HealthWorx HMO

HealthWorx HMO is a health insurance program for eligible employees of the city of San Mateo.

Who is eligible

  • City of San Mateo part-time employees
  • In-home Supportive Services (IHSS) workers employed by the San Mateo County Public Authority

What is covered

  • Doctor visits
  • Hospital visits
  • Prescription drugs
  • Long-term care in Skilled Nursing Facilities
  • Preventive care – such as health exams, screenings, tests, immunizations and other office visits with a primary care doctor
  • Pregnancy and maternity care
  • Dental and eye care – only for IHSS workers (call Service Employees International Union, Local 521: 1-800-842-6635)

Cost

Monthly premium

HealthWorx members pay a monthly fee. The amount is determined by their employer.

Co-pays

Some services have a co-pay and others have no co-pay:

  • Pregnancy and maternity care – $0
  • Doctor and hospital visits (such as medically necessary home visits) – $5
  • Emergency room visits – $25

Apply

  • IHSS Workers Employed by the San Mateo County Public Authority – Call the San Mateo County Public Authority for IHSS at 650-573-3773
  • Part-Time Employees of the City of San Mateo – Call the SEIU at 1-800-842-6635 to find out if you qualify and to apply