Northern California Network Comparison List

Commercial

Small Business Group Northern California

Network Comparison List

Effective January 1, 2017

Geoffrey Gomez, Health Net Keeping our members informed with all the latest plan updates.

Definition of Terms

Participating Physician Group (PPG) ? a group of physicians, who are organized as a legal entity, that has an agreement in effect with Health Net to provide medical care to Health Net members. They are sometimes referred to as a "contracting physician group" or "a medical group." An individual practice association may also be a physician group.

Primary Care Physician (PCP) ? a physician who coordinates and controls the delivery of covered services and supplies to the member. PCPs include general and family practitioners, internists, pediatricians, and obstetricians/ gynecologists.

Participating Hospitals ? A member's PCP may find it necessary to refer the member to a hospital for further care on either an inpatient or outpatient basis. The member will usually be hospitalized where the PCP has admitting privileges. Log in to providersearch for a list of hospitals where the PCP has admitting privileges. Note: The PCP must first be contacted for initial treatment and consultation before you receive any care or treatment through a hospital. Admission to, and treatment rendered by, any hospital must be authorized by your selected PCP. If you feel that you are experiencing an emergency, call 911 immediately or go to the nearest ER.

Full HMO Network ? Available in all or parts of Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn, Humboldt, Kern, Kings, Lake, Lassen, Los Angeles, Madera, Mariposa, Marin, Mendocino, Merced, Modoc, Monterey, Napa, Nevada, Orange, Placer, Plumas, Riverside, Sacramento, San Benito, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tulare, Tuolumne, Ventura, Yolo, and Yuba counties.

SmartCare HMO Network ? Available in all or parts of Los Angeles, Marin, Orange, Riverside, San Bernardino, San Diego, Santa Clara, and Santa Cruz counties.

ExcelCare HMO Network ? Available in all or parts of Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco, Santa Clara, Stanislaus, and Ventura counties.

Salud HMO y M?s Network ? Available in Orange County and select ZIP codes of Kern, Los Angeles, Riverside, San Diego, and San Bernardino counties.

Mendocino Lake

Colusa

Sut- Yuba ter

Nevada Placer

Yolo Sonoma Napa

Marin San Francisco

Solano

Contra Costa Alameda

El Dorado Sacra- Amador mento

Alpine

Calaveras

San Joaquin

Tuolumne

Stanislaus

Mariposa

San Mateo

Santa Clara

Merced

Madera

Santa Cruz

San Benito

Monterey

Fresno Kings

Mono Tulare

Nor Inyo thern California

San Luis Obispo

ParticipKearn ting

physician

groups

Alameda County

San Bernardino

Affinity Medical Santa Barbara

Ventura

Group

Los Angeles

Affinity Medical Group ? Alameda

Affinity MedicaOrlangGe roup ? Bay Riverside Valley

Affinity Medical Group ? Eden / San Leandro

Alta Bates Medical Group San Diego

Imperial

Hill Physicians Medical Group ? Alameda

Contra Costa County

Affinity Medical Group ? Rossmoor

Affinity Medical Group ? West County

Hill Physicians Medical Group ? Contra Costa

John Muir Physician Network

SEBMF ? Diablo Division

Sutter East Bay Medical Foundation

This listing is a

El Dorado County Marshall Center for Primary Care

general guide only and is subject to change. For an up-to-date listing,

Mercy Medical Group ? El Dorado Fresno County Healthy Hearts Medical Group DBA Orchard Medical Center Sante Community Physicians Madera County

please visit >

Charlie Mitchell Rural Health Clinic Sante Community Physicians Marin County

ProviderSearch.

Meritage Medical Network ? Marin

Merced County

AllCare IPA ? Merced

Sutter Gould Medical Foundation ? Los Banos

Napa County

Direct Network ? Napa

Meritage Medical Network ? Napa

Queen of the Valley Medical Associates

Nevada County

Nivano Physicians, Inc.

Placer County

Hill Physicians Medical Group ? Auburn

Nivano Physicians, Inc. ? Placer County

UC Davis Medical Group

Sacramento County

Hill Physicians Medical Group

Mercy Medical Group

Nivano Physicians, Inc. ? Sacramento County

Sutter Independent Physicians

Sutter Medical Group ? Sacramento/Placer Division

Full WholeCare SmartCare Salud HMO y M?s

(continued)

Northern California (continued)

Participating physician groups

Full

Sacramento County (cont.)

Sutter Medical Group ? Solano Division

UC Davis Medical Group

San Francisco County

Asian American Medical Group

Brown and Toland Medical Group

Hill Physicians Medical Group ? San Francisco

Hill Physicians Medical Group ? San Francisco / UCSF

San Joaquin County

Community Medical Centers ? Waterloo

Hill Physicians Medical Group ? San Joaquin

Omni IPA Medical Group, Inc. dba Medcore

Medical Group

Sutter Gould Medical Foundation ? San Joaquin

San Mateo County

PAMF-MPD/MPMG

Sequoia Physicians Network

Santa Clara County

Affinity Medical Group ? South Bay

Palo Alto Medical Foundation

PAMF ? Camino Site

Physicians Medical Group of San Jose

Santa Clara County IPA (SCCIPA)

Verity Medical Foundation

Santa Cruz County

PAMF ? Santa Cruz Site

Physicians Medical Group of Santa Cruz

Solano County

Hill Physicians Medical Group ? Solano

Sutter Medical Group ? Solano Division

Sonoma County

Meritage Medical Network ? Sonoma

SMGR ? Marin Headlands Medical Group

Sutter Medical Group of the Redwoods

Stanislaus County

AllCare IPA

Central Valley Medical Group

Emanuel Medical Group

First Choice Physician Partners

Sutter Gould Medical Foundation

Sutter Gould Medical Foundation ? Los Banos

Sutter Gould Medical Foundation ? San Joaquin

Yolo County

Sutter Medical Group ? Yolo Division

UC Davis Medical Group

Woodland Clinic ? Davis

Woodland Clinic Medical Group

WholeCare

SmartCare

Salud HMO y M?s

(continued)

Northern California (continued)

Important! This listing is a general guide only and is subject to change. It's important to note that PPGs and PCPs typically affiliate with specific hospitals. Please confirm that the PPG and/or PCP is affiliated with the hospital listed prior to selecting a PCP.

Participating hospitals

Full

Alameda County

Alameda Hospital

Alta Bates Summit Medical Center ? Summit Campus

Alta Bates Summit Medical Center ? Alta Bates

Campus/Herrick Campus

Children's Hospital ? Oakland

Eden Medical Center

San Leandro Hospital

St. Rose Hospital

Valley Memorial Hospital

ValleyCare Health System

Washington Hospital Healthcare

Contra Costa County

John Muir Medical Center ? Walnut Creek Campus

John Muir Medical Center ? Concord Campus

San Ramon Regional Medical Center

Sutter Delta Medical Center

El Dorado County

Marshall Medical Center

Fresno County

Adventist Medical Center ? Selma

Clovis Community Hospital

Coalinga Regional Medical Center

Community Regional Medical Center

Kings County

Adventist Medical Center ? Hanford

Madera County

Madera Community Hospital

Valley Children's Hospital

Marin County

Marin General Hospital

Novato Community Hospital

Merced County

Memorial Hospital Los Banos

Mercy Medical Center Merced

Mercy Medical Center Merced ? Dominican

Campus

Napa County

Queen of the Valley Medical Ctr

St. Helena Hospital

Nevada County

Sierra Nevada Memorial Hospital

Tahoe Forest Hospital

WholeCare

SmartCare

Salud HMO y M?s

(continued)

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