833.648.2089

Enrollment Applications

  1.  CSMT Enrollment Form - 2022

Benefit Summaries

  1.  HealthNet HMO – SmartCare HS8
  2.  HealthNet HMO – SmartCare HSC
  3.  HealthNet HMO – SmartCare HSF
  4.  HealthNet HMO – SmartCare HSJ
  5.  HealthNet HMO – Full Network HSS
  6.  HealthNet HMO – Full Network HSV
  7.  HealthNet HMO – Salud Y Mas HUG
  8.  HealthNet HMO – Salud Y Mas HUV
  9.  HealthNet HMO – ExcelCare HVH
  10.  HealthNet HMO – ExcelCare HVN
  11.  HealthNet PPO – ExcelCare HVP
  12.  HealthNet PPO – ExcelCare HVT
  13.  HealthNet PPO – HX5
  14.  HealthNet PPO – HX6
  15.  HealthNet PPO/HSA – HXH
  16.  HealthNet PPO/HSA – HXL
  1.  MetLife HMO High – Dental (MET 85)
  2.  MetLife HMO Low – Dental (MET 185)
  3.  MetLife PPO High – Dental
  4.  MetLife PPO Low – Dental
  1.  MetLife High Option – Vision
  2.  MetLife Low Option – Vision

 

  1.  Spanish HealthNet HMO – SmartCare HS8
  2.  Spanish  HealthNet HMO – SmartCare HSC
  3.  Spanish HealthNet HMO – SmartCare HSF
  4.  Spanish HealthNet HMO – SmartCare HSJ
  5.  Spanish  HealthNet HMO – Full Network HSS
  6.  Spanish  HealthNet HMO – Full Network HSV
  7.  Spanish HealthNet HMO – Salud Y Mas HUG
  8.  Spanish HealthNet HMO – Salud Y Mas HUV
  9.  Spanish HealthNet HMO – ExcelCare HVH
  10.  Spanish HealthNet HMO – ExcelCare HVN
  11.  Spanish HealthNet HMO – ExcelCare HVP
  12.  Spanish HealthNet HMO – ExcelCare HVT
  13.  Spanish HealthNet PPO – HX5
  14.  Spanish HealthNet PPO – HX6
  15.  Spanish HealthNet PPO/HSA – HXH
  16.  Spanish HealthNet PPO/HSA – HXL
  1.  Spanish MetLife HMO High – Dental (MET 85)
  2.  Spanish  MetLife HMO Low – Dental (MET 185)
  3.  Spanish MetLife PPO High – Dental
  4.  Spanish MetLife PPO Low – Dental
  1.  Spanish MetLife High Option – Vision
  2.  Spanish MetLife Low Option – Vision

COMPLIANCE

Your Rights and Protection Against Surprise Medical Bills