- Participating Physician Groups (PPG)
In order to meet customer demands for lower-priced health care alternatives, Health Net expanded its portfolio of HMO products to include the Health Net ExcelCare plan, formerly known as HMO Silver Network. This HMO offering provides all the same benefits as existing Health Net HMO plans, but members access these benefits through a select network of providers.
ExcelCare is offered in all or parts of Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco, Santa Clara, Stanislaus, and Ventura counties, and is comprised of selected participating physician groups (PPGs) in these counties contracting with Health Net for the HMO line of business. PPGs were chosen to participate based on meeting Health Net's criteria of cost efficiency for assigned membership.
PPGs do not need to modify existing administrative procedures to accommodate ExcelCare members. Members enrolled in a Health Net ExcelCare plan receive and access services in the same manner as other Health Net HMO members. For example, members must obtain most services through their selected ExcelCare primary care physician (PCP) or PPG.
Employer groups may purchase acupuncture and chiropractic riders as additions to the ExcelCare plan, with these services provided through American Specialty Health Plans, Inc. (ASH Plans). Further, as for other Health Net HMO members, behavioral health benefits are administered by MHN, Health Net's behavioral health subsidiary.
Members receive an ExcelCare identification (ID) card, as applicable, to enable providers to readily identify the member's Health Net plan.