Terms and Conditions
Terms and Conditions of Use Agreement
This Terms and Conditions of Use Agreement ("Agreement") is a legal agreement between you and Health Net, LLC ("Health Net" or "we") governing your use of this Web site (the "site").
YOUR USE OF THIS SITE IS SUBJECT TO THE TERMS AND CONDITIONS OF THIS AGREEMENT. BY ACCESSING, USING AND/OR VIEWING OUR SITE, YOU HEREBY AGREE TO BE BOUND BY THE TERMS OF THIS AGREEMENT. IF YOU DO NOT AGREE TO THESE TERMS AND CONDITIONS, YOU MUST EXIT THIS SITE.
We may revise the information on the site or otherwise change or update the site, including this Agreement. If we make changes to this Agreement, we will use reasonable efforts to post such changes before they become effective and to specify the date they will become effective. In the absence of any specific date being provided, the changes are effective immediately. A current version of this Agreement showing the effective date is always available at this location. We encourage you to periodically read this Agreement to see if there have been any changes to our policies that may affect you. Health Net may also make improvements and/or changes in products and/or services described on this site or add new features at any time without notice. Your continued use of the site will signify your continued agreement to this Agreement as it may be revised.
CHILDREN UNDER THE AGE OF THIRTEEN (13) ARE PROHIBITED FROM USING ANY HEALTH NET SITE. BY USING THIS SITE, YOU REPRESENT THAT YOU ARE OVER THE AGE OF 13. Parents or legal guardians who allow a minor child to access www.healthnet.com or any of the services or information offered or through the site hereby agree that the parent or legal guardian shall be solely responsible for: (a) the online conduct of such minor; (b) monitoring such minor's access to and use of the site; and (c) the consequences of any use of the site by such minor.
Website Access; Prohibited Activities
Provided that you are over the age of thirteen (13), we hereby grant you a personal, non-exclusive, non-transferable, revocable license to access our site and the information contained within the site.
The site contains software tools and databases that allow you to search and retrieve information. You may not gain unauthorized access to the site, to other users' accounts, names or personally identifiable information, or to other computers or websites connected or linked to the site. You may not send or otherwise transmit to or through this site chain letters, unsolicited messages, so-called "spamming" or "phishing" messages, or messages marketing or advertising goods and services.
You may use our services for lawful purposes only. You may not use our services to post, transmit or otherwise distribute unlawful material. Examples of unlawful material include, but are not limited to, threats of physical harm, defamatory statements, pornographic material, and copyrighted, trademarked, and other proprietary material used without proper authorization. You may not post, transmit or otherwise make available any virus, worm, spyware or any other computer code, file or program that may or is intended to damage or hijack the operation of any hardware, software or telecommunications equipment. You may not "flood" or disrupt our site through any means or process such as launching or using any automated system, including but not limited to, "robots," "spiders," or "offline readers." You may not misrepresent your identity or affiliation in any way. You may not restrict, discourage or inhibit any person from using the site, disclose personal information about other individuals on the site or obtained from the site or collect information about users of this site. You may not reverse engineer, disassemble or decompile any section or technology on the site, or attempt to do any of the foregoing. You are responsible for all use of our services and the site, with or without your consent, by yourself and others, which occurs by, through, or in connection with access to the site via your computer.
No Fees For this Site
Health Net does not charge you any fees for using its site, but you may incur charges from your online service provider and/or telephone or cable companies.
You are not obligated to register with Health Net in order to access this site. However, certain sections and features of this site are available only to Health Net members, brokers, providers and employers ("Registered Users"). If you are a Registered User, you agree to accurately maintain and update any information about yourself that you have provided to Health Net. You also agree to promptly notify us of any unauthorized use of your username, password or any other breach of security that you become aware of involving or relating to this site.
Health Net may offer users certain interactive features through the site from time to time. Interactive features may include the submission of commentary, feedback or other communications or materials by you and other users ("User Submissions"). You agree, represent and warrant that any User Submission is (a) truthful, accurate, and not misleading, (b) offered in good faith, and (c) that you have the right to transmit such information.
Members may use this site to view certain information from their Health Net history ("Health Net History") including, but not limited to, their medical claim history and prescription drug history.
Copyright, Trademarks & Trade Dress
All content included on the site, including but not limited to, any text, graphics and interactive features and any trademarks, service marks and logos contained therein (collectively "Materials") are owned by or licensed to Health Net, subject to copyright, trademark and other intellectual property rights under United States and foreign laws and international conventions.
Health Net® and Decision PowerSM are registered service marks of Health Net, LLC and all rights are reserved. Members may have access to Decision PowerSM through their current enrollment with many Health Net companies. In Arizona, benefits are underwritten and/or administered by Health Net of Arizona, Inc., for HMO plans and Health Net Life Insurance Company for indemnity plans and life insurance coverage. The Health Net of Arizona, Inc. service area includes all Arizona counties. Health Net, LLC is the parent company of both Health Net of Arizona, Inc. and Health Net Life Insurance Company.
No Materials from the site may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any way without written permission of the rights owner, except that you may use information purposely made available by Heath Net for downloading from this Site, provided that you (1) keep intact all copyright and other proprietary notices, (2) use such information only for your personal, non-commercial informational purpose and do not copy or post such information on any networked computer or broadcast it in any media, (3) make no modifications to any such information, and (4) do not make any additional representations or warranties relating to such information. You agree not to circumvent, disable, or otherwise interfere with security related features of this Site or features that prevent or restrict use or copying of any Materials or content.
Modification of any Materials or use of any Materials for any other purpose is a violation of the copyrights and other proprietary rights of Health Net, or of other entities or persons where so indicated, unless Health Net or the owner has provided said Material for such express purpose. Permission for all other uses of Materials contained herein, including reproducing and distributing multiple copies or using Materials on any other website or networked computer or linking to any page at this site except the "home page" (http://www.healthnet.com), must be obtained from Health Net or the appropriate rights owner in advance; otherwise, such use is prohibited. Requests for such authorization from Health Net should be submitted via an email to WCOE@healthnet.com. All design rights, databases and compilation and other intellectual property rights associated with this Site, in each case whether registered or unregistered, and related goodwill, are proprietary to Health Net.
Third Party Content/Links
As you view the site, you may notice links to third-party websites. If you use these links, you will leave this site. Certain of these linked websites may make use of Health Net proprietary intellectual property rights (such as copyrights, trademarks, service marks, logos and trade names) under license from Health Net. Health Net is not responsible for the availability or content of these other websites or for any viruses or other damaging elements encountered in linking to a third-party website. In addition, providing links to these websites should not be interpreted as endorsement or approval by Health Net of the organizations sponsoring such third-party websites or their products or services. This Agreement does not apply to any other websites.
Our site contains various types of information originating from ourselves or third parties, including outside vendors that provide health-related information or goods and services. The site provides information about health issues designed to help users make better decisions. But medical information is not the same as medical advice. Although we go to great lengths to make sure our information is accurate and useful, we urge you to consult a physician if you want professional assurance that our information, and your interpretation of our information, is appropriate to your particular situation.
AS THE USER OF THIS SITE, YOU ASSUME FULL RISK AND RESPONSIBILITY FOR ANY AND ALL USE OF THIS SITE, INCLUDING THE INFORMATION PRESENTED ON THE SITE. THE SITE IS INTENDED TO BE A GENERAL INFORMATION RESOURCE ONLY AND DOES NOT CONSTITUTE MEDICAL ADVICE AND IS NOT A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE OR TREATMENT. YOU ARE RESPONSIBLE FOR SEEKING PROFESSIONAL MEDICAL ADVICE IF YOU HAVE ANY QUESTIONS ABOUT YOUR HEALTH OR A HEALTH CONDITION. YOU AGREE TO HOLD HEALTH NET AND ITS AFFILIATES HARMLESS FROM ANY AND ALL CLAIMS RELATING TO YOUR USE OF, YOUR RELIANCE UPON, OR ERRORS OR OMISSIONS IN, INFORMATION FOUND ON THIS SITE.
THE SERVICES, INFORMATION AND FUNCTIONS CONTAINED ON OUR SITE ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND. WE EXPRESSLY DISCLAIM ANY AND ALL REPRESENTATIONS AND WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF ACCURACY, COMPLETENESS, NON-INFRINGEMENT, MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE OR PURPOSE, CONCERNING OUR SERVICES OR THE ADEQUACY, ACCURACY OR COMPLETENESS OF THE INFORMATION OR SERVICES INCLUDED ON OUR SITE, THAT THE SERVICES WILL BE UNINTERRUPTED OR ERROR-FREE, THAT DEFECTS WILL BE CORRECTED OR THAT THIS SITE OR THE SERVER THAT MAKES IT AVAILABLE ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. WE EXPRESSLY DISCLAIM LIABILITY FOR ERRORS IN OR OMISSIONS FROM SERVICES, INFORMATION, OR MATERIALS, INCLUDING HEALTH-RECORD HISTORIES, PRESCRIPTION AND NONPRESCRIPTION DRUG PURCHASE HISTORIES, OR PRESCRIPTION REFILL INFORMATION. WE ARE NOT RESPONSIBLE FOR THE CONTENT OF ANY LINKED WEBSITE OR ANY LINK CONTAINED IN A LINKED WEBSITE, EXCEPT TO THE EXTENT THAT SUCH WEBSITE OR LINK IS OWNED AND OPERATED BY HEALTH NET OR ITS AFFILIATE(S).
Limitation of Liability
Use of our services is at your own risk. With regard to outside vendors and information providers, we do not endorse, or otherwise recommend or approve any product or information located on or available through our site. We do not own or control other networks, sites, or hyperlinked sites outside of our own site, including the outside vendors accessed through our site.
We have made reasonable efforts to validate that our lists of participating providers displayed are up to date and accurate. However, the continued participation of any one physician, hospital or other provider cannot be guaranteed. Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of our network. EXCEPT WHERE LAW PROVIDES OTHERWISE, WE WILL NOT BE LIABLE TO YOU OR ANYONE ELSE FOR ANY HARM TO YOU OR OTHERS RESULTING FROM THE USE OF OUR SITE AND/OR THE PRODUCTS AND SERVICES PROVIDED THROUGH OUR SITE. TO THE MAXIMUM EXTENT PERMITTED BY LAW, IN NO EVENT WILL WE BE LIABLE TO YOU OR ANYONE ELSE FOR ANY SPECIAL, INCIDENTAL, DIRECT, INDIRECT, CONSEQUENTIAL OR PUNITIVE DAMAGES WHATSOEVER, INCLUDING, WITHOUT LIMITATION, DAMAGES FOR PERSONAL INJURY, WRONGFUL DEATH, LOSS OF REVENUE, BUSINESS INTERRUPTION, LOSS OF BUSINESS INFORMATION OR ANY OTHER PECUNIARY LOSS, LOSS OF TECHNOLOGY, LOSS OF RIGHTS OR SERVICES, LOSS OF DATA, INTERRUPTION OR LOSS OF USE OF ANY EQUIPMENT, MENTAL ANGUISH, EMOTIONAL DISTRESS, OR INVASION OF PRIVACY, ARISING OUT OF THE USE OF OR INABILITY TO USE OUR SITE AND/OR THE PRODUCTS AND SERVICES PROVIDED THROUGH OUR SITE, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, WHETHER UNDER THEORY OF CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY, OR OTHERWISE.
EXCEPT WHERE LAW PROVIDES OTHERWISE, WE ARE NOT RESPONSIBLE OR LIABLE FOR THE ACTS OR OMISSIONS OF OUTSIDE VENDORS OR INFORMATION PROVIDERS, OR FOR PERFORMANCE (OR NON-PERFORMANCE) WITHIN OUTSIDE NETWORKS OR INTERCONNECTION POINTS BETWEEN OUR SITE AND OTHER NETWORKS AND/OR SITES THAT ARE OPERATED BY THIRD PARTIES. WE ALSO MAKE NO REPRESENTATION REGARDING YOUR ABILITY TO TRANSMIT AND RECEIVE INFORMATION FROM OR THROUGH OUR SITE, AND YOU AGREE AND ACKNOWLEDGE THAT AT TIMES YOUR ABILITY TO ACCESS OUR SITE MAY BE IMPAIRED OR DISRUPTED. ALTHOUGH WE WILL USE COMMERCIALLY REASONABLE EFFORTS TO TAKE ANY ACTION WE CONSIDER APPROPRIATE TO REMEDY AND AVOID SUCH EVENTS, WE CANNOT GUARANTEE THAT THEY WILL NOT OCCUR, AND ACCORDINGLY WE DISCLAIM ANY AND ALL LIABILITY RESULTING FROM OR RELATED TO SUCH EVENTS.
WE ARE NOT LIABLE FOR ANY FAILURE OR DELAY IN OUR PERFORMANCE DUE TO ANY CAUSE BEYOND OUR REASONABLE CONTROL, INCLUDING ACTS OF WAR, ACTS OF GOD, EARTHQUAKE, FLOOD, EMBARGO, RIOT, SABOTAGE, LABOR SHORTAGE OR DISPUTE, GOVERNMENTAL ACT OR FAILURE OF THE INTERNET.
You agree to defend, indemnify and hold Health Net and its directors, officers, employees, agents, affiliates and successors harmless from and against any and all claims, demands, liabilities, judgments, losses, damages, costs, fees and expenses (including but not limited to reasonable attorneys' fees) arising from or relating to your use of the site or your acts or omissions, including but not limited to (1) infringement or misappropriation of any intellectual property rights, (2) defamation, libel, slander, obscenity, pornography, or violation of the rights of privacy or publicity, (3) spamming, or any other offensive, harassing or illegal conduct or violation of this Agreement, or (4) any damage or destruction to our site, to us, or to other persons or parties.
Termination and Investigation
Health Net may terminate the license granted to you under the above "Website Access; Prohibited Activities" section at any time if you are in breach of this Agreement. The license will terminate immediately without notice from Health Net if, in Health Net's sole discretion, you fail to comply with any term or provision of this Agreement. Upon such termination, you may not access, use, or view the site.
Health Net expressly reserves the right, in its sole discretion, to terminate a Registered User's www.healthnet.com account due to any act that would constitute a violation of this Agreement. If you wish to wish to deactivate your healthnet.com account, please contact us.
We reserve the right to investigate suspected violations of this Agreement. If we become aware of possible violations, we may initiate an investigation that may include gathering information from you or any user involved and the complaining party, if any, and examination of other material. We may suspend the provision of our services temporarily, or we may permanently remove the material involved from our servers, provide warnings to you, or suspend or terminate your access to our services. We will determine what action will be taken in response to a violation on a case-by-case basis, and at our sole discretion. We will fully cooperate with law enforcement authorities in investigating suspected lawbreakers.
You hereby acknowledge that your breach of this Agreement may result in immediate and irreparable harm to Health Net, for which there will be no adequate remedy at law, and that Health Net shall be entitled to equitable relief to compel you to cease and desist all unauthorized use, evaluation and/or disclosure of information obtained through the site. Your breach of this Agreement may also entitle Health Net to bring an action against you for any and all other remedies available at law or in equity.
This Agreement, and the rights and obligations of you and Health Net hereunder, shall be governed by, and construed in accordance with, the laws of the State of California and the guidelines created by the Centers for Medicare and Medicaid Services (CMS). Except where applicable law requires a different dispute resolution process, you further agree that any legal action or proceeding between you and Health Net arising out of or relating to this Agreement or your use of the site shall be brought exclusively in a federal or state court of competent jurisdiction sitting in Los Angeles, California, and you hereby expressly and irrevocably consent to the jurisdiction and venue of such courts.
No Waiver; Severability
A waiver of any breach of any provision of this Agreement shall not be deemed to be a waiver of any repetition of such breach or in any manner affect any other terms or conditions of this Agreement. In the event that any provision of this Agreement is held to be unenforceable, it will not affect the validity or enforceability of the remaining provisions and will be replaced by an enforceable provision that is the closest to the intention underlying the unenforceable provision.
We may assign our rights and delegate our duties under this Agreement either in whole or in part at any time, at our sole discretion, and without your consent. You may not assign, sublicense or otherwise transfer your rights or obligations, in whole or in part, under this Agreement to anyone else.
This Agreement does not establish any relationship of partnership, joint venture, employment, franchise or agency between you and us.
Additional Information for Registered Users Regarding Electronic Document Delivery ("EDD")
Some Registered Users may elect to enroll in Health Net's "Electronic Document Delivery" ("EDD") program. By enrolling, you agree and acknowledge the following:
- You understand that if you enroll in electronic document delivery your consent to the terms of this "Electronic Document Delivery" section will be effective indefinitely, until you cancel electronic document delivery or it is canceled by us. We may cancel the EDD service at any time without prior notice.
- You consent to receiving electronic delivery via www.healthnet.com, and to stop U.S. mail delivery, of the paper versions of all documents selected in your Document Delivery Preferences within your Health Net online profile. You understand that your electronic consent bears the same legal authority as your written signature and is binding by law.
- You agree to maintain a valid email address with Health Net as a condition of participating in our EDD program. Unless you have elected not to receive such notifications, Health Net will send an email to the email address you have provided to notify you when a new document is available on our site and indicate the category of document. The email will provide a link to a login page on our site's secure portal. After you log in, your specific document(s) will be displayed. If we are unable to notify you via email when a document becomes available due to a bad and/or canceled email account, we will attempt to contact you to update your email address. If we are unable to make contact with you, we will revert your Document Delivery Preferences back to U.S. mail delivery for all document types, and send a letter notifying you of the change. You can log into www.healthnet.com and update your email address and document delivery preferences at any time.
- You acknowledge that you may obtain a paper copy of any electronic document free of charge by contacting Health Net. In addition, you understand that you may download or print a copy of any of these documents online by logging in to your account on www.healthnet.com.
- Except as otherwise provided herein, you understand that you may terminate electronic delivery for any category of documents or modify your email notification preferences at any time, free of charge, by clicking the Change Document Delivery Preferences link within your online profile and changing your document delivery choice to Mail (USPS) or by contacting Health Net. Your cancellation will be effective within a reasonable period of time after we receive it.
- For members enrolling in Health Net's EDD program, you agree that you have full authority to accept the terms of this EDD section on behalf of each beneficiary on your plan. You also agree that each beneficiary has full authority to act individually in all matters relating to this online service.
- For Medicare Advantage Members, you acknowledge and agree that you will maintain a valid email address during the time you are enrolled in the Health Net EDD program. Health Net will notify you at your designated email address when documents are available for viewing. If you elect to receive documents via EDD, you may not opt out of receiving notifications when electronic documents become available. Should your email address become invalid or email undeliverable, delivery of the selected documents will automatically return to the standard USPS mail delivery format
- You acknowledge and agree that certain minimum hardware and software are needed to make electronic transactions, listed below. You represent that you have the necessary computer hardware and software to view, download and print any documents you have elected to receive electronically.
- To view your documents, or download or print them for future reference, you will need a browser listed in the Supported Browsers section below, as well as a printer with graphics capabilities.
- Some documents, such as EOB's and EOC's may be available online only in PDF ("Portable Document Format"). To view a PDF, you'll need Adobe Acrobat® Reader which your browser may already provide or which you may download free from Adobe's site at www.adobe.com. If you need technical assistance, you may Contact Us. Downloading may be slow depending on your Internet connection. You may want to test your connection to our site and your viewing, downloading, or printing experience before agreeing to electronic delivery.
Depending on your specific plan, some exceptions to EDD may apply. For example, as noted above, Medicare members who elect to receive documents via EDD may not opt out of receiving notifications when electronic documents become available. Members will also continue to receive hard copies of any material that are currently unavailable in electronic form and/or if for any reason the EDD is unavailable for certain Health Net plans.
The time it takes to process your change from U.S. mail delivery to electronic document delivery varies depending on the documents you select, as does the amount of time the document is available on the site. A list of common documents that may be provided via Electronic Document Delivery is below.
- Explanation of Benefits (EOBs). When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your EOB documents become available, notifications will be sent to your email address informing you that the EOB is available for viewing on the healthnet.com website (after logging into your account). EOBs will remain on the www.healthnet.com website for up to 7 years. You may opt out of receiving such email notifications when new EOBs are available, even if you elect to receive only electronic EOBs, by changing your Delivery Preferences in your profile on the healthnet.com website. Not available to all members.
- Coverage Documents (Evidence of Coverage ("EOC"), Certificates of Insurance, Student Handbooks, Summary of Benefits and Coverage, etc.). In AZ, you can elect to receive these documents electronically. When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your EOC documents become available, notifications will be sent to your email address (unless you have elected not to receive notifications) and they will remain on our site for up to 7 years. Not available to all members.
- Billing Statements. For Individual and Family Plan ("IFP") members, you can elect to receive billing statements electronically through the healthnet.com website instead of receiving such statements via postal mail. When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your billing statements become available, notifications will be sent to your email address (unless you have elected not to receive such notifications) and they will remain on our site for up to 7 years. Not available to all members.
- Medicare Annual Notice of Change Materials (ANOCs). When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your ANOC documents become available, notifications will be sent to your email address and they will remain on our site for up to 7 years.
- Medicare Post Enrollment Materials. When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your Post Enrollment documents become available, notifications will be sent to your email address and they will remain on our site for up to 7 years.
- All Future Available Online Documents. When you select this option, we will automatically set your delivery preference to online and notify you via email as new document types become available for electronic document delivery (unless you have elected not to receive such notifications).
- Directories. When you select these documents, we will reflect the change to delivery preference within 48 hours on average, although it could take longer for any hardcopy mail deliveries already in progress to stop. As your new plan year directories become available notification will be sent to your email address. Documents will remain on our site for up to 7 years.
- Please note: Not all document types listed above may apply to your respective plan.
- Commission Statements. When you select these documents, we will reflect the change to electronic delivery within 48 hours on average, although it could take longer for U.S. mail deliveries already in progress to stop. As your commission statements become available, notifications will be sent to your email address (unless you have elected not to receive such notifications) and they will remain on our site for up to 7 years.
- Coverage Documents (Evidence of Coverage, Certificates of Insurance, Student Handbooks, Summary of Benefits and Coverage, etc.). In CA, your member's coverage documents will be defaulted to online delivery. Members will be notified via a mailed letter when their coverage documents are available online. If you prefer to have us mail coverage documents to your members, please speak with your account representative.
- General Service Agreements (GSAs). In CA, your GSA will be available online. If you wish to have a hard copy mailed to you, please contact your account representative.