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