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Medicare Supplement Optional Standard PPO Dental Plan

Optional Standard PPO Dental Plan

As an Individual Medicare Supplement plan member, you have the choice of enrolling in our Health Net Optional Standard PPO Dental Plan. The Optional Standard PPO Dental Plan is available for a monthly fee in addition to your medical plan and Medicare Part B premiums:

  • Optional Standard PPO Dental Plan - $19

 

Completed Optional Standard PPO Dental Plan applications can either be faxed to: 844-222-3180 or Mailed to: Health Net Life Insurance Company, P.O. Box 10420, Van Nuys, CA 91499-6208.

Health Net collects some private data about site visitors. Learn more about the data we collect or request your data be removed

Do Not Sell My Personal Information

DISCLAIMERS:

Health Net Life is soliciting to sell health insurance. A salesperson may call. Health Net Life is not connected with or endorsed by the U.S. Government or the Federal Medicare program. The Health Net Medicare Supplement plan is underwritten by Health Net Life Insurance Company. Health Net Life Insurance Company holds a Certificate of Authority in California and 48 other jurisdictions throughout the United States.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums, and/or co-payments/co-insurance may change on January 1 of each year.

Health Net Life complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak Spanish or Navajo, language assistance services, free of charge, are available to you. Call 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego) (TTY: TTY: 711).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego) (TTY: TTY: 711).

This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

Medicare beneficiaries may also enroll in Bridgeway Health Solutions through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.


Health Net collects some private data about site visitors. Learn more about the data we collect or request your data be removed

Do Not Sell My Personal Information

DISCLAIMERS:

Health Net Life is soliciting to sell health insurance. A salesperson may call. Health Net Life is not connected with or endorsed by the U.S. Government or the Federal Medicare program. The Health Net Medicare Supplement plan is underwritten by Health Net Life Insurance Company. Health Net Life Insurance Company holds a Certificate of Authority in California and 48 other jurisdictions throughout the United States.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums, and/or co-payments/co-insurance may change on January 1 of each year.

Health Net Life complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak Spanish or Navajo, language assistance services, free of charge, are available to you. Call 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego) (TTY: TTY: 711).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-855-464-3571 (Los Angeles), 1-855-464-3572 (San Diego) (TTY: TTY: 711).

This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

Medicare beneficiaries may also enroll in Bridgeway Health Solutions through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.