Health Net Medicare

Health Net Medicare Advantage Plans

Health Net offers several Medicare Advantage plans with and without prescription drug coverage options. Health Net also offers standalone prescription drug plans (Medicare Part D) that offer no additional medical benefits.

Anyone who is eligible for Medicare Part A and who is already enrolled in Medicare Part B is eligible to participate in the Health Net Medicare Advantage plans, provided that the participant lives within the plan’s service area. All enrollees must pay their Medicare Part B premiums while enrolled in a Health Net Medicare Advantage plan.

The Health Net Medicare Advantage plans use a network of health care providers. Enrollees must receive their health care services (including prescription drugs) from plan providers, except under very limited circumstances.

All Health Net Medicare Advantage plans are available to Medicare-eligible residents in designated areas of Cochise, Maricopa, Pima, Pinal and Santa Cruz counties. Participants in a Health Net Medicare Advantage plan may qualify to receive additional assistance from Medicare for prescription drug costs, based upon income guidelines. Depending upon your county of residence, your benefits under these plans may differ.

Health Net Amber Plan (HMO)

The Heath Net Amber Plan is intended for low-income residents. Generally, to qualify for coverage under the Health Net Amber Plan, you must also qualify to receive Medicaid assistance from the State of Arizona. The Amber Plan is administered in conjunction with Medicaid and provides services covered under Medicare Part A and Part B. The plan may require a premium in addition to your regular Medicare Part B premium, but features reduced co-pays for services. The amount of your premium under this plan is determined by your income. This plan includes prescription drug coverage but does not include “gap” coverage.

Health Net Ruby (HMO) Plans

The Health Net Ruby 1, Ruby 3, and Ruby 4plan provides services covered under Medicare Part A and Part B. These plans offer options for lower monthly premiums and higher co-pays, higher monthly premiums and lower co-pays, or no monthly premiums and annual deductibles. The Health Net Ruby plans all include prescription drug coverage benefits, however no Ruby plan provides “gap” benefits for prescription drugs.

Health Net Green (HMO)

The Health Net Green (HMO) provides services covered under Medicare Part A and Part B. The Health Net Green plan requires no monthly premium

Health Net Orange Plan

The Health Net Orange Plan offer two standalone prescription drug plan (PDP) options. Neither option offers any health care coverage under Medicare Part A or Medicare Part B. Prescription drug services under both options must be obtained through an in-network pharmacy under most circumstances.

The Orange Plan (Option 1) features a low monthly premium and a $310 deductible, which must be met before coverage begins; low prescription co-pays for generic drugs, and higher co-pays for both preferred and non-preferred drugs.

The Orange Plan (Option 2) requires a higher monthly premium but has no deductible The Option 2 plan offers a low prescription co-pay for generic drugs, and higher co-pays for both preferred and non-preferred drugs.

For more information about the Health Net Medicare Advantage plans, and to learn which plans may be best for your situation, please call (480) 706-1702.