California Health Insurance: Health Net Platinum 90 EPO

Health Net Platinum 90 EPO

In-Network

Cost Share Information 
Individual Deductible  $0
Family Deductible  $0
Out of Pocket Limit-Individual  $4,000
Out of Pocket Limit-Family  $8,000
Co-Insurance  10%
Lifetime Maximum  Unlimited
Office Visits 
Primary Care  $15
Specialist  $40
Adult Preventive Care  No Charge
Child Preventive Care  No Charge
Maternity Prenatal/Postnatal Care  No Charge
Rehabilitation Services  $15
Chiropractic Care  Not Covered 
Inpatient Services 
Inpatient Hospital 10%
Maternity Delivery/Inpatient  10%
Outpatient Services 
Outpatient Facility  10%  
Mental Health Outpatient  $15
Lab/X-Ray  $20/$40
Emergency Care 
Emergency Room  $150 (waived if admitted)
Urgent Care  $15 
Ambulance  $150 
Prescription Drugs 
Rx Deductible  N/A
Rx Generic  $5
Rx Preferred  $15
Rx Non-Preferred  $25
Recovery/ Special Needs 

Home Health Care

10%; 100 visits per year

Durable Medical Equipment  10%
 
Optional Benefits  None 

Complete Benefit Summary


If you you have questions about the Health Net Platinum 90 EPO plan or any other plans from Health Net of California please call The Lynn Company at (800)-326-5966 for more information on California Health Insurance Plans
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Please note that we cannot bind insurance via email, fax, or voicemail. Any quotes given are subject to underwriting guidelines by the respective insurance carriers. Any reference of coverage used are not intended to express legal opinion as to the nature of coverage, but rather just a brief generalization of coverages. Please read your policy for coverage details.
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