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