Below are electronic copies of member materials and translated versions for each plan.
The name of your health plan can be found on your HPSM member ID card.
Member Handbooks / Evidence of Coverage
The Member Handbook tells you about the covered benefits for each plan. It also explains your rights and responsibilities as a member of HPSM.
Member Benefits Quick-Start Guides
This guide will help you start using your HPSM Medi-Cal benefits and other HPSM services.
Summary of Benefits
The Summary of Benefits is a brief overview of the benefits and services covered by the plan.
Formularies / Lists of Covered Drugs
The formulary is a list of drugs that are in the plan's preferred drug list. If your doctor thinks you need to take a drug that is not on this list, your doctor will need to ask HPSM for pre-approval before you get the drug.
The Provider Directory lists hospitals, clinics, pharmacies, PCPs, specialists, medical equipment providers and others that participate in the HPSM network. The directory includes names, addresses, phone numbers, business hours, languages spoken and more.
Health Matters Member Newsletter
Health Matters is a newsletter published each quarter as a community service for HPSM members.