Full HMOs, WholeCare, HMOs, SmartCare HMOs, Salud y Mas HMOs, CommunityCare HMOs, HSPs, EPOs, EnhancedCare PPOs, Full PPO Bronze HSA and Full Bronze 60 PPO.

Essential Rx Drug List

Formulary that applies to all small group plans. Go to Health Net's Employer Group Drug List page to see the Essential Rx Drug List.

Rx Mail Order

CVS Caremark

Behavioral Health

Beginning in 2024: Health Net's Behavioral Health Services

Prior to 2024: MHN

Pediatric Dental

For embedded pediatric Dental benefits within Medical plans, plans use the following networks:

  • HMO: Dental Benefit Providers of California
  • PPO: Dental Benefit Administrative Services

Pediatric Vision

For embedded pediatric Vision benefits within Medical plans, plans use the following networks:

  • PureCare HSP and HMO: Envolve Vision
  • PureCare One EPO and EnhancedCare PPO: Envolve Vision
  • PPO: Envolve Vision