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Disclaimers

Read your Medicare Supplement Plan Policy very carefully

This website is only an outline describing your Medicare Supplement Plan Policy’s most important features. The Policy is your contract. You must read the Policy itself to understand all of the rights and duties of both you and HNL.


Thirty-day right to return the Medicare Supplement Plan Policy

If you find you are not satisfied with your Medicare Supplement Plan Policy, you may return it to HNL Medicare Supplement Plan at:

PO Box 2020
Farmington, MO 63640-9933
Attn.: Membership Accounting

If you send the Medicare Supplement Plan Policy back to us within 30 days after you receive it, we will treat the Contract as if it had never been issued and return all of your payments, less any payments made on claims.


Disclosures

This Policy may not fully cover all your medical costs. Neither HNL nor any of its agents are connected with Medicare. The Outline of Coverage does not give all the details of Medicare coverage. Contact your local Social Security offce or consult the Medicare Handbook for more details. For additional information concerning Policy benefits, contact the Health Insurance Counseling and Advocacy Program (HICAP) or your agent. Call the HICAP toll-free telephone number, 1-800-434-0222, for a referral to your local HICAP offce. HICAP is a service provided free of charge by the State of California.


Complete answers are very important

You do not need to answer questions about your medical and health history if you are applying for coverage during an open enrollment or guaranteed issue period.

When you fill out the application for an HNL Medicare Supplement plan, be sure to truthfully and completely answer all questions about your medical and health history. HNL may have the right to cancel your Medicare Supplement Plan Policy and refuse to pay any claims if you leave out or falsify important medical information. Review the application carefully before you sign it. Be certain that all information has been properly recorded.

 

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.