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Health Care Plans, Programs & Members

Our four health care plans cover one out of five San Mateo County residents. We proudly serve those most in need of support: low-income individuals and families, seniors, people with disabilities, and children with complex medical conditions. This diverse and vibrant community includes people of all ages from many racial and ethnic backgrounds, half of whom speak a language other than English. We also offer programs to serve our members’ specific needs.

Health Care PlansDescriptionMembership
Medi-CalState and federally funded health insurance program for low-income individuals and families137,500+
CareAdvantageHealth insurance program for people with both Medicare and Medi-Cal8,500+
HealthWorx HMOA partnership between HPSM and San Mateo County to deliver coordinated care and services to eligible kids with complex medical conditions1,300+
San Mateo County ACE ProgramLocally funded plan administered by HPSM for low-income adults who do not qualify for other health insurance2,600+
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Health Care ProgramDescription
HPSM DentalCalifornia’s first and only dental plan for Medi-Cal members that is fully integrated with medical and mental health care benefits.
CalAIM A statewide program by the California Department of Health Care Services (DHCS) that helps managed care plans like HPSM support high-risk, high-needs Medi-Cal members.
HomeAdvantageProvides eligible CareAdvantage members with routine and urgent home visits, 24/7 phone access to providers, and transition support after a hospital visit.
Whole Child Model (WCM)A partnership between HPSM and San Mateo County to deliver coordinated care and services to eligible kids with complex medical conditions.
Wider CircleHelps older adults make new friends and develop healthy habits by attending fun social events in their community.

Age Groups

age 0 - 1737%

ages 0 - 17

age 18 - 6452%

ages 18 - 64

age 65+11%

ages 65+

Race & Ethnicity

Preferred Languages