CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan)

Pharmacy Services

In general, CareAdvantage CMC only covers prescriptions that are filled by network pharmacies. However, there are certain circumstances under which CareAdvantage CMC will reimburse you for prescriptions filled by out-of-network pharmacies. Quantity limits and restrictions may apply.

CareAdvantage CMC Network Pharmacies

The CareAdvantage CMC network includes more than 200 pharmacies in San Mateo County and San Francisco. Outside of these areas, you can fill prescriptions at the following chain pharmacies:

  • Costco: 1-800-607-6861
  • CVS: 1-800-746-7287
  • Lucky: 1-800-692-5710
  • Rite Aid: 1-800-748-3243 TTY/TDD: 1-800-821-1833
  • Safeway: 1-877-723-3929
  • Target: 1-800-440-0680
  • Walgreens: 1-800-925-4733

Find a provider

Use the search form to quickly find in-network primary care providers, specialists, pharmacies, clinics and hospitals

  • Search by provider name, health plan, location or type of provider
  • Click on a provider's name in the search results to see additional information
  • Search results include links to interactive maps and directions
  • Print or save the information for individual providers
  • Weekly updates ensure you get the most accurate results

Prescription Reimbursements

If you pay the full cost of a prescription, CareAdvantage CMC will reimburse you under certain circumstances, such as when you

  • Fill a prescription in an emergency situation at a non-network pharmacy
  • Need a specialized drug that is not available at a network pharmacy
  • Need a drug that is only available, by law, at specific pharmacies

Note that HPSM will not reimburse you for your Part D prescription co-pay.

To Request Reimbursement

Send a copy of your pharmacy receipt to:

Health Plan of San Mateo
Attn: CareAdvantage Unit
801 Gateway Blvd., Suite 100
South San Francisco, CA 94080

Request a Printed Copy

If you would like a provider directory mailed to you, please send an email to with the following information:

  • Your first and last name
  • Daytime phone number (in case we need to call you about your request)
  • Mailing address
  • Which program's provider directory you are requesting (HealthWorx HMO, ACE, CareAdvantage CMC, Healthy Kids HMO, or Medi-Cal)

CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan) 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 CMC 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). (Download this statement in multiple languages.)

H7885_MMP_15129_01_18_EN Approved

Page updated August 14, 2018