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Health Net Insurance

Health Net insures Californians, and Villa Healing Center treats them close to home. We work with Health Net plans and with MHN, its mental health division, for adults who need residential mental health treatment in Los Angeles County.

 

A California Insurer With Local Roots

Health Net has served California for more than four decades and was headquartered for many years in Woodland Hills, the same community as our facility. Since 2016 it has been owned by Centene Corporation, a national insurance group.

Most Health Net members live in California, and many are in the Los Angeles area. For them, treatment with us means no flights and no long separation from family.

MHN: Where Health Net Mental Health Requests Go

Health Net mental health treatment is managed by MHN, short for Managed Health Network. MHN is part of Health Net and may also appear on your paperwork as Health Net behavioral health.

MHN has its own phone line, usually printed on the back of your member card. Its clinicians decide whether residential care is approved and review progress during a stay. You can often contact MHN yourself, without going through your primary care doctor first.

Health Net Plan Types: PPO, HMO, EPO and HSP

Health Net sells four kinds of plan in California. The type matters more than anything else on your card.

Plan typeCan you choose a provider outside Health Net’s contracted list?What it means for a stay with us
PPOYes, at a higher share of costThe plan type we can most often help with
HMONo, except emergencies or with special approvalPossible only if MHN agrees to an exception
EPONo, except emergenciesSame as HMO
HSPNo, except emergenciesSame as HMO

Your plan type appears on the front of the card, often as part of the plan name.

If You Bought Health Net Through Covered California

Health Net offers both PPO and HMO plans on Covered California, the state marketplace. Two points often cause confusion:

  • The metal tier affects price, not what is covered. Bronze, Silver, Gold and Platinum plans cover the same categories of care. A higher tier means a higher monthly premium and a lower share of costs when you use care.
  • PPO or HMO still decides your choice of provider. A Gold HMO is more restrictive about where you go than a Bronze PPO.

If you receive extra cost reductions on a Silver plan, tell us. They can lower what you owe.

When an HMO Member Needs Residential Care

Having an HMO, EPO or HSP plan does not always close the door. California requires health plans to provide medically necessary mental health care within set time and distance limits. If a plan cannot offer a suitable program through its own contracted providers in time, it may have to arrange and pay for care elsewhere.

In practice, this is done through a one-time arrangement between MHN and a facility for a single patient, often called a single case agreement. MHN grants these case by case and they are never guaranteed. Our admissions team can request one when the clinical picture supports it.

Disputing a Health Net Decision in California

California gives members a strong right of appeal that many people never use.

  1. File a grievance with Health Net. The plan generally has 30 days to respond, or three days when the matter is urgent.
  2. Ask the state for an Independent Medical Review. If the denial stands, doctors who do not work for Health Net review your case. The review is free, and the plan must follow the result.

 

Which state office handles the review depends on your plan:

  • HMO, EPO and HSP plans: the Department of Managed Health Care, 1-888-466-2219
  • PPO plans issued by Health Net Life Insurance Company: the California Department of Insurance, 1-800-927-4357

We supply the clinical records and letters these reviews require.

Health Net Coverage We Do Not Work With

Health Net is one of the largest Medi-Cal plans in Los Angeles County and also sells Medicare plans under the Wellcare name. Villa Healing Center does not work with Medi-Cal or Medicare coverage of any kind. This page applies to Health Net plans obtained through an employer, Covered California or direct purchase.

 

Residential Care in the San Fernando Valley

Our house in Woodland Hills offers residential treatment in Los Angeles County for adults with depression, anxiety, trauma and related conditions. If you are unsure whether you need this level of support, these guides may help: signs you need residential treatment and residential treatment compared with psychiatric hospitalization. An overview of our approach is on the mental health treatment page.

 

Dr. Courtney Scott

Medical Director

Medical Reviewer

Clinically reviewed by Dr. Courtney Scott, MD, Medical Director at Villa Healing Center. Board-eligible in Emergency Medicine, Internal Medicine, and Addiction Medicine per Villa’s published clinical leadership profile. 
Read more about our team

Frequently Asked Questions

Does Villa Healing work with Health Net?

Yes. We work with Health Net PPO plans, and with HMO, EPO and HSP plans when MHN approves an exception. You can begin on our insurance verification page.

What is MHN insurance?

MHN is not separate insurance. It is the part of Health Net that manages mental health benefits, including approvals for residential care.

I have a Health Net HMO. Is there any point in calling?

Yes. We can ask MHN whether an exception is possible in your situation. If it is not, we will tell you and suggest other options.

Do you take Health Net Medi-Cal?

No. We do not work with Medi-Cal or Medicare plans from any insurer.

Does my Covered California metal tier change whether treatment is covered?

No. The tier changes what you pay, not which services are covered. Whether your plan is a PPO or an HMO has a greater effect.

Talk to Our Admissions Team About Your Health Net Plan

We are a short drive from most of Los Angeles. Call (888) 669-0661, tell us your plan type and member ID, and we will contact MHN on your behalf.