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HMO/PPO Vision Provider Directory

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HMO/PPO Vision Provider Directory Health Net Medicare Advantage HMO/PPO Vision Provider Directory This directory provides a list of Health Net Vision network providers. This directory is for Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Mateo, San Joaquin, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, and Yolo counties. This directory is current as of August 2013. Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. To get the most up-to-date information about Health Net Vision’s network providers in your area, you can visit www.healthnet.com or call our Member Services Department at Health Net Vision: 1-866-392-6058, Monday through Saturday, 5:00 a.m. to 8:00 p.m. and Sunday, 8:00 a.m. to 5:00 p.m. Pacific time (PT). TTY/TDD users can call 1-866-308-5375, Monday through Friday from 5:00 a.m. to 5:00 p.m. PT. Health Net has a contract with Medicare to offer HMO and PPO plans. Enrollment in a Medicare Advantage plan depends on contract renewal. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is available for free in other languages. Please call our customer service number at: (HMO Plans) 1-800-275-4737. For (PPO) Plans: 1-800-960-4638. Our hours of operation are 8:00 a.m. to 8:00 p.m., seven days a week. TTY/TDD users call: 1-800-929-9955. Esta información está disponible en forma gratuita en otros idiomas. Comuníquese con el número de nuestro servicio al cliente al (HMO Plans) 1-800-275-4737. Para Planes (PPO): 1-800-960-4638. Nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY/TDD deben llamar al: 1-800-929-9955. This information is also available in a different format including larger print and audio tape. Please call Member Services at the number listed above if you need plan information in another format. Material ID # Y0035_2014_0249 (H0562, H5439, EG) CMS Accepted 09212013 Directorio de Proveedores de Health Net Medicare Advantage Vision HMO/PPO Este directorio proporciona una lista de los proveedores de la red de Health Net Vision. Corresponde a los condados de Alameda, Contra Costa, Fresno, Kern, Los Angeles, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Mateo, San Joaquin, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus y Yolo. Entra en vigencia a partir de agosto de 2013. Es posible que se hayan agregado o eliminado algunos proveedores de nuestra red después de que se haya impreso este directorio. No garantizamos que todos los proveedores aún acepten afiliados nuevos. Para obtener la información más actualizada sobre los proveedores de la red de Health Net Vision de su área, puede visitar www.healthnet.com, o bien, puede llamar a nuestro Departamento de Servicios al Afiliado en Health Net Vision: 1-866-392-6058, de lunes a sábados, de 5:00 a.m. a 8:00 p.m., y los domingos, de 8:00 a.m. a 5:00 p.m., hora del Pacífico (por sus siglas en inglés, PT). Los usuarios de TTY/TDD pueden llamar al 1-866-308-5375, de lunes a viernes, de 5:00 a.m. a 5:00 p.m., PT. Health Net tiene un contrato con Medicare para ofrecer planes HMO y PPO. La inscripción en un plan Medicare Advantage depende de la renovación del contrato. Este plan está disponible para cualquier persona que tiene tanto la Ayuda Médica del Estado como Medicare. This information is available for free in other languages. Please call our customer service number at: (HMO Plans) 1-800-275-4737. For (PPO) Plans: 1-800-960-4638. Our hours of operation are 8:00 a.m. to 8:00 p.m., seven days a week. TTY/TDD users call: 1-800-929-9955. Esta información está disponible en forma gratuita en otros idiomas. Comuníquese con el número de nuestro servicio al cliente al (HMO Plans) 1-800-275-4737. Para Planes (PPO): 1-800-960-4638. Nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY/TDD deben llamar al: 1-800-929-9955. Esta información también está disponible en un formato diferente, incluyendo letra más grande y cinta de audio. Llame al Departamento de Servicios al Afiliado al número que se indica anteriormente si necesita información sobre el plan en otro formato. Material ID # Y0035_2014_0249_SPN (H0562, H5439, EG) CMS Accepted 09212013 For Health Net Violet (PPO) members Section 1 – All Health Net Violet (PPO) members who purchase the supplemental package have coverage for routine vision exams. Introduction To access your in-network level of This directory provides a list coverage, make an appointment with a of Health Net Vision network Health Net Vision participating provider listed in this directory. You also have the providers. Eyewear benefits option to receive a vision examination for eyeglasses and contact with an out-of-network provider at a lenses are available through higher out-of-pocket cost. participating providers of A routine vision exam may be covered Health Net Vision. as a basic medical benefit through your medical plan. Please check your Evidence Not all Health Net members have the of Coverage for benefit information. To supplemental benefit that includes additional receive an eye examination through eyewear benefits. To get detailed information your medical coverage, make an about your health care coverage, please see appointment with a Health Net Violet your Evidence of Coverage. (PPO) participating optometrist or ophthalmologist. Additionally, your Obtaining Eyewear Benefits medical plan provides you with the option of receiving your vision examination with For Health Net Seniority Plus (HMO), an out-of-network provider. Health Net Healthy Heart (HMO), Health Net Ruby Select (HMO), Following your exam, obtain your current Health Net Gold Select (HMO), lens prescription, then have the vision Health Net Jade (HMO SNP), and prescription filled at any Health Net Health Net Seniority Plus Vision participating provider to access your (Employer HMO) members. in-network benefit. You may receive your Your routine eye examination is covered as a eyewear from your Health Net Vision basic medical benefit through your medical participating physician’s optometrist or plan. Coverage for eyeglasses or contact ophthalmologist at the in-network level of lenses is only available through participating coverage only if he or she is a participating providers of Health Net Vision. provider of Health Net Vision. Following your exam, obtain your current lens prescription, then have the vision prescription filled at any Health Net Vision participating provider. You may receive your eyewear from your Health Net Vision optometrist or ophthalmologist only if he or she is a participating provider of Health Net Vision. 1 As a Health Net Violet (PPO) member, For directories listing other Health Net you may obtain your eyewear from a participating network providers, facilities nonparticipating provider at your out-of- and/or pharmacies, call our Member network level of coverage. Services Department at 1-800-275-4737 (for Health Net Seniority Plus Green To get detailed information about (HMO), Health Net Seniority Plus Ruby whether an out-of-network provider (HMO), Health Net Gold Select (HMO), should bill you directly or about your Health Net Ruby Select (HMO), health care coverage, please refer to your Health Net Healthy Heart (HMO), Evidence of Coverage. Health Net Healthy Heart Plan 1 (HMO), The “network providers” listed in this Health Net Healthy Heart Plan 2 (HMO), directory have agreed to provide you with and Health Net Seniority Plus (Employer your Vision Services coverage. You may HMO) members) or 1-800-431-9007 (for go to any of the network providers listed Health Net Jade (HMO SNP), Health Net in this directory; however, some services Seniority Plus Amber I (HMO SNP), may require a referral. If you have been and Health Net Seniority Plus Amber II going to one network provider, you are (HMO SNP) members, or 1-800-960-4638 not required to continue going to that (for Health Net Violet (PPO) members), same provider. seven days a week, 8:00 a.m. to 8:00 p.m. TTY/TDD users should call Some of your Health Net plan services 1-800-929-9955. are covered only if your doctor or other network provider gets approval in advance (sometimes called “prior authorization”) from us. Please refer to your Health Net plan Evidence of Coverage for more information. Please Note: The providers in the following counties are only available to Health Net Seniority Plus (Employer HMO) Medicare Advantage members: San Mateo County Solano County 2 3 What Is the Southern Area: Kern County Service Area Los Angeles County for Health Net Orange County Vision? Riverside County The counties and parts of counties in our San Bernardino County service area are listed below. San Diego County Northern Area: Santa Barbara County for the Alameda County following ZIP codes only: Contra Costa County 93013–14, 93067, 93101–03, 93105–11, 93116–18, 93120–21, 93130, 93140, 93150, Fresno County 93160, 93190, 93199, 93252, 93427, 93436–38, 93440–41, 93460, 93463–64 Placer County for the following ZIP codes only: 95602–04, 95631, 95648, 95650, 95658, 95661, 95663, 95677–78, 95681, 95701, 95703, 95713–15, 95717, 95722, 95736, 95746–47, 95765 Sacramento County San Francisco County San Joaquin County Santa Clara County Santa Cruz County Sonoma County Stanislaus County Yolo County San Mateo and Solano counties are for Health Net Seniority Plus 2 (Employer HMO) only 3 How Do You Find Health Net Vision Providers in Your Area? We have arranged the information in several different ways.
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