Your HEALTHmatters

Welcome to Your HEALTHmatters—our member blog that makes keeping up with the latest health news easy! This is where you’ll find the latest benefit information, tips and resources for a healthy, happy you! The top stories are highlighted with images, and you can find more stories listed under them. To read a story, just click the headline or the "Read more" link.

If you have questions about specific content that may affect your health, please contact your health care provider.

Top stories

Get Moving with Your New Fitness Membership Program

Know Your Benefits and How to Use Them

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Know Your Benefits and How to Use Them

Our Quick-Start Guides Make Using Your Benefits Easy!

Know Your Benefits and How to Use Them

More stories

Know Your Benefits and How to Use Them

Your Member Handbook describes your benefits and how to use them. Other information available in the Member Handbook includes:

Benefits, services and covered medicines

  • Services/medicines your health plan covers and doesn’t cover.
  • Copays (if needed).
  • Submitting claims for covered benefits (if needed).
  • Your rights and responsibilities as an HPSM member.


  • Selecting a primary care provider (PCP).
  • Details about both in- and out-of-network care.
  • Finding information about network providers (PCPs, specialty and mental health providers, and hospitals).

Access to care, such as getting:

  • Care where and when you need it (in an emergency, after normal business hours or when outside San Mateo County).
  • Health care services and prescription medicines.
  • Information and services in your preferred language.

Appeals and complaints

  • Submitting an appeal for a denied service.
  • Details about HPSM’s appeals review process.
  • Submitting complaints.
  • How decisions are made to cover new technology as a benefit.

The Member Handbook is updated regularly. See the latest version.