CareAdvantage Dual Eligible Special Needs Plan (D-SNP) 2024
Eligibility to Join CareAdvantage by Health Plan of San Mateo
To join CareAdvantage and remain a member, you must:
- Live in San Mateo County
- Have Medicare Parts A & B and
- Have full-scope Medi-Cal through the Health Plan of San Mateo
Live in San Mateo County
If you move out of San Mateo County, you cannot stay in CareAdvantage. To find out what your other health care options are, call Health Insurance Counseling and Advocacy Program at 1-800-434-0222.
Medicare rules do not allow you to live outside of San Mateo County for more than six (6) months in a row. If you are away longer than six (6) months, you will lose your CareAdvantage coverage. To keep your CareAdvantage plan up-to-date, call the CareAdvantage Unit.
Medicare and Medi-Cal
CareAdvantage is for people who have both Medicare parts A & B and Medi-Cal through the Health Plan of San Mateo. If you lose your Medi-Cal for some reason, you must get it back within four (4) months in order to remain a CareAdvantage member. If you are no longer eligible for Medicare parts A & B, your CareAdvantage coverage will end.
For information, call a licensed CareAdvantage Medicare Specialist
Toll free: 1-888-252-3153 Local: 650-616-1500
TTY: 1-800-735-2929 or dial 7-1-1
Hours: Monday–Friday 9:00 a.m. to 6:00 p.m.
CareAdvantage Enrollment Form
CareAdvantage Dual Eligible Special Needs Plan (D-SNP) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Limitations and restrictions may apply. For more information, call the CareAdvantage Unit or read the CareAdvantage D-SNP 2024 Member Handbook.
Benefits and co-pays may change on January 1 of each year.
If you speak other languages other than English, language assistance services, free of charge, are available to you. Call 1-866-880-0606 (TTY: 1-800-735-2929 or dial 7-1-1). ( Download this statement in multiple languages.)
Page updated November 1, 2023