Health Net


HEALTH NET

We have made available Health Net plans on limited underwriting 
basis only. Please contact your VANTAGE professional for more
information (877-866-8277).

Step 1 BENEFITS AND RATES

RATES

Rates - Northern California

Rates - Southern California


PLAN SUMMARIES
Health Net HMO Plan 2L3

Health Net HMO Plan 91C

Health Net HMO Plan 91D

Health Net HMO Salud Plan 19R

Health Net PPO Plan 89H

Health Net PPO Plan 4C9

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Step 2 APPLICATION

Print Health Net application and complete form
In order to enroll you need to select a doctor within the network and fill in the PCP section in the application.

Click here to find Health Net Doctor

Step 3 JOINER FORMS

Click here to print forms and sign

Step 4 CAFCC

You must be a member of the CAFCC
(California Association for Family Child Care) for $20 a year.
If you are a member already proceed to next step.

If you are not a member, print out theCAFCC application English, CAFCC application Spanish complete and attach a $20 check made out to CAFCC.

Step 5 PAYMENT METHOD

There are two options for payment:          
Auto deduction directly from your checking account.

Receive a monthly bill and mail in payment.

If you would like auto deduction, please print out the AUTO PAY FORM and complete and prepare a VOID check.

For bill pay please complete a check for the first month's premium, made out to BA&IS (NOT VANTAGE!).
 

Step 6 FINAL CHECKLIST AND MAILING

Put the following into an envelope to mail to Vantage:

1. Completed application
2. Health Questionnaire
3. Both Joiner Forms
4. 1st month's pay OR auto pay form and VOID check
5. Copy of childcare license and driver's license
6. Copy of CAFCC card OR application with a $20 check

Mail to:

Vantage Business Support & Insurance Services
Attn: Childcare Program
2363 mariner Square Dr., Ste. 240
Alameda, CA 94501