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Health Net Pearl - Medicare Advantage PFFS Plans in Washington


For insurance options in other states Please enter your two letter state code
 
Health Net Pearl Option Plans
 

Thurston and Whatcom Counties

Health Net Pearl Option 1 - Option 9 - Option 11 (PDF)

King and Pierce Counties

Health Net Pearl Option 2 - Option 9 - Option 12 (PDF)

Benton, Island, Clallam, Kitsap, Kittitas, San Juan, Walla Walla, Spokane and Yakima Counties

Health Net Pearl Option 3 - Option 7 - Option 18 (PDF)

Franklin and Snohomish Counties

Health Net Pearl Option 3 - Option 7 - Option 18 (PDF)
Health Net Pearl Enrollment Form (PDF)

Pharmacy Locator
List of Covered Drugs (PDF)
CMS Informational Letter to Providers (PDF)
Provider Terms and Conditions (PDF)
 
Customer Service for Existing Members
Call Toll-free 1-800-845-8829
 
TTY 1-888-747-2424
 
(8:00 a.m. to 8:00 p.m., 7 days a week, including holidays)
 
(8:00 a.m. to 8:00 p.m., 7 days a week, including holidays)
 
Our office hours are:
Monday - Friday, 8 a.m. to 8 p.m., Local time Saturday, 8 a.m. to 3 p.m., Local time

Health Net

Health Net is one of the country's leading health care companies. Health Net has been creating innovative and reliable health plan options for Medicare beneficiaries for over a decade.

Pearl Plans

Health Net offers three Pearl Private Fee-For-Service (PFFS) Plans that allows you to go to any physician or hospital that accepts payment from Medicare in select counties in Oregon. PFFS plans work similar to the Original Medicare plan except the Provider bills Health Net instead of Medicare. Payments to medical care providers are paid according to the plan based on the Medicare approved amount allowed for services. You are responsible for copays and shared co-insurance amounts specified in the plan up to the specified plan out-of-pocket limit.

Why Health Net?

Another great reason to choose Health Net is because they have made it simpler to understand both your benefits and your costs. For many common services, they have a feature that eliminates deductible and co-insurance requirements. With Health Net, you're covered from your very first claim.

Please call 1-888-957-5001 for MedAdvantage information or literature.
Mon-Thur 9:00 am to 5:00 pm, Friday 9:00 am to 4:30 pm Pacific Time
First Choice Health Insurance Inc. - Your Authorized Agent

Mail all Requests and Applications to:
First Choice Health Insurance, Inc.
2000 West Harvard Ave. Suite 100
Roseburg, OR 97470

Medicare Advantage private fee-for-service (PFFS) plans are authorized by the Centers for Medicare & Medicaid Services (CMS). A PFFS plan is different than Original Medicare or an HMO, PPO, or Medicare supplement plan.

Private-Fee-For-Service Plans, (PFFS) Plans, give you the ability to choose your health care provider. However not all providers may accept the plan you choose, even Medicare providers may not accept the plan. If you choose one of these plans, it is very important that all the providers you choose know, before providing services to you, that you have this plan's coverage in place of Medicare. This gives your provider the right to choose whether or not to accept the plan's terms and conditions of payment for treating you. Providers have the right to decide if they will accept the plan each time they see you. This is why you must show your plan's ID card every time you visit a health care provider.

A provider may decide not to accept your plan's terms and conditions of payment. If this happens, you will need to find another provider that will. You may contact your plan for assistance locating another provider in your area willing to accept your plan's terms and conditions of payment.

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2000 West Harvard Ave. Suite 100, Roseburg, OR 97470 - 1-888-957-5001

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