PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Health Net
CMS Rating
Plan Type
HMO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$0 copay$0 copay$0 copay
Tier 2: Non-Preferred Generic$10 copay$10 copay$10 copay
Tier 3: Preferred Brand Name$45 copay$45 copay$45 copay
Tier 4: Non-Preferred Brand Name$95 copay$95 copay$95 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$0 copay$0 copay$0 copay
Tier 2: Non-Preferred Generic$30 copay$30 copay$20 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$90 copay
Tier 4: Non-Preferred Brand Name$285 copay$285 copay$238 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Health Net Gold Select (HMO) for California

/
MULL, JOHN
4425 SOUTH CENTRAL AVE
LOS ANGELES, CA 90011
BAHARI-NEJAD, PEJMAN
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
KASHANI, HOUMAN
747 WAREHOUSE ST
LOS ANGELES, CA 90021
BLEAKLEY, DENNIS
515 E. 5TH STREET
LOS ANGELES, CA 90021
GREGERSON, PAUL
515 E. 5TH ST
LOS ANGELES, CA 90021
PRESS, MICHAEL
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
EL-KHOUEIRY, ANTHONY
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
RUSSELL, CHRISTY
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
WANG, LINA
1500 SAN PABLO ST
LOS ANGELES, CA 90033
SHERROD, ANDY
1500 SAN PABLO ST
LOS ANGELES, CA 90033
NICHOLS, PETER
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
MARTIN, SUE
1500 SAN PABLO STREET
LOS ANGELES, CA 90039
LAI, ROSE
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
STREETER, OSCAR
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
O'CONNELL, CASEY
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
WANG, WILLIAM
2020 ZONAL AVE
LOS ANGELES, CA 90089
KAO, VINCENT
2020 ZONAL AVE
LOS ANGELES, CA 90089
ROTHMAN, ELLEN
5701 S HOOVER ST
LOS ANGELES, CA 90037
MONTENEGRO, ROMEO
231 W VERNON AVE
LOS ANGELES, CA 90037
ANAKWENZE, VICKI
5260 S FIGUEROA ST
LOS ANGELES, CA 90037
BOWEN, RICHARD
2400 S. FLOWER ST.
LOS ANGELES, CA 90007
GORDON, MARTIN
2400 S FLOWER ST
LOS ANGELES, CA 90007
MARDER, VICTOR
2400 S FLOWER ST
LOS ANGELES, CA 90007
ADAMS, LINDA
2400 S FLOWER ST
LOS ANGELES, CA 90007
LATTOS, WILLIAM
2400 S FLOWER ST
LOS ANGELES, CA 90007
Details
JOHN MULL, MD MPH
Phone Number
(323) 908-4219
Office Locations
4425 SOUTH CENTRAL AVE
LOS ANGELES, CA 90011
4425 SOUTH CENTRAL AVE LOS ANGELES CA, 90011

Community Q&A

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2 question
health net gold select out of pocket maximum is ?
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health net gold select out of pocket maximum is ?
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