Affirmative Statement
Our contracted physicians and health care professionals make medical decisions based on the needs of individual members and their existing benefit coverage. No incentives are provided to reduce or limit medically necessary services to patients. Utilization Management Policies and Procedures, including Processes and UM criteria used by SMG may be available upon request, as required by law. Please contact us for more information.
This is a web site from Seoul Medical Group and is not associated with Medicare or the Center for Medicare and Medicaid Services. Seoul Medical Group (SMG) is a contracted provider of Health Net. Health Net is contracted with Medicare for HMO and HMO SNP plans, and with the state Medicaid program. Enrollment in Health Net depends on contract renewal. Other Physicians/Providers are available in our network. Health Net complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. You must be entitled to Medicare Part A and enrolled in Medicare Part B and live in the plan’s service area to be eligible for these plans. You must continue to pay your Medicare Part B premium. The federal agency offers downloadable guides and resources in large print, Spanish, audiotape and Braille. Visit www.medicare.gov or call 1-800-MEDICARE or 1-800-633-4227, 24 hours a day, 7 days a week, TTY: 1-877-486-2048.
This information is not a complete description of benefits. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Call the plan for more information. H0562_19_11033WEB_BIL_M
Last Updated On 03/25/2019