Health Net PPO Value

These two plans are considered mid-level plans that provide just the right amount of balance between premiums and your share of costs.

Health Net PPO Value 4500 and 7500 Plans

These two plans are considered mid-level plans that provide just the right amount of balance between premiums and your share of costs. These plans offer the lowest office visit copayments available by Health Net.Cigna health insurance
They include the no charge annual physical exams and they have a limitation to the number of office visits per calendar year to help keep premiums affordable. These plans are only available to individuals. No family rates apply. You can apply as a family but individual rates would apply. You can even turn your health plan into a "Plus" plan by adding on dental, vision and\or supplemental life insurance for an additional premium. The medical plan highlights for in-network services include:

 

Annual Deductible:

$4,500 or $7,500 per calendar year.
   

Out of Pocket Maximum:

$2,500 per calendar year.  Does not include the annual deductible.
   

Physician Visit:

$35 for first 2 visits (not subject to deductible) per calendar year, then you pay 40% coinsurance after the annual deductible for 3 or more visits.
   

Annual Routine Exam:

No Charge (pap smear, mammogram, psa, well baby etc).
   

X-Ray and Laboratory:

You pay 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Prescriptions:

$15 generic, $40 formulary brand, and $60 non formulary brand drugs. All brand drugs subject to a $2,500 annual brand drug deductible.
   

Emergency Room Services:

$100 per visit copayment (waived if admitted) then you pay 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Ambulance:

You pay 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Outpatient Surgery:

You pay $500 per surgery plus 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Inpatient Hospital:

You pay $500 per admission plus 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Maternity care in Hospital:

You pay $500 per admission plus 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Mental Health Visits:

For outpatient visits, you pay 40% coinsurance after the annual deductible up to the out of pocket maximum.  For inpatient visits, you pay $500 per admission plus 40% coinsurance after the annual deductible up to the out of pocket maximum.
   

Physical Therapy:

You pay 40% coinsurance after the annual deductible, limited to 12 visits maximum per calendar year.
   

Chiropractic:

Not Covered
   

Acupuncture:

Not Covered
   

Click here for Dental & Vision Summary Benefits and Supplemental Benefits

If you need assistance with individual and family plan options and enrollment, call us to day at
(800) 560-2443

 Apply Now

Get a Free, Instant Quote

Let us help you find the insurance that you or your family needs. Getting a health insurance quote will only take a few minutes.


insurance quotes

Other Popular Health Net Plans
Find a quick and affordable health insurance plan from us.

HealthNet HMO 40 NG

HealthNet HMO 50 Value

HealthNet PPO CFB

HealthNet PPO CFB HSA

HealthNet PPO Advantage

Health Care Shopping Tips