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PRISM - Health Net is Now Available Through Claremont!

Why Choose Health Net?
Lowest rates in the market – Affordable options without compromising quality.
Robust PPO network – Competes with major carriers like Anthem and Blue Shield.
Flexible HMO options – Networks to fit nearly every group statewide and every budget.
Simplified underwriting – Only 25% participation required for groups with 5+ enrolling. No DE9C or prior carrier bill needed.
Easy-to-sell benefits – $0 deductible HMO plans + four years of rate stability.
Nationwide coverage – Cigna network access for out-of-state employees + state plurality rules for group qualification.

Start Including Health Net in Your Quotes Today!
Need guidance on networks, plan designs, or have questions? We’re here to help!

Call us at 800.696.4543 | Email us at info@claremontcompanies.com.

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Covered CA

Does someone with income below 138% always qualify for Medi-Cal?

If the individual meets all the eligibility requirements. See pages 8-12 in the Eligibility for Individuals and Families participant guide.

If so, why are they included in Covered California premium assistance tables?

The tables apply to states that did not opt to expand Medicaid, hence Medicaid coverage is limited to those up to 100% of the federal poverty line.

Note: To qualify for Medi-Cal, an individual must meet both financial and non-financial criteria, such as citizenship and immigration requirements. For example, most individuals who are not citizens but are lawfully present in the United States are not eligible for Medicaid for the first five years that they are in the United States. Hence, the individual may be eligible for premium assistance and cost-sharing reductions.