Health Net® Healthy Heart 1 (HMO) 2016
This is a Medicare Advantage HMO plan underwritten by Health Net. This plan includes a prescription drug plan. It provides a wide range of lifestyle benefits and programs to help reduce the risk of cardiovascular disease and stroke so you can live a long, heart-healthy life. This plan includes medical and Part D prescription coverage.
|Monthly plan premium:||$163|
|Out of pocket maximum:||$3,400|
|Primary doctor copay:||$5|
|Inpatient hospital visits (per day, admission):||$275 per Medicare covered stay|
|No copay for many health screening and preventive services|
|Preferred generic drug copay:||$5|
|Non-preferred generic drug copay:||$15|
|Large pharmacy network|
|Routine foot care copay||$10 per Medicare-covered visit|
|Routine hearing exam copay||$0|
|Hospital||Memorial Medical Center|
|Sutter Medical Network||Yes|
Health Net Healthy Heart 1 is an HMO plan with a Medicare contract. Enrollment in Health Net Healthy Heart 1 depends on contract renewal.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.
CVMG, through Sutter Gould Medical Foundation, is a contracted provider with Health Net. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Other providers are available in these plans’ networks. Other providers are available in the Health Net network.