Overview

Most Wellcare By Health Net (Health Net) employer group and individual plan members obtain behavioral health and substance abuse services through Health Net. 

Health Net MA-only and MA-PD members who access behavioral health services do not need to contact their primary care physician (PCP), participating physician group (PPG) or attending physician to request a referral for behavioral health care or substance abuse services. Instead, Health Net MA-only and MA-PD members obtain these services directly through Health Net's extensive behavioral health and substance abuse network.

Health Net participating providers may also refer members for routine behavioral health services by calling Behavioral Health Provider Services.

Refer to the Schedule of Benefits or member's Evidence of Coverage for specific benefit information. 

For members on a Dual Special Needs Plan (D-SNP), their Medicare benefits are primary. D-SNP members also have Medi-Cal covered behavioral health benefits available through specialty Mental Health and Substance Use Disorder Services through Medi-Cal fee-for-service.