If your preferred language is not English, language assistance services are available to you at no cost. You can also get materials for free in other formats, such as large print, braille and/or audio.
Download and view or print copies online at
www.hpsm.org/member-handbooks.
Order printed copies and copies in
other formats by calling Member Services or the CareAdvantage Unit at the numbers below. There is no cost for the call.
Medi-Cal, HealthWorx and ACE members
Call Member ServicesLocal: 650-616-2133 or
Toll-free: 1-800-750-4776
TTY: 1-800-735-2929 or dial 7-1-1
Monday through Friday, 8:00 a.m. to 6:00 p.m.
CareAdvantage members
Call the CareAdvantage Unit
Local: 650-616-2174 or
Toll-free: 1-866-880-0606
TTY: 1-800-735-2929 or dial 7-1-1
Monday through Sunday, 8:00 a.m.
to 8:00 p.m.
YOUR MEMBER MATERIALS INCLUDE:
Member Handbook
A detailed summary of your coverage that helps you to both understand and use your benefits and services. It also explains your rights and responsibilities. If you have questions about your benefits, go to www. hpsm.org/member-handbooks or call the numbers above. A printed copy of the Member Handbook, including
your rights and responsibilities can be requested by phone or by emailing MemberServicesSupport@hpsm.org.
Provider Directory A list of all the providers that are accepted by your plan (including doctors, specialists and pharmacies). To find a provider near you, search the online Provider Directory (updated weekly) at www.hpsm.org/directorysearch or call the numbers above. A printed copy of the Provider Directory can be requested by phone or by emailing providerdirectoryrequests@hpsm.org.
Formulary A list of covered medicines that is updated at least monthly and includes information on how to use your medication coverage. If you have questions about which medications HPSM covers, you can get answers using
HPSM’s online formularies at www.hpsm.org/medication-benefits.
You can also look up medications, copayments or limits for specific medications. Or you can get information about your medication benefits by calling the phone numbers above. You can request a paper copy of the Formulary by phone or by emailing
formularyrequests@hpsm.org.