Skip to Main Content

Search in HMO

The search's minimum of 4 and maximum of 60 characters. To search for information outside the provider manual or to find a specific provider communication by the assigned material number, use the search bar located at the top right corner of this page.

Please wait while we retrive the findings...

Search Results for:

Displaying 0 of 0 results...

HMO

Provider Type

  • Physicians
  • Participating Physician Groups (PPG)
  • Hospitals
  • Ancillary

Health Net's HMO plan is a delivery system that offers comprehensive health care, including preventive services. In return, the member is responsible for a copayment, which is a fixed dollar amount per service. Members are required to select a primary care physician (PCP) and a participating physician group (PPG) upon enrollment. Each family member may select a different PCP. The PCP is responsible for providing or coordinating all health care services. If a member requires services outside the PCP's scope of practice, the PCP refers the member to a specialist or other ancillary provider. Members who bypass their PCP risk loss of coverage for the services provided without the PCP's referral.

Last Updated: 07/01/2024