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As of 6:40 PM 08/20/14 All times are local (Market data is delayed by at least 15 minutes).
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Company Description

Contact Info

21650 Oxnard Street

Woodland Hills, CA 91367

United States

Phone: 818-676-6000

Fax:

ncluding a tiered provider option based on cost and quality, products tailored to targeted populations and networks organized in conjunction with a strategic provider partner. Its HMO ExcelCare product offers a network of HMO doctors, specialists, and hospitals in 10 counties in California. The company’s Salud Con Health Net product line is a suite of plans targeting the Latino community. In addition, it has developed tailored network products with strategic provider partners in California, Arizona, Oregon, and Washington. The company has developed customized products for key employer groups with a geographic distribution within a particular state. The company assumes both underwriting and administrative expense risk in return for the premium revenue that it receives from its HMO, POS, PPO, and EPO products. Arizona: The company’s Arizona health plan operations are conducted by its subsidiaries, such as Health Net of Arizona, Inc.; Health Net Access, Inc.; and Health Net Life Insurance Company (HNL). Its commercial membership in Arizona was 108,227, including 5,186 tailored network members as of December 31, 2013. The company’s Medicare Advantage membership in Arizona was 43,263. Its Medicaid membership in Arizona was 3,936. California: In California, the company’s health plan operations are conducted by its subsidiaries, such as Health Net of California, Inc. (HN California); Health Net Community Solutions, Inc. (HNCS); and HNL. HN California, its California HMO for commercial and Medicare Advantage programs, and HNCS, its California HMO for Medicaid programs, together constitute one of the primary HMOs in California as measured by total membership and together have one of the primary provider networks in California. The company’s commercial membership in California was 909,253, including 398,413 tailored network members as of December 31, 2013. Its Medicare Advantage membership in California was 153,151.Iits Medicaid membership in California was 1,112,677 members. Northwest: The Northwest includes the company’s Oregon and Washington health plan operations, which are conducted by its subsidiaries, such as Health Net Health Plan of Oregon, Inc. and HNL. Its commercial membership in Oregon was 53,808, including 3,258 tailored network members as of December 31, 2013. Its commercial membership in Washington was 13,915. The company’s Medicare Advantage membership in Oregon and Washington was 48,010. Medicare Products The company provides a range of Medicare products, including Medicare Advantage plans with and without prescription drug coverage and Medicare supplement products that supplement traditional fee-for-service Medicare coverage. Its subsidiaries have various contracts with the Centers for Medicare & Medicaid Services (CMS) under the Medicare Advantage program authorized under Title XVIII of the Social Security Act of 1935, as amended. The company provides prescription drug benefits as part of its Medicare Advantage plan offerings. Medicare Advantage Products As of December 31, 2013, the company operates as a Medicare Advantage contractor based on membership of 244,424 members. It contracts with CMS under the Medicare Advantage program to provide Medicare Advantage products directly to Medicare beneficiaries and through employer and union groups. The company provides or arranges health care benefits for services normally covered by Medicare, plus a range of health care benefits for services not covered by traditional Medicare, usually in exchange for a fixed monthly premium per member from CMS that varies by the county in which the member resides, demographic factors of the member, such as age, gender and institutionalized status, and the health status of the member. Any benefits that are not covered by Medicare might result in an additional monthly premium charged to the enrollee or through portions of payments received from CMS that might be allocated to these benefits, according to CMS regulations and guidance. The company’s portfolio of Medicare Advantage plans focuses on simplicity so that members could use benefits with minimal paperwork and receive coverage that starts immediately upon

 

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