Plan Materials
- Northern California – FEHB benefits brochure (pdf)
- Southern California – FEHB benefits brochure (pdf)
Download the PDF for your records or you can call 1-800-522-0088 to request a printed copy to be mailed to you.
Summary of Benefits and Coverage
Northern California
- High option – HMO (pdf)
- Standard option – HMO (pdf)
- Basic option – SmartCare HMO (pdf)
- Basic option for members with Medicare – SmartCare HMO (pdf)
Southern California
Pharmacy Benefits
Health Net plans give you generic, brand and specialty tier coverage. The easy-to-use pharmacy programs offer the convenience you want with the value you're looking for.
To determine the cost of a drug, use the formulary list below to identify the drug and the tier under which it is covered. Below are the copays by tier for each of the plans available. To view detailed cost information of a drug by plan option, please click on the Check Drug Cost & Coverage links under the second column below.
| Retail prescription drugs | (Generic/brand/non-formulary/specialty) |
|---|---|
| High option | $10/$35/$60/20% ($200 max) Check Drug Cost & Coverage |
| Standard option | $15/$35/$65/20% ($200 max) Check Drug Cost & Coverage |
| Basic option (Southern CA) | $15/$35/$65/20% Check Drug Cost & Coverage |
| Basic option (Northern CA) | $15/$30/$50/20% Check Drug Cost & Coverage |
| Mail order prescription drugs | (Generic/brand/non-formulary) |
|---|---|
| High option | $20/$70/$120 |
| Standard option | $30/$70/$130 |
| Basic option (Southern CA) | $30/$70/$130 |
| Basic option (Northern CA) | $30/$60/$100 |
Our drug lists are selected by Health Net, along with a team of health care providers. These drugs are included because they are believed to be a key part of a quality treatment program. The drug lists are updated regularly and may change.
Commercial Drug List
Maintenance Drugs (For members utilizing mail order)
A maintenance medication is a prescription drug taken regularly to manage chronic or long-term conditions such as high blood pressure, asthma, diabetes, or high cholesterol.
Other Information
- Smoking cessation benefits Zero copay and no dollar limits!
- Glossary of health coverage and medical terms (pdf)
- MinuteClinic locations (pdf)
Why Health Net?
Need Help?
Health Net Customer Support