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Member Resources

Handbooks and Directories

 
HealthWorx HMO Benefits Quick-Start Guide (1885 KB)
 
HealthWorx HMO Evidence of Coverage (1725 KB)
 
HealthWorx HMO Summary of Benefits (1148 KB)
 
HealthWorx HMO Provider Directory (4293 KB)

Download the list of covered drugs

 Download the formulary

The formulary includes covered medications. See the last section for an alphabetical index.

View materials in all available languages

Forms

 
Member Change of Address Form (81 KB)
 
Health Risk Assessment (HRA) Form (709 KB)
 
Confidential Member Complaint Form (178 KB)
 
Appointment of Representative Form (93 KB)
View all member forms

Notices and Announcements

 
Notice of Privacy Practices (69 KB)
 
Member Nondiscrimination Notice - Large Print (436 KB)
 
Member Rights in the Complaint Process (252 KB)
View all member notices

Member Newsletter

 
HEALTHMatters Spring 2022 (7623 KB)
See past editions of Health Matters

801 Gateway Blvd., Suite 100South San Francisco, CA 94080

Phone: 650-616-0050
Fax: 650-616-0060
TTY:  1-800-735-2929
or dial 7-1-1

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Helping San Mateo County’s vulnerable and underinsured residents live the healthiest lives possible.



Ⓒ 2022 Health Plan of San Mateo