|
Plans and Providers
Health Plan Descriptions:
Health Net
Toll free: 1-800-327-0502,
Monday - Friday 7:30 A.M. - 7:00 P.M.
Se habla Español,
TDD: 1-800-995-0852.
Who Can Join Health Net?
Health Net is available to AIM-eligible pregnant women who live in the counties of:
| • Alameda |
• Kings |
• Los Angeles |
| • Orange |
• Sacramento |
• San Francisco |
| • Santa Clara |
• Santa Cruz |
• Sonoma |
| • Stanislaus |
• Tulare |
• Yolo |
And parts of the following counties:
| • Fresno |
• Placer |
• San Bernardino |
| • Kern |
• Riverside |
|
Plan Highlights
As one of the largest health plans in California, we offer quality medical care that's not only cost-effective, but also personal and convenient. Our business is taking care of you. Health Net offers the following benefits:
- Prenatal education program and screening, as well as dedicated Perinatal Care Manager nurses
- Emphasis on complete health care through a variety of unique wellness programs, screenings, classes and materials
- 24 hours a day, 7 days a week, multilingual Customer Service
- 24 hours nurse advice line
- Awarded the highest quality accreditation status of "excellent" by the National Committee for Quality Assurance (NCQA) for our HMO commercial product
Plan Providers
Health Net offers one of the largest provider networks in California. Statewide, our provider network offers community-based physicians, hospitals and pharmacies. Seminars offered at many physician groups focus on preventive care and offer members the opportunity to enhance and improve health and health awareness. For a list of Health Net physicians participating in the AIM Program, please call Health Net at
1-800-327-0502
or visit the AIM website at
www.aim.ca.gov
to view or print a listing of Health Net's providers who participate in the AIM Program.
How to Enroll
Once you have made the decision to choose Health Net, you will need to complete your AIM enrollment application. Write "Health Net" in the box marked "Choice of Health Plan."
If you know which Primary Care Provider (PCP) or medical group you would like to select, then write your selection in the "choice of Medical Group/Provider" box on the AIM application. If you do not select a PCP, Health Net will assign you one. If you need assistance with selection of a PCP, please call Health Net at
1-800-327-0502.
Once Accepted - Starting Care
Once you are enrolled, you will receive a Health Net member ID card and a packet of new member materials. We will call you to welcome you to the plan, answer any questions you may have, and help you start using your benefits immediately.
An OB/GYN or nurse midwife (if you prefer) will provide all of your prenatal care. Once you are enrolled with Health Net, you will choose a Primary Care Physician to coordinate any medical care you require that is not related to your pregnancy. You can call your Primary Care Physician for all your health care needs, wherever you are, 24 hours a day. You also have access to Health Net's 24-hour Member Services Department and 24-hour nurse advice line.
Emergency care is a covered benefit. In an emergency, call your Primary Care Physician if possible. He or she can help decide the best way to get treatment and can arrange for prompt emergency room care. If you have an emergency and it is not possible to contact your Primary Care Physician, call 911 or go to the nearest emergency room.
Important Information
If you have specific questions regarding providers or Health Net, call Health Net at
1-800-327-0502.
The information presented on this page is only a summary. For specific terms and conditions, please refer to Health Net's AIM Program Evidence of Coverage booklet.
|