Cover Page

Page numbers referenced within this brochure apply only to the printed brochure

Health Net of California

www.healthnet.com/fehb
800-522-0088

2023



IMPORTANT:
  • Rates
  • Changes for 2023
  • Summary of Benefits
A Health Maintenance Organization (High and Basic Options)

This plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 8 for details.  This plan is accredited.  See page 13

Serving: Northern California Service Areas

Enrollment in this plan is limited. You must live or work in our
geographic service area to enroll. See page 14 for requirements.

Enrollment codes for this Plan:

LB1 Northern CA High Option - Self Only
LB3 Northern CA High Option - Self Plus One
LB2 Northern CA High Option - Self and Family

T41 Northern CA Basic Option - Self Only
T43 Northern CA Basic Option - Self Plus One
T42 Northern CA Basic Option - Self and Family

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