This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

Multilingual Customer Service
Call toll - free 1-888-231-9473, 24 hours a day, 7 days a week

Why Choose Health Net Health Maintenance Organization (HMO)?

Our business is making healthcare work for you. Health Net has been providing valuable health care coverage to Californians for over 30 years. Our plan is affordable and designed to cover your unique health care needs.

Health Net offers:

• One of California’s largest health care plan provider with more than 2.2 million members.
• By selecting the Community Provider Plan, Health Net, in El Dorado, Fresno, Madera, Sacramento, and Tulare Counties, you will pay lower monthly premiums than if you selected another Healthy Families Plan in these counties.
• A large statewide selection of providers located in your community with contracted physicians, hospitals, and pharmacies statewide.
• Excellent member assistance, 24 hours a day, 7 days a week, with representatives, who may speak your language.
• A 24-hour Nurse Advice Line for all members.
• Local Health Net staff in your community to help you.
• Access to a variety of health and wellness resources and materials at no charge to you, such as childhood obesity, diabetes and asthma management.
• Awarded the highest quality accreditation status of “Excellent” by the National Committee for Quality Assurance (NCQA) for our Commercial HMO product which includes the Healthy Families Program.
• Visit our website, www.healthnet.com/shp, to look for a doctor and find health tips.

How Health Net HMO works

• You choose a Primary Care Physician (PCP) who will be your child’s regular doctor. The PCP and their medical group will provide or arrange for your child’s care.
• Your child’s PCP will refer your child to a specialist doctor when they need one.
• You may switch your child’s regular doctor as often as once a month.
• Prescriptions are covered at participating pharmacies. Show your child’s prescription and Health Net ID card at the pharmacy. We use Costco, CVS, Rite-Aid, Target, Walgreens and Walmart pharmacies; along with many other local independent pharmacies.
• Doctors use our approved list of drugs that has both generic and brand name medications.
• For after-hours care, contact the office of your child’s doctor or medical group for immediate response. Many have urgent care locations as well.
• For life-threatening emergencies, call 911 or go to the nearest emergency room.

How to Choose

Write Health Net HMO-1010 in the space provided on the form. If you need assistance choosing a doctor or completing the application form, call 1-800-327-0502.