2024 Health Net Medicare COB Group #58004B

This plan pays benefits when you receive care from your Health Net primary doctor and when your doctor refers you to a hospital or specialist in the Health Net network.  Most covered expenses are paid at 100%. You must choose a Primary Care Physician (PCP) from the network to coordinate all your services.

You will pay a copay for certain services.

While the COB plan is a type of Supplement plan it works more like an HMO plan. You must receive care from your PCP or within your PCP's medical group. You do not get benefits from this plan if you receive Non-emergency care outside the network. Emergency and urgent care is covered world wide by Health Net. If you obtain care outside the network, your benefits are limited to services covered by Medicare, and services must be provided by a doctor that accepts Medicare assignment. If your doctor does not accept Medicare assignment you may be responsible for the full payment.