2018 Health Net Aqua (PPO) H5439-10-0 in OR from Health Net | HealthPocket

Health Net Aqua (PPO)


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Zip Code97229
Applicant10/18/1983 Male
Coverage Start10/21/2018
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Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderHealth Net
Plan IDH5439-10-0
Plan Year2018
CMS RatingNot Rated
Plan TypePPO
Annual Deductible$0.00

What To Know About This Plan
  • This is a health coverage only plan with no drug coverage
  • This plan is available for 2019. see plan

Costs and Other Important Information

Plan Year2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$45

Coverage Area for Health Net Aqua (PPO)


Staying healthy - screenings, tests and vaccines

Breast cancer screeningNot Rated
Colorectal cancer screening
Annual flu vaccineNot Rated
Improving or maintaining physical healthNot Rated
Improving or maintaining mental healthNot Rated
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care managementNot Rated
Care for older adults – medication reviewNot Rated
Care for older adults – functional status assessmentNot Rated
Care for older adults – Pain screeningNot Rated
Osteoporosis management in women who had a fractureNot Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoringNot Rated
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis managementNot Rated
Reducing the risk of fallingNot Rated
Plan all-cause readmissionsNot Rated

Member Experience with Health Plan

Getting needed care
Getting appointments and care quicklyNot Rated
Customer serviceNot Rated
Overall rating of health care qualityNot Rated
Overall rating of planNot Rated
Care CoordinationNot Rated

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health planNot Rated
Members choosing to leave the health planNot Rated
Beneficiary access and performance problemsNot Rated
Health plan quality improvementNot Rated

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisionsNot Rated
Call center – foreign language interpreter and TTY/TDD availability - MedicalNot Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - DrugsNot Rated
Appeals auto-forwardNot Rated
Appeals upheldNot Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug planNot Rated
Members choosing to leave the drug planNot Rated
Beneficiary access and performance problemsNot Rated
Drug plan quality improvementNot Rated

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugsNot Rated

Drug Pricing and Patient Safety

MPF Price AccuracyNot Rated
High risk medicationNot Rated
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physicians that accept Health Net Aqua (PPO) for Oregon

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Dorrington, Michael
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Miller, Jewel
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Kakodkar, Swati
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Barich, Frank
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Blievernicht, Matthew
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Pena, Angeles
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Gillingham, Todd
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Crihfield, Kimberly
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Barlow, Robert
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Barry, Harold
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Simas, Gilbert
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Hardebeck, Laura
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Geddes, Gary
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Krisciunas, Vic
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Lutfi, Eman
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Doshi, Heena
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Finn, Katherine
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Mcilraith, Marlo
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Dalmia, Lopa
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Hankenson, Lori
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Chiang, Lydia
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Samagh, Gunjeet
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Losli, Steve
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Michael Dorrington, DPT
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  • Phone Number
    (503) 443-6156
  • Office Locations
    4876 Nw Bethany Blvd
    Portland, OR 97229
4876 Nw Bethany Blvd Portland OR, 97229

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