small business group savings in socal with …...small business group savings in socal with health...

Health Net of California, Inc. and

Health Net Life Insurance Company (Health Net)

SMALL BUSINESS GROUP

Savings in SoCal with Health Net! SOUTHERN CALIFORNIA

Save money for your clients – collect a bonus for yourself! Health Net has the coverage and cost combinations that give your clients the value they want. In most cases, you can upgrade their network -- and still help them save!

But that’s not all – for any effective date through March 1, 2020, you’ll get a $100 bonus for each new member. That means a family of four = $400, family of five = $500, etc. There’s no limit!

Value-added convenience! 1

Doctor house calls in select urban areas. Doctors come to you!

Urgent care Primary/Preventive care

EnhancedCare PPO

PPO

HSP Not covered

HSP Not covered

Walk-in clinics for non-emergency illnesses and injuries. Preventive care also available. In California, MinuteClinic is

located inside freestanding retail CVS Pharmacy® stores.

Urgent care Primary/Preventive care

EnhancedCare PPO

PPO

HSP Not covered

HSP Not covered

Connects members to board-certified doctors via phone, 24 hours a day, 7 days a week.

(Continued)

Region 15 EAST LOS ANGELES

Q1 2020 PLATINUM METAL TIER SAVINGS WITH HEALTH NET HMO

Carrier Network Health Net Alternative Savings with Health Net

Aetna AWH SoCA WholeCare 3%

Blue Shield Trio WholeCare 4%

Aetna Basic WholeCare 5%

United Harmony WholeCare 3%

United Alliance WholeCare 10%

Anthem Priority Select WholeCare 17%

United Focus WholeCare 8%

Blue Shield Local Access+ WholeCare 15%

United Advantage WholeCare 14%

Anthem Select WholeCare 23%

Aetna AVN WholeCare 15%

Aetna HMO Deductible Full HMO Network 9%

United Signature Full HMO Network 10%

Blue Shield Access+ Full HMO Network 4%

Anthem CaliforniaCare (Full) WholeCare 17%

Kaiser Standard WholeCare 16%

Q1 2020 GOLD METAL TIER SAVINGS WITH HEALTH NET HMO


Aetna AWH SoCA Salud 9%

Blue Shield Trio Salud 17%

Aetna Basic Salud 11%






Anthem CaliforniaCare (Full) Full HMO Network 10%


Network provider count comparison2

Start quoting today!

Contact Ramona Shamoun, Senior Account Executive,

at 626-808-8725 for more details.

Full HMO Network = 18,780

WholeCare = 11,060

SmartCare = 7,957

Salud = 3,842

Top networks

WholeCare, Salud and PPO

Top plans

Salud Gold 35, Salud Platinum 10, Salud Platinum 30, PPO Gold 80

Region 16 WEST LOS ANGELES





Blue Shield Trio WholeCare 2%


United Alliance WholeCare 6%





Anthem Select Full HMO Network 4%







Aetna AWH SoCA Salud 11%

Aetna Basic Salud 13%

Blue Shield Trio Salud 10%

United Harmony Salud 3%








Contact Raul De La Nuez, Senior Account Executive,



WholeCare = 11,060

SmartCare = 7,957

Salud = 3,842

Top networks

WholeCare, Full HMO, and Salud

Top plans

WholeCare Gold 35, WholeCare Platinum 30, PPO Gold Value

Region 17INLAND EMPIRE

























Contact your Maura Zamarripa, Senior Account Executive,

at 909 553-2362 for more details.


WholeCare = 5,016

SmartCare = 4,131

Salud = 1,556

Top networks

WholeCare, Full HMO (if your clients need Riverside Physicians Network)

Top plans

WholeCare Gold 35, WholeCare Platinum 30, PPO Silver 70

Region 18ORANGE COUNTY



United Alliance SmartCare 14%

Anthem Priority Select SmartCare 20%

Blue Shield Trio SmartCare 9%

United Harmony SmartCare 2%

Aetna Basic SmartCare 15%

United Focus SmartCare 16%

Aetna AWH SoCA SmartCare 6%




Kaiser Standard Full HMO Network 1%



United Alliance SmartCare 5%

Anthem Priority Select SmartCare 13%

Blue Shield Trio SmartCare 2%

Aetna Basic SmartCare 2%

United Focus SmartCare 7%



Contact Tonda Moses, Account Executive,



WholeCare = 4,259

SmartCare = 2,844

Salud = 1,055

Top networks

Full HMO, SmartCare, and PPO

Top plans

WholeCare Gold 35, SmartCare Platinum 10, WholeCare Platinum 30,

Gold PPO 80

Region 19SAN DIEGO







Aetna HMO Deductible WholeCare 4%



Anthem CaliforniaCare (Full) Full 12%

Blue Shield Access+ Full 7%



United Focus Salud 4%






Note: Savings amounts are based on the price differences between select competitor plans and the recommended Health Net alternative. Steeper savings may be possible. Call to find out if your clients could save money by switching to Health Net. Fourth

quarter rates have been filed and are pending regulatory review. You can find the HMO rate filings for Health Net and competitors at https://wpso.dmhc.ca.gov/premiumratereview/searchratefilings.

1 MinuteClinic, Teladoc and Heal may not be available with all plans, networks and groups. See Sales Consultant or Account

Manager for details.

2 Combined primary care physician/specialist provider counts current as of 10/23/19 as shown in a Small Business Group county-

level query via ProviderSearch on www.healthnet.com. Region 15 and Region 16 is combined for Los Angeles County.


Contact Leticia M. Ruiz, Account Executive,



WholeCare = 5,016

SmartCare = 2,192

Salud = 2,163

Top networks

WholeCare, CommunityCare and Full HMO

Top plans

WholeCare Platinum 30, WholeCare Gold 35, CommunityCare Silver 50, PPO Gold 80, PPO Silver 70 2000/50

PLUS: Salud Platinum 30, Gold 35 in North County San Diego

https://wpso.dmhc.ca.gov/premiumratereview/searchratefilings



http://www.healthnet.com/

Health Net Underwriting Simplified FOUR PACKAGES GIVE YOUR CLIENTS FLEXIBILITY AND CHOICE

Sell HMO with 6! Sell Salud with 2! How it works:

6 active subscribers Mix and match any plans from the HMO networks Employer pays: Minimum of 50% of base plan monthly OR

Minimum of $100 per employee towards the employee-only rate

How it works:

2 active subscribers Mix and match any plans with the Salud HMO y Más network Employer pays: Minimum of 50% of base plan monthly OR


The employer may choose from all plans within the following networks:

• Full Network HMO • WholeCare HMO • SmartCare HMO • Salud HMO y Más • CommunityCare HMO Now with just 2 active subscribers, groups can add voluntary

dental and/or vision coverage! • NO DE 9C • NO Participation attestation • NO Prior carrier bill • NO Waivers

Note: The HMO Package is separate from the Enhanced

Choice A and B packages. New HMO sales only (no HSP, Full Network PPO or EnhancedCare PPO). No minimum participation. Conditions:

• Qualifying groups must meet the state and federal definition of a small employer.

• Excludes ancillary-only groups. • Prior health coverage is not required. • IFP is a valid waiver

Expires March 31, 2020.


• Salud HMO y Más Note: The Salud Package is separate from the Enhanced

Choice A and B packages. Only Salud plans are available with this package. Salud can be written alongside other carriers. No waivers need to be submitted for the Salud Package. Expires March 31, 2020.

Enhanced Choice A Enhanced Choice B

How it works:

1-5 eligible employees, 66% participation 6-100 eligible employees, 50% participation Employer pays: Minimum of 50% of base plan monthly OR


How it works:

1-5 eligible employees, 66% participation 6-100 eligible employees, 35% participation Employer pays: Minimum of 50% of base plan monthly OR



• Full Network HMO • WholeCare HMO • SmartCare HMO • Salud HMO y Más • CommunityCare HMO • PureCare HSP • Full Network PPO


• Full Network HMO • WholeCare HMO • SmartCare HMO • Salud HMO y Más • CommunityCare HMO • PureCare HSP • EnhancedCare PPO (in regions 15 and 16) • Full Network PPO Bronze

(12/19) Health Net HSP, HMO and Salud con Health Net HMO y Más plans are offered by Health Net of California, Inc. PPO insurance plans are underwritten by Health Net Life Insurance Company. Health Net of California, Inc. and Health Net Life Insurance Company are subsidiaries of Health Net, LLC. Health Net is a registered service mark of Health Net, LLC. All rights reserved.

small business group savings in socal with …...small business group savings in socal with health...

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