Health Net

Rates / Plan Summaries Application Step-by-Step Directory Additional Benefits Forms Library

Rates / Plan Summaries

Health Net Territory

Southern California � San Diego, Imperial, Orange, Riverside, Los Angeles, Ventura, and San Bernardino Counties
Northern California � all other counties

Limited Underwriting Plans

Plan Summary

Application step-by-step

Step 1 � select a plan from the Rates & Plan Summaries Section above

Step 2 � print out the Health Net application from the Forms Library below and complete.
(to find a Health Net Doctor or Hospital please click here)

Step 3 � JOINER FORMS
print out and complete the CEA Joiner Forms from the Forms Library below.

Step 4 � Health Questionnaire
Please print out the Health Questionnaire from the Forms Library below.

Step 5 � PAYMENT METHOD
There are two options for payment:

Auto deduction directly from your checking account �
Fill out the BAIS Auto Deduction Form from the Forms Library below and attach a voided check
Receive a monthly bill and mail in payment
Prepare a check for the 1st months premium made payable to BA&IS (NOT VANTAGE!)

(Please be aware that if you choose the monthly billing method and your monthly premium payment does not reach the processing center by the due date your policy may be cancelled.)

Step 6 � CAFCC MEMBERSHIP

You must be a member of CAFCC (California Association for Family Child Care) in order to qualify for membership benefits.

If you are already a member, please proceed to Step 7.

If you are not a member please either:

Print out and complete the membership form from the Forms Library below
Click on the link to fill out an online application

CAFCC has a variety of membership plans in addition to discounts for members of a local Child Care Association or the National Association (NAFCC).

Applications are in both English and Spanish.

Step 7 � FINAL CHECKLIST AND MAILING��

Put the following documents in an envelope and mail to:

Vantage Business Support & Insurance Services
Attn: Child Care Program
2363 Mariner Square Dr., Ste. 240
Alameda, CA� 94501

Fax to 510-522-1906

Completed Health Net application
Health Questionnaire
Both Joiner Forms
Copy of Child Care License and Drivers license
Copy of CAFCC card or application for membership
Auto Pay Form and VOID check or 1st months payment�

Step 8 � Refer an Association member or friend

Don�t forget, that if you refer an Association Member or a friend for ANY of the products Vantage has to offer, and they become a client of Vantage, we will send you a $25 gift card to the establishment of your choice. Please click on the �Member Referral Form� from the Forms Library below. Complete it. Send it to us.

Doctor & Hospital Directory

Whether you visit your doctor regularly or rarely, building a relationship with a physician that you select is an important part of your health care. Each member of your family should have his/her own physician for preventive care, treatment of illness, and referral to a specialist when needed. Whether you're a new or long-time member, we encourage you to take this vital step and select a personal physician.
Doctor & Hospital Directory

Additional Health Net Member Benefits

Decision Power�: Your health, your time. Your choice.

Decision Power Health & Wellness is available to Health Net�members1 at no additional cost:

Talk to a Health Coach - a trained professional, such as a nurse, respiratory therapist, or dietitian, will support you for any and every health question, goal or situation. Ask about our intensive education programs for weight loss and smoking cessation.
Health Risk Questionnaire - with instant results and interactive features, this is your gateway to recommendations and resources based on your unique health profile. Powered by WebMD�.
Health Improvement Plans - make better choices for a healthier future with readings and planners for emotional health, exercise, nutrition, smoking cessation, stress management, and weight management. Powered by WebMD�.
Health Record - store, maintain, track and manage your health information in one centralized, private, and secure location. Powered by WebMD�.
Decision Power Healthy Discounts - save with discounts on weight loss solutions with Jenny Craig� and Weight Watchers�, and on other health and wellness products and services.
Decision Power Healthy Baby - watch our series of 5 prenatal education videos, with topics on exercise, nutrition, safety, and breastfeeding.
Log on for more information on Decision Power.

For our Health Net Medi-Cal, Healthy Families Program, AIM and Healthy Kids members, you can get the following health education programs and services at no cost to you:

Health education materials
Health education classes
Asthma and Diabetes-Be In Charge!SM disease management programs
Quit for Life� stop smoking program
Pregnancy Matters!SM pregnancy education and support program
Fit Families for Life-Be In Charge!SM weight control program
Kids and Teens Challenge incentive program

Call the Health Education Information Line at 1-800-804-6074 or log on for more information.