This plan is an HMO (Health Maintenance Organization), which gives you a list of doctors from which to choose a primary care physician (PCP). The PCP coordinates your care and refers you to specialists within your designated medical group. The plan covers only the cost of services authorized by your PCP. HMOs provide coverage for services outside of your medical group only in cases of emergency.
No plan changes for 2012
| 2012 Health Net HMO Plan Costs | |||||
|---|---|---|---|---|---|
| Pay Band (per annum) |
Self | Self + Child | Self + Adult | Family | |
| Under $48,000 |
Employee Cost | $79.27 |
$142.69 |
$213.10 |
$276.52 |
| UC Contribution | 539.99 | 971.98 | 1,087.35 | 1,519.34 | |
| $48,001 - $96,000 | Employee Cost | $115.32 | $207.58 | $295.40 | $387.66 |
| UC Contribution | 503.94 | 907.09 | 1,005.05 | 1,408.20 | |
| $96,001 to $144,000 | Employee Cost | $152.32 | $274.18 | $369.16 | $491.02 |
| UC Contribution | 466.94 | 840.49 | 931.29 | 1,304.84 | |
| $144,001 and above | Employee Cost | $190.63 | $343.14 | $445.58 | $598.09 |
| UC Contribution | 428.63 | 771.53 | 854.87 | 1,197.77 | |