Health Net Health Net CommunityCare HMO Open Access Gold $30/$60/$6000/$500 AZ

Plan Information
Company Health Net of Arizona
State AZ
Metal Tier Gold
Plan Type HMO

Cost Sharing Benefits

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $0 Data Not Available
Deductible (Family) $0 Data Not Available
Coinsurance 30% Data Not Available
Out of Pocket Maximum (Individual) $6,000 Data Not Available
Out of Pocket Maximum (Family) $12,000 Data Not Available
Services In Network Out of Network
Primary Care Visit $30 Data Not Available
Specialist Visit $60 Data Not Available
In Patient Hospital Services $500 Copay per Day Data Not Available
Emergency Room Services $150 $150 copay
Mental / Behavioral Health $30 copay Data Not Available
Imaging (CT/PET Scans, MRIs) $250 copay Data Not Available
Rehabilitative Speech Therapy $30 copay Data Not Available
Rehabilitative Occupational & Physical Therapy $30 copay Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services $0 Data Not Available
X-ray and Diagnostic Imaging $60 copay Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $20
Preferred Brand Rx $50
Non Preferred Brand Rx $70
Specialty Drugs 30%

Other Plans

Other plans that are available in the state.

Plan Name
Health Net PPO Gold $25/$50/$1500
Health Net PPO Gold $25/$50/$2500
Health Net PPO Gold $25/$50/$500
Health Net PPO Platinum $15/$30/$1000
Health Net PPO Platinum $15/$30/$500
Health Net HSA PPO Silver 30%/30%/$1500
Health Net PPO Bronze 50%/50%/$5500
Health Net PPO Platinum $15/$30/$750
Health Net CommunityCare HMO Open Access Basic 0%/0%/$6350
Health Net CommunityCare HMO Open Access Gold $25/$50/$5000/$600
Health Net CommunityCare HMO Open Access Gold $30/$60/$6000/$500
Health Net CommunityCare HMO Open Access Gold $30/$60/$6000/$750
Health Net CommunityCare HMO Open Access Platinum $15/$30/$3000
Health Net CommunityCare HMO Open Access Platinum $20/$40/$2000
Health Net CommunityCare HMO Open Access Platinum $20/$40/$4000
Health Net CommunityCare HMO Open Access Silver $30/$50/$2000
Health Net CommunityCare HMO Open Access Silver $45/$65/$1500
Health Net CommunityCare HSA Open Access Bronze 40%/40%/$5000
Health Net CommunityCare HSA Open Access Bronze 40%/40%/$3500
Health Net CommunityCare HSA Open Access Silver 20%/20%/$2000
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This tool is for research purposes only. The numbers shown are estimates based on the information you have provided and our best efforts to provide accurate data. We try to keep the information up to date however we cannot make warranties about the accuracy of our information. We advise that users confirm any research with the respective health insurance companies and health exchanges.