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Doctor and Provider Network

  1. Log in to your account with your user name and password.
  2. Click on the ProviderSearch link.
  3. Your region and plan information will already appear.
  4. Narrow your search further by selecting type of provider, including:
    • Doctors
    • Urgent care and walk-in clinics
    • Hospitals
    • Medical groups
    • Other facilities
    • Ancillary services

HMO, EPO and Health Service Plan (HSP) members: 

You are only covered for health care services you get from inside the provider network.

In a medical emergency, go straight to the nearest hospital – It does not have to be in your plan's provider network. If you are admitted to a hospital because of an injury or life-threatening medical emergency, you (or someone acting for you) should notify your PCP as soon as reasonably possible.

PPO members:

With a PPO, you have the option of getting services "in" or "out" of your plan's network. Going outside of your plan's network may cost you more.

Medicare Advantage members:

In most HMO plans, members can only go to doctors, other health care providers or hospitals in the plan's network, except for:

  • Emergency care
  • Out-of-area urgent care
  • Out-of-area dialysis

If you get routine care from out-of-network providers, neither Medicare nor Health Net will pay for the costs.

In a PPO plan, you can use doctors, hospitals and other health care providers that belong to your plan's network, or you can get care from an out-of-network Medicare provider. It may cost you more to go out-of-network.

Your Coverage Document will provide detailed information regarding your plan benefits. To view your Coverage Document, log in to your account. If you don’t have an account, register now to view all your documents.

If you can't find this information, please Contact Us. We're happy to help!

You can view this information in one of two ways:

  • It will appear on your Health Net member ID card
  • This information is also available on the Member site

In order to view this information, you must be registered on our website, www.healthnet.com. Once you are logged in, your physician/medical group information is viewable on the main page.

Please note: Not all plans require an assigned PCP or medical group.

  1. Log in to your account with your user name and password
  2. You will see your member information. If you have access to other members on the policy, you can select their names from the drop-down list called "Viewing information for". The page will refresh with information for the member you selected

Here are some simple steps to take if you want to change your PCP:

  1. Log in to your account with your user name and password
  2. Go to ProviderSearch and select a new doctor, then click on View Details.
  3. Next, click on SET AS PCP

You can also change your PCP from your member home page. You'll need your new doctor's ID number. After logging in to your member account:

  1. Go to our member home page
  2. Click the pencil icon that appears next to MY DOCTOR information
  3. Enter your new doctor's ID number

If you are a PPO member, you can get care at any hospital, in or out of network, although you will pay more for out-of-network care.

For HMO, EPO and HSP members:

  1. Log in to your account with your user name and password
  2. Click on ProviderSearch
  3. Click on Change Provider Type below Doctor, and select Medical Group
  4. Enter the name of the medical group in the search field. (Your plan information will already be filled in.)
  5. Click Search. The Medical group detail page will display
  6. Scroll down to view this group's hospital affiliations

ProviderSearch is our online directory of all contracted physicians, hospitals and facilities. While ProviderSearch is updated daily, we suggest you contact the doctor you wish to see to verify that they participate in our network and that they are accepting new patients.