Copayment Requirements

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)

The following information does not apply to individual family plans (IFP).

For most employer groups, an injectable medication copayment or coinsurance may need to be collected for self-injectable medications. Some employer groups that cover self-injectable medications require a copayment each time the injectable is administered by the participating provider. Some groups require a copayment per course of treatment up to a 30-day supply through a Health Net participating specialty or home infusion pharmacy provider. Refer to the Schedule of Benefits for plans that require copayments.