Health Net California
ValueNet NG Health Insurance Plan with Dental & Vision
A plan summary of the Health Net California ValueNet NG Plan with Dental & Vision is detailed out below for both In Network and Out of Network coverage.
In Network |
Out of Network |
Copay |
$40 |
50% |
Office Visits |
$35 (Deductible waived for first 2 visits of any combination of professional services and preventive care); additional visits 35%
|
50% |
Annual Deductible |
Individual: $4,000 (Individual Only) |
Individual: $4,000 (Individual Only) |
Annual Out-Of-Pocket Limit |
Individual: $3,500 (Individual Only; Deductible not included) |
Individual: $7,000 (Individual Only; Deductible not included) |
Lifetime Maximum |
Unlimited |
Unlimited |
Prescription Drugs |
$10 Generic
|
Not Covered |
Laboratory & X-Ray |
35% |
50% |
Annual Physical Exam |
No Charge |
Not Covered |
Annual OB-GYN Exam |
No Charge |
Not Covered |
Well Baby Care |
No Charge |
Not Covered |
Outpatient Surgery |
35% |
50% |
Emergency Room |
35% |
50% |
Inpatient Hospital |
35% |
50% |
Ambulance |
35% |
50% |
Home Health Care |
35% |
50% |
Mental Health - Outpatient |
35% |
50% |
Chiropractic Care |
Not Covered |
Not Covered |
Acupuncture |
Not Covered |
Not Covered |
Mental Health - Inpatient |
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|
Chemical Dependency |
$100 per day (Detox Only) |
50% (Detox Only) |
Maternity Care |
Not Covered |
Not Covered |
To learn more about your individual and family California health insurance options, the price of each plan and/or a detailed benefit summary of the plans, visit us here.
NOTICE! Final rates and benefits are based on actual plan selection (including plan riders you may request) and the assignment of any rate adjustment factors due to the health plan's underwriting guidelines.
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