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.

To visit the plan website, click here.

Monthly plan premium: $163
Deductible: $0
Out of pocket maximum: $3,400
Primary doctor copay: $5
Specialist copay: $10
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.