Provider And/Or Pharmacy Directories

Ways to Access Your Formulary, Provider and/or Pharmacy Directories

This document contains important information you need to know Karen Boyd about how to access or receive your formulary, provider and/or Health Net pharmacy directory.

How can I get my provider and/or provider directory, ProviderSearch, pharmacy directory? helps reduce administrative and environmental waste. To search our If you need help finding a provider and/ listing of participating health care or pharmacy directory, please call the providers, including doctors, hospitals Member Services Department at: and urgent care facilities, simply log in to • California: (HMO) 1-800-275-4737, ca.healthnetadvantage.com and select (HMO SNP) 1-800-431-9007 Find a Doctor, located on the middle tab TTY users should call 711 or visit at the top of the page. This will lead you ca.healthnetadvantage.com to access to our ProviderSearch menu. our online directory. If you would like a provider and/or a pharmacy directory, You can also call the Member Services as applicable, mailed to you, you may Department phone number to schedule call the number above or request one at a visit with your doctor or to get help the website link provided above. finding a new doctor. We welcome your feedback too! If you find a mistake in a How can I find my provider listed doctor’s contact information, please and/or pharmacy online? call the Member Services Department at If you want a simple way to find a doctor (HMO) 1-800-275-4737 or (HMO SNP) in our network, look no further than 1-800-431-9007 to report it. ca.healthnetadvantage.com. Our online (continued)

Y0020_18_2849_FLY_NM 08012017 To find a pharmacy online, go to How can I access my formulary? ca.healthnetadvantage.com and on the If you have a question about covered left-hand side, select Drug and Pharmacy drugs, please call (HMO) 1-800-275-4737 Information and then Find a Pharmacy. or (HMO SNP) 1-800-431-9007 or visit Find your plan name and click on the link www.healthnetadvantage.com to access to search for a network pharmacy. Your our online formulary. If you would like plan name is on your Health Net member a formulary mailed to you, you may call ID card. the number above or request one at the website provided above.

Section 1557 Non-Discrimination Language Notice of Non-Discrimination

Health Net complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Health Net:  Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats).  Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need these services, contact Health Net’s Customer Contact Center at: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). From October 1 to February 14, you can call us 7 days a week from 8 a.m. to 8 p.m. From February 15 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Net’s Customer Contact Center is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD: 1-800-537-7697). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

FLY014854EO00 (8/17) Y0020_18_2830MLI_Accepted_07142017

Section 1557 Non-Discrimination Language SectionMulti-Language 1557 Non-Discrimination Interpreter Language Services Multi-LanguageNotice of Non-Discrimination Interpreter Services

Health Net complies ATENCIÓN:with applicable si federal habla civil español, rights tienelaws and a sudoes disposición not discriminate servicios on the gratuitos basis of de race,SPANISH color, national origin,asistencia age, disability, lingüística. or sex. Llame Health al 1-800-431-9007Net does not exclude (Jade, people Sapphire, or treat Amber them and differently because of race, color, national origin, age, disability, or sex. HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). Health Net: 注意：如果您說中文，您可以免費獲得語言援助服務。請致電  ProvidesCHINESE free aids and1-800-431-9007 services to people (Jade, with Sapphire,disabilities to Amber communicate and HMO effectively SNP), with 1-800-275-4737 us, such as qualified sign language interpreters and written。 information in other formats (large print, accessible electronic formats,(All other Other formats). HMO) (TTY: 711)  Provides free languageCHÚ services Ý: Nếu tobạ peoplen nói Ti whoseếng Vi primaryệt, có các language dịch vụ is nothỗ English,trợ ngôn su ngchữ as mi qualifiedễn phí dành interpretersVIETNAMESE and informationcho bạn. wr Gọiitten s ốin other 1-800-431-9007 languages. (Jade, Sapphire, Amber and HMO SNP), If you need these services,1-800-275-4737 contact Health (All OtherNet’s Customer HMO) (TTY: Contact 711). Center at: 1-800-431-9007 (Jade, Sapphire,TAGALOG Amber and PAUNAWA: HMO SNP), 1-800-27Kung nagsasalita5-4737 (All Otherka ng HMO) Tagalog, (TTY: maaari 711). From kang October gumamit 1 to February ng mga 14, you can call us 7 daysserbisyo a week from ng tulong 8 a.m. sa to wika8 p.m. nang From walang February bayad. 15 to SeptemberTumawag sa30, 1-800-431-9007 you can call us Monday through Friday(Jade, from Sapphire,8 a.m. to 8 p.m. Amber A messa and ging HMO system SNP), is 1-800-275-4737used after hours, (Allweekends, Other and HMO) on federal holidays. (TTY: 711). If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color,주의: national 한국어를 origin, 사용하시는 age, disability, 경우, or sex, 언어 you 지원 can file서비스를 a grievance 무료로 by calling 이용하실 the 수 numberKOREAN above and telling있습니다. them you1-800-431-9007 need help filing (Jade, a grievance; Sapphire, Health Amber Net’s and Customer HMO SNP), Contact Center is available to help you.1-800-275-4737 (All Other HMO) (TTY: 711) 번으로 전화해 주십시오. You can also file a civilՈՒՇԱԴՐՈՒԹՅՈՒՆ rights complaint with the՝ Եթե U.S. Departmentխոսում եք of Healthհայերեն and ,Human ապա Services, ձեզ անվճար Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at ARMENIAN կարող են տրամադրվել լեզվական աջակցության ծառայություններ: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf1-800-431-9007 or by mail or (Jade, phone Sapphire,at: U.S. Department Amber andof Health HMO and SNP), Human Services, 200Զանգահարեք Independence Avenue: SW, Room 509F, HHH Building, Washington, DC 20201, 1-800-368-1019 (TDD:1-800-275-4737 1-800-537-7697). (All Other HMO) (TTY: 711). توجھ: اگر بھ زبان فارسی گفتگو می کنيد، تسھيالت زبانی بصورت رايگان.www.hhs.gov/ocr/office/file/index.html برای //:http شما ComplaintPERSIAN forms are available at فراھم می باشد. با (Jade, Sa pphire, Amber and HMO SNP) 1-800-431-9007 (All Other HMO) (TTY: 711) 4737-275-800-1 تماس بگيريد. ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны RUSSIAN бесплатные услуги перевода. Звоните 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711).

注意事項：日本語を話される場合、無料の言語支援をご利用いただけ

JAPANESE ます。1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) まで、お電話にてご連絡ください。

تنبيھ: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية المجانية متاحة لك. ُيرجى االتصال بالرقم.

ARABIC 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO)

(ﻣﻜﺒﻼو ﻣﺼﻼ ﻓﺘﺎه ﻣﻘﺮ: 711). FLY014854EO00 (8/17) , Y0020_18_2830MLI_Accepted_07142017ਿਧਆਨ ਿਦਓ: ਜੇ ਤ ੁਸ� ਪੰ ਜਾਬੀ ਬੋਲਦੇ ਹੋ ਤ拓 ਤ ੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵ拓 PUNJABI ਿਬਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਿਕਰਪਾ ਕਰਕੇ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 'ਤੇ ਕਾੱਲ ਕਰੋ।

3 Section 1557 Non-Discrimination Language Multi-Language Interpreter Services ចំ㮶ប់讶រមមណ៍ៈ េបើសិនអនកនិ架យ徶羶ែខមរ េស玶ជំនួយ徶羶េ⮶យឥតគិតៃថល គឺ掶នស殶បំ ់អនក។ សូម MON-KHMER, 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), CAMBODIAN ទូរស័ពទេ䟅េលខ ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de 1-800-275-4737 (All Other HMO) (TTY: 711) SPANISH asistencia lingüística. Llame al 1-800-431-9007 (Jade, Sapphire, Amber and ។ HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab 注意：如果您說中文，您可以免費獲得語言援助服務。請致電 HMONG dawb rau koj. Hu rau 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). CHINESE 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711)。鵍यान द:� यिद आप िहदीं बोलते ह,ै आपको भाषा सहायता सेबाएं, िन:शु쥍क उपल녍ध ह।� कृ पया HINDI 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All CHÚ Ý: N u b n nói Ti ng Vi t, có các dịch vụ h tr ngôn ng mi n phí dành ế ạ ế ệ ỗ ợ ữ ễ Other HMO) (TTY: 711). पर कॉल कर�। VIETNAMESE cho bạn. Gọi số 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). THAI เรียน: ถาค้ ุณพดภาษาไทยคู ุณสามารถใชบร้ ิการช่วยเหลือทางภาษาไดฟร้ ี โทร 1-800-431-9007 TAGALOG PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 KOREAN 있습니다. 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) 번으로 전화해 주십시오. ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար ARMENIAN կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք: 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). توجھ: اگر بھ زبان فارسی گفتگو می کنيد، تسھيالت زبانی بصورت رايگان برای شما PERSIAN فراھم می باشد. با (Jade, Sa pphire, Amber and HMO SNP) 1-800-431-9007 (All Other HMO) (TTY: 711) 4737-275-800-1 تماس بگيريد. ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны RUSSIAN бесплатные услуги перевода. Звоните 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711). 注意事項：日本語を話される場合、無料の言語支援をご利用いただけ JAPANESE ます。1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) まで、お電話にてご連絡ください。 تنبيھ: إذا كنت تتحدث العربية، فإن خدمات المساعدة اللغوية المجانية متاحة لك. ُيرجى االتصال بالرقم. ARABIC 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (ﻣﻜﺒﻼو ﻣﺼﻼ ﻓﺘﺎه ﻣﻘﺮ: 711). ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ� ਪੰ ਜਾਬੀ ਬੋਲਦੇ ਹੋ, ਤ拓 ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵ拓 PUNJABI ਿਬਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਿਕਰਪਾ ਕਰਕੇ 1-800-431-9007 (Jade, Sapphire, Amber and HMO SNP), 1-800-275-4737 (All Other HMO) (TTY: 711) ' ਤੇ ਕਾੱਲ ਕਰੋ। The pharmacy network and/or provider network may change at any time. You will receive notice when necessary. Health Net has a contract with Medicare and the California state Medicaid programs to offer HMO and HMO SNP plans. Enrollment in a Health Net Medicare Advantage plan depends on the renewal of these contracts. FLY014739EO00 (8/17)