Health Net of California

Oleg Skurskiy an Authorized Independent Agent


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Health Net Orange Rx - Rates & Application - 2012 Printable / Downloadable

Automatic Bank Draft (ABD) Form - Printable / Downloadable

Health Net Orange Drug Benefit Rx 2012

Questions about New Enrollment ? Call 1-818-654-4548 Oleg Skurskiy

Health Net Orange Option 1 Health Net Orange Option 2
Select your state below

Health Net Orange Rx Application - 2012 Printable / Downloadable


Health Net Orange Drug Benefit Rx 2012
Below information for California only.
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Colorado State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Texas State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Illinois State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 


Below information for Connecticut State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Arizona State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Oregon State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 

Below information for Nevada State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 


Below information for Ohio State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 


Below information for Georgia State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Orange option 2 


Below information for New Hampshire State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Value Orange Option 2 


Below information for Virginia State
Plan Name
Applications
Summary of Benefits
Evidence of Coverage
Health Net Orange option 1
Health Net Value Orange Option 2 
You also can fax complete application to Fax: (818) 776-9865

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Please do not call the number below if you are current member. We can not check on status or help you with you current membership unless you submitted the application to the address below.

We are licensed only in the states:

California, Colorado, Nevada, Arizona, Texas, Illinois, Ohio, Virginia, Georgia, Connecticut , New Hampshire, Oregon

Please do not send us the application out of the state above.

Oleg Skurskiy Authorized Independent Agent

New Enrollment Only Call (818)654-4548

Current members should call:

1-800-806-8811


(TTY/TDD 1-800-929-9955)

Customer Service Hours:
Sunday, Monday, Tuesday, Wednesday,
Thursday, Friday, Saturday,
8:00 a.m. - 8:00 p.m.

Prospective members should call

Oleg Skurskiy Authorized Independent Agent

Tel. 1-818-654-4548 or Fax. 1-818-776-9865

We are licensed only in the states: California, Colorado, Nevada, Arizona, Texas, Illinois, Ohio, Virginia, Georgia, Connecticut , New Hampshire and for all other select your state


(TTY/TDD 1-800-929-9955)

If you are outside of those state please select your state

ALL APPLICATION MAIL TO:

Oleg Skurskiy
18375 Ventura Blvd. # 226
Tarzana , CA 91356

You also can fax complete application to Fax: (818) 776-9865

 
We are licensed only in the states: California, Colorado, Nevada, Arizona, Texas, Illinois, Ohio, Virginia, Georgia, Connecticut , New Hampshire , Oregon and for all other select your state
Oleg Skurskiy Authorized Independent Agent for Health Net of California
 

 
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Select your State > California Colorado Texas Virginia Illinois Nevada Arizona

Other States

 
 
 
5 TIPS FOR CHOOSING A PRESCRIPTION DRUG PLAN
 
1. What is the monthly premium?
The monthly premium is the monthly cost you pay to join a prescription drug plan. Different
plans have different monthly premiums, so this is one of the factors you’ll want to consider
when choosing a plan. If you are purchasing a drug plan that is integrated with a Medicare
Advantage Plan, then your monthly premium is integrated into your monthly premium for the
Medicare Advantage plan you selected.
 
2. Is there a deductible or co-insurance requirement?
Co-insurance is a percentage of the cost of a prescription, while a deductible is the amount
you must pay yourself before your plan begins sharing the cost. Both vary from plan to plan
and affect your total out-of-pocket costs.
 
3. Review the formulary (drug list) Click Here to see the list
Look for the drugs you take to be sure they’re covered and compare the co-pays for them.
 
4. What percentage of the top 100 prescribed drugs are on the drug list?
In addition to reviewing the drug list for the drugs you are currently taking, you should also
compare how many of the top 100 commonly prescribed drugs are covered in case your doctor prescribes any of these for you in the future.
 
5. Where can you fill your prescriptions?
Different plans contract with different pharmacies, so you’ll want to be sure your pharmacy is in the plan you’re considering. And some plans may offer a mail-order option while others may not.
 


 
1 Plans that provide some form of coverage during the period when you typically would pay 100% of your drug costs are indicated by a "Generics", "Generics and Preferred Brands", "Generics and Brands" or "All Formulary Drugs" in the "Coverage in the Gap" column above. To view additional information about the type of coverage available during this period, please click the plan name in the table above and then click on "View Important Notes" in the window with the plan's information. If you personalize your search by entering your medications, the drug costs during the "coverage gap" will reflect this coverage.

 
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