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Last €51.57 EUR
Change Today -1.34 / -2.53%
Volume 0.0
FHS On Other Exchanges
New York
As of 3:11 PM 04/17/15 All times are local (Market data is delayed by at least 15 minutes).
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Company Description

Contact Info

21650 Oxnard Street

Woodland Hills, CA 91367

United States

Phone: 818-676-6000


Health Net, Inc., a managed care company, delivers managed health care services through health plans and government-sponsored managed care plans. The company provides and administers health benefits to approximately 5.3 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as ‘Part D’), Medicaid, and the U.S. Department of Defense (Department of Defense), including TRICARE, as well as Veterans Affairs programs. Through its subsidiaries, the company also offers behavioral health, substance abuse and employee assistance programs (EAPs), managed health care products related to prescription drugs, managed health care product coordination for multi-region employers, and administrative services for medical groups and self-funded benefits programs. Segments The company operates through two segments, Western Region Operations and Government Contracts. Western Region Operations segment This segment includes the operations of the company’s commercial, Medicare, and Medicaid health plans, as well as the operations of its health and life insurance companies primarily in Arizona, California, Oregon, and Washington; and certain operations of the company’s behavioral health and pharmaceutical services subsidiaries in various states, including Arizona, California, and Oregon. As of December 31, 2013, this segment had approximately 2.4 million risk members. Managed Health Care Operations The company offers a spectrum of managed health care products and services. Its health plans offer members coverage for a range of health care services, including ambulatory and outpatient physician care, hospital care, pharmacy, behavioral health, and ancillary diagnostic and therapeutic services. The company’s health plans include a matrix package, which allows employers and members to select their desired coverage from various alternatives. Its principal commercial health care products are as follows: Health Maintenance Organization (HMO) Plans: The company’s HMO plans offer benefits for a fixed fee or premium that does not vary with the extent or frequency of medical services actually received by the member. It offers HMO plans with differing benefit designs and varying levels of co-payments at different premium rates. These plans are offered through contracts with participating network physicians, hospitals, and other providers. Primary care physicians (PCPs) are family practitioners, general practitioners or pediatricians who provide necessary preventive and primary medical care, and are responsible for coordinating other necessary health care services, including making referrals to participating network specialists. In California, participating providers are contracted through medical groups and independent physician associations. In those cases, enrollees in HMO plans are required to secure specialty professional services from physicians in the group, as long as such services are available from group physicians. A majority of its California membership is in HMO plans. Preferred Provider Organization (PPO) Plans: The company’s PPO plans offer coverage for services received from any health care provider, with benefits paid at a higher level when care is received from a participating network provider. Coverage is subject to deductibles and co-payments or coinsurance. Point of Service (POS) Plans: The company’s POS plans blend the characteristics of HMO, PPO, and indemnity plans. Members could have HMO-style benefits for services received from participating network providers with lower co-payments (primarily within the medical group), and also have coverage, at higher co-payment or coinsurance levels, for services received outside the network. Exclusive Provider Organization (EPO) Plans: The company’s EPO plans behave much like a traditional HMO plan. Members must select a PCP, and the PCP coordinates care. There are no referrals for specialty care and no out of network benefits other than emergency care. The company offers tailored network HMO products throughout this segment. These networks are structured in various ways, i


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