CareAdvantage Dual Eligible Special Needs Plan (D-SNP) 2023
Co-pay – $0
CareAdvantage covers the following preventative services. Some may require prior authorization. CareAdvantage also covers any additional preventive services approved by Medicare mid-year.
- Annual physical exams
- Alcohol misuse counseling
- Cardiovascular screenings
- Cardiovascular therapy
- Cervical cancer screening
- Depression screening
- Diabetes screenings
- Flexible sigmoidoscopy
- HIV and STI screening
- Immunizations (e.g., flu, pneumonia, COVID)
- Nutrition therapy
- Obesity screening
- Osteoporosis screening
- Prostate cancer screening
- Tobacco cessation counseling
CareAdvantage covers emergency services both in and outside of HPSM’s service area and our network of providers. You do not need approval or a referral for emergency care.
If you have a medical emergency, call 911 or go to the nearest emergency room. As soon as possible (preferably within 48 hours), call your PCP (or ask someone else to call). Your PCP’s phone number is on the front of your CareAdvantage ID card.
Fight against flu
Flu vaccines are an important step in protecting yourself from a disease that affects thousands of people in the United States every year.
You can get flu shots at:
- Your doctor’s office
- Retail pharmacies (call first to check vaccine availability)
- A free flu clinic
Visit smchealth.org/flu for a schedule of free flu clinics in San Mateo County.
Call HPSM’s Nurse Advice Line
Call 1-833-846-8773 anytime, 24 hours a day–7 days a week.
A Licensed Registered Nurse (RN) will give you medical advice when you think you need urgent medical attention, but you are not sure. A nurse will ask about your symptoms and tell you:
- If you need to go to Urgent Care
- If you can wait to see your doctor (within 24 hours, 3 days, or longer)
- How to take care of your symptoms at home
Learn more about the Nurse Advice Line.
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 2023 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 October 1, 2022