CINXE.COM

<!DOCTYPE html> <html lang="en"> <head> <meta charset="utf-8" /><script type="text/javascript" src="/WebResource.axd?d=DzHrpQl5URXarFHAtrmzFriFBMd7RZ11oeGJx3LwY3bX2255RoLNH_S2V7pP9_syo-K6O6X3AJSr-DPRzhz5pR5G03Hs268wMyeWJI86C-j4L-MUPf3FMNOLmgYz1JeRJpqwejJ3OwYIYiW7VjUNxOzCwk2BMaNPa9Bnyr2ehBWDSzaEE4fq4Esj4b3YZads0&t=637878363900000000"> </script><script type="text/javascript"> (function() { TrackingConsentManager.init('\u003cdiv id=\"tracking-consent-dialog\" style=\"padding:20px;position:relative;z-index:10000000;border:1px solid #ccc;background:#fff;\"\u003e \r\n \r\n\t\u003cp\u003e\u003cstrong\u003eThis site uses cookies\u003c/strong\u003e\u003cbr/\u003e\r\n\t\tOur site uses cookies to improve usability by measuring how users interact with website content. Learn more about our \u003ca title=\"Privacy Policy\" href=\"https://www.hpsm.org/privacy-policy#privacy-policy\"\u003eprivacy policy\u003c/a\u003e and \u003ca title=\"Terms of Use\" href=\"https://www.hpsm.org/privacy-policy#terms-of-use\"\u003ewebsite terms of use\u003c/a\u003e.\u003c/p\u003e\r\n \u003cbutton type=\"button\" onclick=\"TrackingConsentManager.updateUserConsent(true)\" id=\"tracking-consent-dialog-accept\" class=\"btn hpsm-dgreen btn-default\"\u003eAccept\u003c/button\u003e\r\n \u003cbutton type=\"button\" onclick=\"TrackingConsentManager.updateUserConsent(false)\" id=\"tracking-consent-dialog-reject\" class=\"btn hpsm-red btn-default\"\u003eDecline\u003c/button\u003e\r\n\u003c/div\u003e'); })(); </script> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1" /> <link rel="shortcut icon" href="/favicon.ico">  <script async src="https://www.googletagmanager.com/gtag/js?id=G-MDPME99LW6"></script> <script> window.dataLayer = window.dataLayer || []; function gtag() { dataLayer.push(arguments); } gtag('js', new Date()); gtag('config', 'G-MDPME99LW6'); </script>  <link rel="stylesheet" href="/assets/_css/vendor/bootstrap.css"> <link rel="stylesheet" href="/assets/_css/vendor/jasny-bootstrap.min.css"> <link rel="stylesheet" href="/assets/_css/vendor/bootstrap-responsive-tabs.css"> <link rel="stylesheet" href="/assets/vendor/cubeportfolio/css/cubeportfolio.min.css"> <link rel="stylesheet" href="/assets/vendor/aos/dist/aos.css">  <link rel="stylesheet" href="/assets/vendor/slick-carousel/slick/slick.css"> <link rel="stylesheet" href="/assets/slick/slick-theme.css" /> <link rel="stylesheet" href="/assets/_css/vendor/animate.min.css"> <link rel="stylesheet" href="/assets/_css/style.css">  <link href="https://fonts.googleapis.com/css?family=Source+Sans+Pro:400,400i,700,900|Varela+Round&display=swap&subset=cyrillic" rel="stylesheet"> <script src="https://kit.fontawesome.com/035434d4ff.js" crossorigin="anonymous"></script> <script src="/assets/_js/vendor/jquery-3.6.1.min.js" type="text/javascript"></script> <script type="text/javascript"> function googleTranslateElementInit() { new google.translate.TranslateElement({ pageLanguage: 'en', includedLanguages: 'en,es,zh-TW,tl', layout: google.translate.TranslateElement.InlineLayout.SIMPLE }, 'google_translate_element'); } </script> <script type="text/javascript" src="//translate.google.com/translate_a/element.js?cb=googleTranslateElementInit"></script>  <meta name="google-site-verification" content="S4heGMzIegFIrlzZLx9v974MFAm0rf5wwMDl0sZsvWs" /> <link href="/Frontend-Assembly/Telerik.Sitefinity.Frontend.Search/assets/dist/css/sf-search-box.min.css" rel="stylesheet" type="text/css" /> <title> Medi-Cal Benefits & Services | HPSM Members </title><meta property="og:title" content="Medi-Cal Benefits & Services | HPSM Members" /><meta property="og:url" content="https://www.hpsm.org/member/medi-cal/benefits" /><meta property="og:type" content="website" /><meta property="og:site_name" content="HPSM" /><meta name="Generator" content="Sitefinity 13.3.7640.0 DX" /><link rel="canonical" href="https://www.hpsm.org/member/medi-cal/benefits" /></head> <body> <script src="https://code.jquery.com/jquery-3.6.0.min.js" type="text/javascript"></script><script src="https://code.jquery.com/jquery-migrate-3.4.0.min.js" type="text/javascript"></script><script src="/ScriptResource.axd?d=VKaJmfFWDpQxp1_HxsR1qHHo3R6llX0UKpTPGV6M0Vl6uBu7Ga-ZLJ0pq5deMH01j8ziAvs-OGV9d5pP2SMt3votiWnAomBKzbqXrDXrjsHJD8lUfzs3wnyJxLJ0Ogjg68sQnL-nx7sw-9ZnSrtxq_RKRci6uC2oSA4ecglF1qRSxZcxg1QKd_DnBWRTctgNXVW7VfIgEJMQtyPuQrV3lQ2&t=fffffffff13f3712" type="text/javascript"></script> <a href="#" id="scroll" style="display: none;" role="button" aria-label="Back to Top"><img alt="Top" src="/assets/_img/up-arrow.svg" role="presentation" /><span>Top</span></a> <div id="popLocation"></div> <header> <div class="site-search"> <div class="site-search-wrapper"> <p>Search</p> </div> <div class="form-group" role="search"> <script type="text/javascript"> function executeSearch() { var searchBtn = document.getElementById('49ac240b-723a-490e-891d-813bf4615eee'); if (searchBtn) { searchBtn.click(); } } </script> <label for="search"></label> <input type="text" class="form-control" placeholder="Search HPSM.org" id="a2a9f41b-a1e6-4ed3-b79f-c27584e67304" value=""> <span class="global-search-btn" aria-label="Perform search" role="button" onclick="executeSearch();"></span> <button type="button" style="display:none;" id="49ac240b-723a-490e-891d-813bf4615eee">Search</button> <input type="hidden" data-sf-role="resultsUrl" value="/search" /> <input type="hidden" data-sf-role="indexCatalogue" value="main" /> <input type="hidden" data-sf-role="wordsMode" value="AllWords" /> <input type="hidden" data-sf-role="disableSuggestions" value='false' /> <input type="hidden" data-sf-role="minSuggestionLength" value="3" /> <input type="hidden" data-sf-role="suggestionFields" value="Title, Content" /> <input type="hidden" data-sf-role="language" value="en" /> <input type="hidden" data-sf-role="suggestionsRoute" value="/restapi/search/suggestions" /> <input type="hidden" data-sf-role="searchTextBoxId" value='#a2a9f41b-a1e6-4ed3-b79f-c27584e67304' /> <input type="hidden" data-sf-role="searchButtonId" value='#49ac240b-723a-490e-891d-813bf4615eee' /> </div> </div> <nav> <div class="navmenu navmenu-default navmenu-fixed-right"> <button type="button" class="navbar-close" aria-label="Close Main Navigation"> <img alt="close" src="/assets/_img/close.svg" role="presentation" /> </button> <div class="audience-menu"> <div class="list-group panel"> <a id="MemberNavBtn1" href="/member" class="list-group-item strong">Members</a> <a id="ProviderNavBtn1" href="/provider" class="list-group-item strong notranslate">Medical Providers</a> <a id="ProviderNavBtn2" href="/provider/hpsm-dental" class="list-group-item strong notranslate">Dental Providers</a> <a id="CareerNavBtn1" href="/job-seeker" class="list-group-item strong">Career Opportunities</a> </div> </div> <ul class="nav navmenu-nav global-links"> <li><a id="FindaProviderNavBtn1" href="/member/choose-a-provider/find-a-provider"><span class="fas fa-search-location fa-fw"></span> Find a Provider</a></li> <li><a id="MemberPortalNavBtn1" href="/member-portal-login"><span class="fas fa-sign-in-alt fa-fw"></span> Member Login</a></li> <li><a id="ProviderPortalNavBtn1" href="/provider/portal"><span class="fas fa-sign-in-alt fa-fw"></span> <span class="notranslate">Provider Login</span></a></li> <li><a id="AboutUsNavBtn1" href="/about-us"><span class="fas fa-user-friends fa-fw"></span> About HPSM</a></li> <li><a id="CommissionNavBtn1" href="/about-us/governance/commission/meeting-agendas"><span class="far fa-calendar fa-fw"></span> <span class="notranslate">Commission meetings</span></a></li> </ul> </div> <div class="overlay-background" role="presentation"></div> </nav> <div class="canvas"> <div class="navbar navbar-default navbar-top"> <a class="navbar-brand" href="/"><img src="/assets/_img/hpsm-logo.svg" alt="HPSM" /></a> <ul class="nav navbar-nav"> <li class="menu-button"> <button type="button" class="navbar-toggle" aria-label="Open Main Navigation"> <span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </span> <span class="menu-label">Menu</span> </button> </li> <li id="EnterSearchBtn1" class="search-button"><a class="nav-link" href="#" data-text-swap="Close" data-text-original="Search"> Search</a></li> <li class="portal-button"> <a id="FindMedicineMenu" class="nav-link" href="/member/view-my-medication-benefits">Find a Medicine</a> </li> <li id="ProviderSearchBtn1" class="provider-search-button"><a class="nav-link" href="/member/choose-a-provider/find-a-provider">Find a Provider</a></li> <li id="ProviderPortalBtn1" class="portal-button"><a class="nav-link" href="/provider/portal">Provider Login</a></li> <li id="MemberPortalBtn1" class="portal-button"><a class="nav-link" href="/member-portal-login">Member Login</a></li> <li class="announcement-button" id="newAnnouncement"> <a href="#announcementDropdown" data-toggle="collapse" data-parent=".announcement-button" class="collapsed"> <span class="announcement-button-text"> <i class="fa fa-exclamation-triangle" aria-hidden="true"></i> Notice </span> <span class="announcement-count">1</span> </a> </li> </ul> <div id="google_translate_element"></div> </div> <div class="announcement-dropdown list-group panel collapse" id="announcementDropdown" aria-labelledby="newAnnouncement" role="alert"> <div class="wrapper"> <div class="callout callout-danger"> <h3 class="text-danger">Important Notices</h3> <p><div class="row d-flex justify-content-center align-self-center "> <div class="my-1 col-md-4 col-sm-12"> <div class="card matchheight p-1 border border-danger text-center"> <div class="p-1"> <h5 class="mt-1 mb-2 card-title text-navy">HPSM's Updated Privacy Practices</h5> <a class="btn btn-primary btn-sm" href="/docs/default-source/member-notices/hpsm_notice_of_privacy_practices_english.pdf?sfvrsn=cbbeeadd_73">Read now</a> </div> </div> </div> <div class="my-1 col-md-4 col-sm-12"> <div class="card matchheight p-1 border border-danger text-center"> <div class="p-1"> <h5 class="mt-1 mb-2 card-title text-navy">Monkeypox information</h5> <span class="btn-group"><a class="btn btn-primary btn-sm" href="/member/emergency-message/monkeypox-information">Members</a><a class="btn btn-secondary btn-sm" href="/provider/urgent-messages/monkeypox">Providers</a></span> </div> </div> </div> <div class="my-1 col-md-4 col-sm-12"> <div class="card matchheight p-1 border border-danger text-center"> <div class="p-1"> <h5 class="mt-1 mb-2 card-title text-navy">Power Outages</h5> <span class="btn-group"><a class="btn btn-primary btn-sm" href="/member/emergency-message/prepare-for-wildfires-and-power-outages">Members</a><a class="btn btn-secondary btn-sm" href="/provider/urgent-messages/prepare-for-power-shutoffs">Providers</a></span> </div> </div> </div> </div></p> </div> </div> <a class="btn btn-sm" href="#announcementDropdown" data-toggle="collapse" data-parent=".announcement-button" aria-label="Close Announcements" role="button"><i class="fa fa-window-close text-danger" aria-hidden="true"></i> <span class="text-danger">Close</span></a> </div> </div> </header> <main class="main-content"> <div class="container-fluid"> <div class="row"> <div class="col-xs-12 col-sm-4 col-sm-push-8"> <div class="page-navigation"> <img src="/images/default-source/banners/medi-cal-content-1.png?sfvrsn=7f702786_6" title="medi-cal-content-1" alt="medi-cal-content-1" /> <div class="accordian-menu PMS308" role="navigation" aria-labelledby="pageNav"> <span id="pageNav"> <span class="Medi-Cal">Medi-Cal</span> <i href="#sideNav" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent=".accordian-menu"></i> </span> <div class="list-group panel" id="sideNav"> <a href="https://www.hpsm.org/member/medi-cal/eligibility" class="list-group-item strong "> Eligibility </a> <a href="https://www.hpsm.org/member/medi-cal/benefits" class="list-group-item dropdown-item collapsed active"> Benefits & Services <i href="#group-154f66d73-5412-4ae0-8f4d-dd62957bd892" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-154f66d73-5412-4ae0-8f4d-dd62957bd892"> <a href="https://www.hpsm.org/member/medi-cal/benefits/enhanced-care-management" class="list-group-item strong "> Enhanced Care Management (ECM) </a> <a href="https://www.hpsm.org/member/medi-cal/benefits/community-supports" class="list-group-item strong "> Community Supports </a> </div> <a href="https://www.hpsm.org/member/medi-cal/costs" class="list-group-item strong "> Member Costs </a> <a href="https://www.hpsm.org/member/medi-cal/doctors-specialists" class="list-group-item strong "> Doctors & Specialists </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx" class="list-group-item dropdown-item collapsed "> Prescriptions & Pharmacies <i href="#group-194a1dbf6-aa2f-4b3b-8884-0fd83f559ccd" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-194a1dbf6-aa2f-4b3b-8884-0fd83f559ccd"> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/id-cards" class="list-group-item strong "> Your New ID Cards </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/your-pharmacy" class="list-group-item strong "> Find a Pharmacy </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/drug-list" class="list-group-item strong "> List of Covered Medicines </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/appeals-and-complaints" class="list-group-item strong "> Appeals and Complaints </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-rx/helpful-contact-information" class="list-group-item strong "> Helpful Contact Information </a> </div> <a href="https://www.hpsm.org/member/medi-cal/hpsm-dental" class="list-group-item strong "> HPSM Dental </a> <a href="https://www.hpsm.org/member/medi-cal/where-can-i-get-care" class="list-group-item dropdown-item collapsed "> Where Can I Get Care? <i href="#group-126fd7936-aab2-416d-86c5-11f54183f5dd" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-126fd7936-aab2-416d-86c5-11f54183f5dd"> <a href="https://www.hpsm.org/member/medi-cal/where-can-i-get-care/emergency-medical-care" class="list-group-item strong "> Emergency Medical Care </a> </div> <a href="https://www.hpsm.org/member/medi-cal/get-your-initial-health-assessment" class="list-group-item strong "> Initial Health Assessment </a> <a href="https://www.hpsm.org/member/medi-cal/continuity-of-care" class="list-group-item strong "> Continuity of Care </a> <a href="https://www.hpsm.org/member/medi-cal/whole-child-model" class="list-group-item dropdown-item collapsed "> Whole Child Model <i href="#group-114390f98-fab6-40ea-8ec5-67e4740693ff" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-114390f98-fab6-40ea-8ec5-67e4740693ff"> <a href="https://www.hpsm.org/member/medi-cal/whole-child-model/qualifying-conditions" class="list-group-item strong "> Qualifying Conditions </a> </div> <a href="https://www.hpsm.org/member/medi-cal/ride-benefit" class="list-group-item strong "> Ride Benefit </a> <a href="https://www.hpsm.org/member/medi-cal/language-services" class="list-group-item strong "> Language Services </a> <a href="https://www.hpsm.org/member/medi-cal/resources" class="list-group-item dropdown-item collapsed "> Member Materials <i href="#group-15a440ed8-78c1-4c02-a475-7a3bf2d5b9a3" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-15a440ed8-78c1-4c02-a475-7a3bf2d5b9a3"> <a href="https://www.hpsm.org/member/medi-cal/resources/manuals" class="list-group-item strong "> Member Manuals </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-forms" class="list-group-item strong "> Member Forms </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-notices" class="list-group-item strong "> Member Notices </a> <a href="https://www.hpsm.org/member/medi-cal/resources/member-newsletters" class="list-group-item strong "> Member Newsletters </a> </div> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide" class="list-group-item dropdown-item collapsed "> Quick-Start Guide <i href="#group-188a80ea2-1e01-406e-a1a5-66bf11c5b5ff" class="fa fa-caret-down collapsed" data-toggle="collapse" data-parent="group-1022e58b3-d61e-4552-989f-46fd9ec9dd73"></i> </a> <div class="collapse" id="group-188a80ea2-1e01-406e-a1a5-66bf11c5b5ff"> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/welcome-to-hpsm" class="list-group-item strong "> Welcome to HPSM </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/six-steps-to-a-healthy-start" class="list-group-item strong "> Six Steps to a Healthy Start </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/know-your-id-cards" class="list-group-item strong "> Know Your ID Cards </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/hpsm-benefits" class="list-group-item strong "> HPSM Benefits </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/other-programs-services" class="list-group-item strong "> Other Programs & Services </a> <a href="https://www.hpsm.org/member/medi-cal/medi-cal-quick-start-guide/dont-lose-your-medi-cal" class="list-group-item strong "> Don't Lose Your Medi-Cal </a> </div> <a href="https://www.hpsm.org/member/medi-cal/problems-and-complaints" class="list-group-item strong "> Problems and Complaints </a> <a href="https://www.hpsm.org/member/medi-cal/nondiscrimination-notice" class="list-group-item strong "> Nondiscrimination Notice </a> <a href="https://www.hpsm.org/member/medi-cal/contact-us" class="list-group-item strong "> Contact Us </a> </div> </div> </div> <div class="related-items">  <div class="card"> <h3> </h3> <div class="name-and-phone-list"> <h5> </h5> <div > <div class="sfContentBlock sf-Long-text" ><h3>Member Handbook</h3></div> </div> <div> </div> </div> <div class="name-and-phone-list"> <h5> <div > <div class="sfContentBlock sf-Long-text" ><h5 style="margin-top: 20px">Member Tools</h5></div> </div></h5> <div > <div class="sfContentBlock sf-Long-text" ><div class="list-group panel related-pages"><a class="list-group-item related-link active" href="/member/choose-a-provider/find-a-provider">Find a Provider</a> <a class="list-group-item related-link active" href="/formulary-search/formularies/medi-cal">Search the Formulary</a> <a class="list-group-item related-link active" href="/member/prior-authorization">Request Prior Authorization</a> <a class="list-group-item related-link active" href="/member/nurse-advice-line">Ask for Medical Advice</a> </div></div> </div> </div> <div class="name-and-phone-list"> <h5> </h5> <div > <div class="sfContentBlock sf-Long-text" ><h3>Fight against flu</h3><p>The flu vaccine helps protect you, your family and all those around you from the flu.</p><h4>You can get flu shots at:</h4><ul><li>Your primary care provider's office </li><li>A local pharmacy. <a target="_blank" href="https://www.vaccines.gov/en/">Find a location near you</a>. </li></ul><p>Learn more about the flu vaccine, visit <a href="/member/health-tips/be-healthy-get-the-flu-shot">Be Healthy - Get the Flu Shot!</a>.</p></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h3 class="mt-4">New address or contact information?</h3><p>If you move and/or change your contact information (phone number, email), you must tell both HPSM and either the San Mateo County Human Services Agency at <span class="phone">1-800-223-8383</span> or Social Security Administration at <span class="phone">1-800-772-1213</span>. This will ensure that you continue to get important information about your Medi-Cal coverage status.</p><p>To report your new information with HPSM, you can <a target="_blank" href="/member-portal-login">log in to the Member Portal</a> or call the number below if you need assistance.</p><p class="my-4"><a class="btn btn-primary btn-wide" target="_blank" href="/member-portal-login">Log in to the Member Portal</a></p></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h3 id="call-member-services">Member Services</h3><p class="mt-1"><span class="nobreak">Toll free:</span> <span class="phone">1-800-750-4776</span> <br>Local: <span class="phone">650-616-2133</span> <br>TTY: <span class="phone">1-800-735-2929</span> or dial <span class="phone">7-1-1</span></p><p class="mt-1"><span class="nobreak">Phone hours: Monday–Friday</span> <span class="nobreak">8:00 a.m. to 6:00 p.m.</span> <br>Office hours: Monday–Friday 8:00 a.m. to 4:00 p.m.<br>Email: <a href="mailto:MemberServicesSupport@hpsm.org">MemberServicesSupport@hpsm.org</a></p></div> </div> </div> </div> </div> </div> <div class="col-xs-12 col-sm-8 col-sm-pull-4"> <div class="content-area container-fluid-margin"> <div class="sf_cols" data-sf-element="Row"> <div class="sf_colsOut sf_1col_1_100"> <div id="Contentplaceholder_TACCE306D001_Col00" class="sf_colsIn sf_1col_1in_100" data-sf-element="Column 1"><div class="plan-name mb-4"> <a href="/member">Member </a> <span> / </span> <a href="/member/my-health-plan">My Health Plan </a> <span> / </span> <a href="/member/medi-cal">Medi-Cal </a> </div> <div > <div class="sfContentBlock sf-Long-text" ><h1>Benefits and Services </h1></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><div class="callout callout-danger"><div class="row mx-0 align-content-center"><div class="col-md-9 col-sm-12"><p class="my-1 mx-sm-auto"><span class="text-danger font-weight-bold">If you have HPSM Medi-Cal and Medicare, you can join HPSM’s CareAdvantage plan!</span> CareAdvantage makes make your health care easier with a single card and phone number for all your benefits! Plus, you get a Case Manager who is your one point of contact for all your health care needs. </p></div><div class="col-md-auto col-sm-12"><p class="my-1 ml-md-auto mx-sm-auto text-md-right"><a class="btn btn-info btn-sm" href="c15619fa-b309-40a0-824e-280a278a3456">Learn more</a></p></div></div></div></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h2>What is covered</h2><ul><li>Doctor visits </li><li>Hospital care </li><li>Prescription drugs are covered by <a href="/member/medi-cal/medi-cal-rx">Medi-Cal Rx</a></li><li>Physician Administered Drugs (PADs) - medicines administered in an office or clinic setting</li><li>Diabetes supplies </li><li>Eye and hearing tests</li><li>Skilled nursing care </li><li>Community-Based Adult Services (CBAS)</li><li>Care Planning and Management Benefit</li><li>Preventive care – such as health exams, screenings, tests, immunizations and other office visits with a primary care doctor </li><li>Dental care is covered through <a href="/member/hpsm-dental">HPSM Dental</a></li><li>Mental health care</li><li>Doula services</li></ul><div class="callout callout-info"><p><a target="_blank" href="/member/health-tips/mental-health/get-mental-health-care"><strong>Learn more</strong></a> about getting started with mental health care.</p></div></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h4>Services that require prior authorization</h4><ul><li>Services received from a doctor who is not an HPSM Medi-Cal provider without a prior authorization for coverage</li><li>Services from a non-contracted specialist without a referral from a primary care doctor and prior authorization </li></ul><p><a href="/member/prior-authorization">Learn more about prior authorization</a>.</p></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><h2>Telemedicine</h2><h3>Doctor's visits by phone or video anytime</h3><p>Many providers can give you advice over the phone or see you by video.  Telephone and video visits are fully covered by HPSM. Call your primary care provider (PCP)  to check if they provide telephone or video visits. </p><p>If your do not have PCP, or if your PCP does not offer phone or video appointments, you may be able to use Teladoc®, one of HPSM's newest service partners.  <a href="/member/telemedicine">Learn more</a>. </p><h2>Ride Benefit</h2><h3>No-cost transportation to approved health care visits <br></h3><p>Medi-Cal members can get an unlimited number of rides to approved health care visits at no cost. These include medical, pharmacy, dental, mental health and other health care visits. Rules and restrictions apply:<br></p><ul><li>You must have no other way to get to your visit<br></li><li>Call at least two business days before your appointment (for urgent care, call as soon as you can)<br></li><li>Rides to non-healthcare services are not covered<br></li></ul><p><a href="/member/ride-benefit">Learn more</a>.<br></p><h2>Vision Benefits</h2><ul><li>One routine eye examination every two years </li><li>Services from a specialist to treat serious eye conditions require a referral from your PCP</li><li>One pair of eyeglasses every two years </li></ul><h2>Mental Health and Substance Use Disorder Benefits</h2><p>For help getting mental health or substance use services under your Medi-Cal benefit, call the San Mateo County Behavioral Health and Recovery Services (BHRS) Access Call Center (toll-free) at <span class="phone">1-800-686-0101</span> (TTY: <span class="phone">7-1-1</span>). </p><h3>Mental health services</h3><ul><li><strong>BHRS provides</strong> specialty mental health services to Medi-Cal members who meet medical necessity rules for serious mental health issues. For information about specific services, call the BHRS ACCESS Call Center at <span class="phone">1-800-686-0101</span> (TTY: <span class="phone">7-1-1</span>).</li><li><strong>HPSM's plan covers</strong> outpatient treatment services for mild and moderate mental health conditions.</li></ul><h3>Substance use disorder services</h3><ul><li><strong>BHRS provides</strong> substance use disorder services to Medi-Cal members who meet medical necessity rules. For information about treatment or a referral for substance use disorders, please call the BHRS ACCESS Call Center at <span class="phone">1-800-686-0101</span> (TTY: <span class="phone">7-1-1</span>). </li><li><strong>HPSM's plan covers</strong> primary care alcohol use screening and referral. These include primary care screening services to identify and discuss risky alcohol use. Members ages 18 and older with an alcohol use disorder may be referred to BHRS for treatment. </li><li><strong>HPSM's plan does not cover</strong> treatment for severe alcohol use disorder. Your PCP may refer you to BHRS.</li></ul></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><p>For some types of care, your PCP or specialist will need to ask HPSM for permission before you get the care. This is called asking for prior authorization, prior approval, or pre-approval. It means that HPSM must make sure that the care is medically necessary or needed. <a href="/member/prior-authorization">Learn more about prior authorization</a>.</p></div> </div> </div> </div> </div> <div > <div class="sfContentBlock sf-Long-text" ><p class="mt-4 small"><span class="external"> </span>Clicking on these links will direct you to a website or document that is external to www.hpsm.org. The Health Plan of San Mateo (HPSM) accepts no responsibility for the content, policies or accessibility of the external websites or external documents linked to on this website. </p></div> </div> <div > <div class="sfContentBlock sf-Long-text" ><div class="callout callout-info"><p>For more information about Medi-Cal benefits, refer to section 4 of the <a href="4188304a-2b16-48a7-b997-dbaffc7da8f2" title="Medi-Cal Member Handbook">Medi-Cal Member Handbook</a>. To order a printed Member Handbook, email <a href="mailto:CustomerSupport@hpsm.org">CustomerSupport@hpsm.org</a> or <a href="/member/contact-member-services">call Member Services</a>.  </p></div></div> </div> </div> <div class="container-fluid-margin"> </div> </div> </div> </div>  <div class="pre-footer reveal-fade-in"> <div class="container-fluid"> <div class="row"> <div class="col-sm-12"> </div> </div> </div> </div> </main> <footer> <div class="row pb-3"> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <img style="width:150px;" role="presentation" src="/assets/_img/hpsm-logo.png" /> <p class="notranslate"><span class="block">801 Gateway Blvd., Suite 100</span><span class="block">South San Francisco, CA 94080</span></p> <p> Phone: <span style="color:#2e9947;">650-616-0050</span> <br />Fax: <span style="color:#2e9947;">650-616-0060</span> <br />TTY:  <span style="color:#2e9947;">1-800-735-2929</span> <br />or dial <span style="color:#2e9947;">7-1-1</span> </p> <p class="mt-3"> <a style="margin-left:0.5rem;margin-right:1.0rem;" rel="noreferrer" target="_blank" href="https://www.facebook.com/healthplanofsanmateo"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/facebook.svg?Status=Temp&sfvrsn=ac66c4ba_2" role="presentation" alt="facebook" /> </a> <a style="margin-left:1.0rem;" target="_blank" rel="noreferrer" href="https://www.instagram.com/healthplanofsanmateo/"> <img style="display: inline;" width="24" height="24" src="https://www.hpsm.org/images/default-source/logos/instagram.svg?Status=Temp&sfvrsn=d4ddac80_2" role="presentation" alt="instagram" /> </a> </p> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <a id="MemberFooterLink" class="text-lg text-capitalize" title="Members" href="/member">Members</a> <a id="ProviderFooterLink" class="text-lg notranslate" title="Providers" href="/provider">Providers</a> <a id="HealthTipsFooterLink" class="text-lg" title="Health Tips" href="/health-tips">Health Tips</a> <a id="CareerFooterLink" class="text-lg" title="Careers" href="/job-seeker">Careers</a> <a id="AboutUsFooterLink" class="text-lg" title="About HPSM" href="/about-us">About HPSM</a> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <ul style="line-height:1.5rem;"> <li class="nav-item"><a id="ContactFooterLink" href="/contact-us">Contact Us</a></li> <li class="nav-item"><a id="LanguageFooterLink" href="https://www.hpsm.org/docs/default-source/member-notices/language-assistance-tagline.pdf">Language Assistance</a></li> <li class="nav-item"><a id="PrivacyFooterLink" href="/privacy-policy">Privacy Policy</a></li> <li class="nav-item"><a id="NDNFooterLink" href="/non-discrimination-notice">Non-Discrimination Notice</a></li> <li class="nav-item"><a id="AccessibilityFooterLink" href="/help/accessibility">Accessibility Statement</a></li> <li class="nav-item"><a id="ComplianceFooterLink" href="/about-us/governance/compliance">Compliance</a></li> </ul> </div> </div> <div class="col-xs-12 col-sm-3 col-md-3"> <div> <div id="tagline"> <p>Helping San Mateo County’s vulnerable and underinsured residents live the healthiest lives possible.</p> </div> <br /><br /> <small class="notranslate">Ⓒ 2024 Health Plan of San Mateo</small> </div> </div> </div> </footer>  <script src="/assets/_js/vendor/jquery.easing.1.3.js" type="text/javascript"></script> <script src="/assets/_js/vendor/bootstrap.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jasny-bootstrap.js" type="text/javascript"></script> <script src="/assets/_js/vendor/enquire.min.js" type="text/javascript"></script> <script src="/assets/_js/vendor/jQuery.headroom.js" type="text/javascript"></script> <script src="/assets/_js/vendor/hoverIntent.js"></script> <script src="/assets/_js/vendor/jquery.matchHeight.js" type="text/javascript"></script> <script src="https://unpkg.com/scrollreveal/dist/scrollreveal.min.js"></script> <script src="/assets/_js/vendor/bootstrap-responsive-tabs.min.js" type="text/javascript"></script> <script src="/assets/vendor/cubeportfolio/js/jquery.cubeportfolio.min.js"></script>  <script src="/assets/_js/hs.core.js"></script> <script src="/assets/_js/hs.cubeportfolio.js"></script> <script src="/assets/_js/main.js" type="text/javascript"></script> <script src="/Frontend-Assembly/Telerik.Sitefinity.Frontend.Search/Mvc/Scripts/SearchBox/Search-box.min.js?v=MTMuMy43NjQwLjA%3d" type="text/javascript"></script> </body> </html>