Health Net Identification Card
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
All Health Net members are issued a Health Net identification (ID) card. This card serves as identification for medical, prescription medication and vision coverage. It displays the effective date of coverage at the participating physician group (PPG) selected by the member, the subscriber ID number, the group number, the group's re-rate month, the office visit copayment, the emergency room copayment, and the Health Net plan code. In addition, the PPG's name, address and telephone number are displayed on the card. If the subscriber's employer offers optional prescription drug benefits, the ID card states "PLAN WITH PHARMACY."
Even when a valid ID card is presented to the PPG, hospital, or ancillary provider, the Eligibility Report (capitated PPGs and hospitals only) must be checked or the Health Net Provider Services Center must be contacted, as members may have terminated coverage or changed PPGs or plans after the card was issued.
The Health Net ID card should be carried by the member at all times, and must be presented to the PPG, hospital or ancillary provider when seeking medical services and at participating Health Net pharmacies when purchasing prescription medications. A member who has lost a Health Net ID card should be advised to call the Health Net Member Services Center to request a replacement card. If a member produces a valid Health Net ID card indicating eligibility at another PPG, before providing services, the PPG, hospital or ancillary provider should call the Health Net Provider Services Department to determine if the transfer was approved by Health Net. The date of the call and the name of the responding representative must be noted. The PPG, hospital and ancillary provider must take these steps to verify the member's eligibility in order to receive compensation for services provided.