Orange County

Commercial Small Business Group

Orange County

Network Comparison List Effective January 1, 2017

Geoffrey Gomez, Health Net Keeping our members informed with all the latest plan updates. Definition of Terms

Participating Physician Group (PPG) – Full HMO Network – Available in all or parts a group of physicians, who are organized as a of Alameda, Alpine, Amador, Butte, Calaveras, legal entity, that has an agreement in effect Colusa, Contra Costa, Del Norte, El Dorado, with Health Net to provide medical care to Fresno, Glenn, Humboldt, Kern, Kings, Lake, Health Net members. They are sometimes Lassen, Los Angeles, Madera, Mariposa, referred to as a “contracting physician group” Marin, Mendocino, Merced, Modoc, or “a medical group.” An individual practice Monterey, Napa, Nevada, Orange, Placer, association may also be a physician group. Plumas, Riverside, Sacramento, San Benito, San Bernardino, San Diego, San Francisco, Primary Care Physician (PCP) – a physician San Joaquin, San Luis Obispo, San Mateo, who coordinates and controls the delivery of Santa Barbara, Santa Clara, Santa Cruz, covered services and supplies to the member. Shasta, Sierra, Siskiyou, Solano, Sonoma, PCPs include general and family practitioners, Stanislaus, Sutter, Tehama, Trinity, Tulare, internists, pediatricians, and obstetricians/ Tuolumne, Ventura, Yolo, and Yuba counties. gynecologists. SmartCare HMO Network – Available in Participating Hospitals – A member’s PCP all or parts of Los Angeles, Marin, Orange, may find it necessary to refer the member to a Riverside, San Bernardino, San Diego, hospital for further care on either an inpatient Santa Clara, and Santa Cruz counties. or outpatient basis. The member will usually be hospitalized where the PCP has admitting ExcelCare HMO Network – Available in all or privileges. Log in to www.healthnet.com/ parts of Kern, Los Angeles, Orange, Riverside, providersearch for a list of hospitals where the San Bernardino, San Diego, San Francisco, PCP has admitting privileges. Note: The PCP Santa Clara, Stanislaus, and Ventura counties. must first be contacted for initial treatment Salud HMO y Más Network – Available in and consultation before you receive any care Orange County and select ZIP codes of Kern, or treatment through a hospital. Admission to, Los Angeles, Riverside, San Diego, and and treatment rendered by, any hospital must San Bernardino counties. be authorized by your selected PCP. If you feel that you are experiencing an emergency, call 911 immediately or go to the nearest ER. Del Norte Siskiyou Modoc

Shasta Humboldt Lassen

Trinity

Tehama Plumas

Butte Glenn Sierra Mendocino Nevada Sut- Yuba Colusa Placer Lake ter

El Dorado Yolo Alpine Sonoma Napa Sacra- Amador mento Solano Calaveras Marin Tuolumne Contra San Mono Costa Joaquin San Francisco Stanislaus Alameda Mariposa

San Mateo Santa Madera Clara Merced

Santa Cruz

Fresno San Inyo Benito

Monterey Tulare Kings

San Luis Obispo Kern

San Bernardino Santa Barbara

Ventura Los Angeles

Orange Riverside

San Diego OrangeImperial County

Participating physician groups Full WholeCare SmartCare Salud HMO y Más Affiliated Doctors of Orange County ✓ ✓ Alamitos IPA ✓ ✓ Allied Physicians of California (Greater Orange ✓ ✓ ✓ County Medical Grp) Altamed Health Services IPA – Orange ✓ ✓ ✓ Altamed Medical and Dental Group – ✓ ✓ ✓ Huntington Beach AltaMed Medical Group – Anaheim Lincoln ✓ ✓ ✓ AltaMed Medical Group – Anaheim Lincoln West ✓ ✓ ✓ AltaMed Medical Group – Garden Grove ✓ ✓ ✓ Altamed Medical Group – Santa Ana, Bristol ✓ ✓ ✓ AltaMed Medical Group – Santa Ana Main ✓ ✓ ✓ AMVI Medical Group, Inc. ✓ ✓ AppleCare Medical Group – Downey Region ✓ ✓ ✓ ✓ ✓ ✓ ✓ This listing is a AppleCare Medical Group – Select Orange County Region general guide only AppleCare Medical Group – Select Region ✓ ✓ ✓ and is subject to AppleCare Medical Group – St. Francis Region ✓ ✓ ✓ ✓ ✓ ✓ change. For an AppleCare Medical Group – Whittier Region Brookshire IPA ✓ ✓ up-to-date listing, Citrus Valley Physician Group ✓ ✓ ✓ please visit Daehan Prospect Medical Group ✓ ✓ ✓ ✓ ✓ www.healthnet.com > Edinger Medical Group Fountain Valley IPA ✓ ✓ ProviderSearch. Greater Newport Physicians ✓ ✓ Greater Newport Physicians – HOAG ✓ ✓ Greater Newport Physicians – Long Beach ✓ ✓ Greater Newport Physicians – Orange Coast ✓ ✓ Greater Newport Physicians – Saddleback ✓ ✓ HealthCare Partners IPA – Arta Health Network ✓ ✓ ✓ ✓ HealthCare Partners Medical Group – Anaheim ✓ ✓ ✓ HealthCare Partners Medical Group – Harbor ✓ ✓ ✓ HealthCare Partners Medical Group – ✓ ✓ ✓ Huntington Beach HealthCare Partners Medical Group – Santa Ana ✓ ✓ ✓ HealthCare Partners Medical Group – Tustin ✓ ✓ ✓ Hispanic Physicians / Medico Hispano IPA ✓ ✓ ✓ Hispanic Physicians IPA/Medico Hispano IPA ✓ ✓ ✓ ✓ Hoag Affiliated Physicians / SJHH ✓ Lakewood IPA ✓ ✓ Maverick Medical Group, Inc. ✓ ✓ ✓

(continued) Orange County (continued) Participating physician groups Full WholeCare SmartCare Salud HMO y Más MemorialCare HB ✓ ✓ MemorialCare Medical Group ✓ ✓ MemorialCare Medical Group – Aliso Viejo ✓ ✓ MemorialCare Medical Group – Anaheim ✓ ✓ MemorialCare Medical Group – Costa Mesa ✓ ✓ MemorialCare Medical Group – Dana Point 103 ✓ ✓ MemorialCare Medical Group – Dana Point 105 ✓ ✓ MemorialCare Medical Group – Fountain Valley ✓ ✓ MemorialCare Medical Group – Huntington Beach ✓ ✓ MemorialCare Medical Group – Irvine, E. Yale Loop ✓ ✓ MemorialCare Medical Group – Mission Viejo ✓ ✓ (Crown Valley Pkwy) MemorialCare Medical Group – Mission Viejo ✓ ✓ (Madero Road) MemorialCare Medical Group – Oceanview ✓ ✓ MemorialCare Medical Group – Rancho Santa ✓ ✓ Margarita MemorialCare Medical Group – San Clemente #250 ✓ ✓ MemorialCare Medical Group – San Juan Capistrano ✓ ✓ MemorialCare Medical Group – Santa Ana, 17th Street ✓ ✓ Mission Heritage Medical Group ✓ Mission Hospital Affiliated Physicians ✓ Monarch Healthcare, A Medical Group, Inc. ✓ ✓ Monarch Healthcare, a MG, Inc. ✓ ✓ Nuestra Familia Medical Group ✓ ✓ ✓ Pomona Valley Medical Group, Inc. ✓ Prospect Gateway Medical Group ✓ ✓ ✓ Prospect Genesis Health Care ✓ ✓ ✓ Prospect Health Source Medical Group ✓ ✓ ✓ Prospect Latino Medical Group ✓ ✓ ✓ Prospect Medical Group ✓ ✓ ✓ Prospect Medical Group Los Angeles ✓ ✓ ✓ Prospect NWOC Medical Group ✓ ✓ ✓ Prospect Professional Care Medical Group, Inc. ✓ ✓ ✓ Regal Medical Group of Orange County ✓ ✓ St. Joseph Heritage Medical Group ✓ St. Joseph Hospital Affiliated Physicians ✓ St. Jude Affiliated Physicians ✓ St. Jude Heritage Medical Group ✓ St. Mary IPA ✓ ✓ UC Irvine Health Affiliated Phys (Greater ✓ ✓ Newport Physicians) UC Irvine Health Medical Group (MemorialCare ✓ ✓ Medical Group Fountain Valley) Upland Medical Group ✓ ✓ (continued) Orange County (continued)

Important! This listing is a general guide only and is subject to change. It’s important to note that PPGs and PCPs typically affiliate with specific hospitals. Please confirm that the PPG and/or PCP is affiliated with the hospital listed prior to selecting a PCP. Participating hospitals Full WholeCare SmartCare Salud HMO y Más AHMC Anaheim Regional Medical Center LP ✓ ✓ ✓ Anaheim Global Medical Center ✓ ✓ ✓ ✓ Chapman Global Medical Center ✓ ✓ ✓ Fountain Valley Regional Hospital and Medical ✓ ✓ ✓ Center Garden Grove Hospital Medical Center ✓ ✓ ✓ Hoag Memorial Hospital Presbyterian – Irvine ✓ ✓ Hoag Memorial Hospital Presbyterian – ✓ ✓ Newport Beach Los Alamitos Medical Center ✓ ✓ ✓ Mission Hospital – Laguna Beach Campus ✓ Mission Hospital Regional Medical Center ✓ ✓ Orange Coast Memorial Medical Center ✓ ✓ ✓ Orange County Global Medical Ctr ✓ ✓ ✓ ✓ Placentia Linda Hospital ✓ ✓ ✓ Saddleback Memorial Medical Center ✓ ✓ ✓ South Coast Global Medical Center ✓ ✓ ✓ ✓ St. Joseph Hospital of Orange ✓ St. Jude Medical Center ✓ For more information please contact Customer Contact Center 1-800-522-0088 www.healthnet.com