HealthWorx Members

Member Services

Toll free: 1-800-750-4776
Local: 650-616-2133
TTY: 1-800-735-2929 or dial 7-1-1

Phone hours: Monday–Friday 8:00 a.m. to 6:00 p.m.
Office hours: Monday–Friday 8:00 a.m. to 4:00 p.m.
Email: MemberServicesSupport@hpsm.org

HealthWorx HMO

Where Can I Get Care?

San Mateo County is the designated service area for the HealthWorx HMO program. Service Area means the geographic area served by HPSM and approved by the State of California Department of Managed Health Care (DMHC). It is important that you see doctors who participate with HPSM. 

Telemedicine

Doctor's visits by phone or video anytime

Many providers can give you advice over the phone or see you by video.  Telephone and video visits are fully covered by HPSM. Call your primary care provider (PCP) to check if they provide telephone or video visits. 

If you do not have a PCP, or if your PCP does not offer phone or video appointments, you may be able to use Teladoc®, one of HPSM's newest service partners. Learn more. 

Continuity of care

Under some circumstances, HPSM will provide continuity of care for new members who are receiving medical services from a non-participating provider, such as a doctor or hospital, when HPSM determines that continuing treatment with a non-participating provider is medically appropriate based on your condition. See the HealthWorx HMO Evidence of Coverage for more details. To request continuing care or get a copy of our Continuity of Care policy, please call Member Services. If your providers do not join the HPSM network by the end of 12 months, you will need to switch to providers in the HPSM network.

Search for a provider

Use the online provider search form to find the latest information for in-network primary care providers (PCP), specialists, pharmacies, clinics or hospitals. This directory is updated weekly.  You may need a referral from your PCP before making an appointment with a specialist for non-emergency care. Call your PCP to find out if a referral is required.

Search

  •  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


The provider directory is updated every week; however there may be incorrect or new information about a provider that has not yet been updated. If you find an error, please call 650-616-2106 extension 5 (for TTY: 800-735-2929 or 711). You can also email HPSM Provider Services at PSInquiries@hpsm.org.

For more information about where you can get care, refer to section 3 of the HealthWorx HMO Evidence of Coverage. To order a printed EOC, email MemberServicesSupport@hpsm.org or call Member Services.