HEALTH NET A Better Decision

WHO IS HEALTH NET?

  • Over 6.7 million members nationally and over 498,000 members in the Tri-State Area.
  • Ranked 179 on Fortune 500 List.1
  • National Committee for Quality Assurance (NCQA) rating of “Excellent” for commercial lines of business in Connecticut, New Jersey and New York.2
  • U.S. News and World Report recognized Health Net of the Northeast among the top 20 commercial plans in the nation.3
  • Health Net of Connecticut ranks No. 11 nationally and No. 2 as the best Medicare health plan in the state.
  • Health Net of New York ranks No. 6 for the state.
  • Health Net of New Jersey ranks No. 2 in the state and No. 1 as the best Medicaid health plan in New Jersey.
  • Partnered with the Department of Defense to provide healthcare services (TRICARE) for military personal and their families for over 20 years.
  • TRICARE is in 23 states and has over 2.9 million members.

PRODUCT AND BENEFIT CHOICE

Flexible Options, Assured Value

  • Coverage options for all group sizes with segmented support teams to better service you.
  • Small business groups (2-50 lives) have access to a robust product portfolio to suit all arrangements.
  • Large business groups (51+ lives) receive tiered rating for a more predictable and consistent renewal rate.
  • Strategic Accounts includes specialized account management and clinical medical management.
  • Full spectrum of product choices for all segments: HMO, POS, PPO,5 EPO,6 HRA7 and HSA programs and array of behavioral health, vision, alternative care and pharmacy benefits.

COST CONTAINMENT

Financial Security, Predictability

  • Decision Powersm program partners with you to combat the rising costs of healthcare by providing members with knowledge and resources regarding treatment options which may reduce unnecessary high-cost procedures and support workplace productivity.
  • At renewal time, we offer cost savings alternative plan options based upon your previous choices and specialized criteria.

Health Net is confident that your company will find doing business with us is simple and a positive experience for you and your employees. We’re working hard to ensure you have the right tools and resources at your disposal and a dedicated team of professionals there when you need them. For more information please contact your Health Net representative or find us on the web at www.healthnet.com.

STRENGTH

National Company, Local Delivery

NETWORK

Quality Providers, Broad Access

  • 6,470 pharmacy locations in the Tri-State and 58,000 nationwide.8
  • Select out-of-area plans provide access to approximately 527,000 doctors and healthcare professionals, 4,550 hospitals and 92,000 ancillary providers
  • Seamless Tri-State Advantage Platinum Network encompassing over 161,000 physician locations and 245 hospitals.

EASE OF ADMINISTRATION

Committed Support, Always Available

  • Specialized Account Services Unit (ASU) offers you a unit comprised of specially trained, seasoned customer service professionals to assist you with your account’s needs.
  • Award winning web site www.healthnet.com provides 24/7 access to manage your account online including features like bill payment, eligibility, enrollment and claims status.
  • Comprehensive member web site for your employees to easily self service most of their healthcare needs, resulting in fewer questions and more time to perform your core business functions.

EMPLOYEE SUPPORT

Wellness Promotion, Round the Clock Assistance

  • Online member tools such as on demand ID cards, claim status, prior authorization, hospital comparison report, treatment cost estimator, medication center, disease and conditions center, physician and pharmacy search and more.

Our Decision Power Program provides the information, resources and personal support that empowers our members to make informed choices about their healthcare. Decision Power includes:

  • 24/7 access to online tools and resources.
  • Wellness programs and member discounts to encourage healthy lifestyles.
  • Live Health Coaches for personal guidance around the clock.
  • Health Risk Questionnaire (HRQ) which helps members identify potential health risks and suggest ways to improve and control them.
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