HPSM Benefits

HPSM gives you access to a full range of health care benefits and services. Below is an overview of what you get, along with links to more details.

cmc-network

Health Care Services

HPSM’s Medi-Cal plan covers many health care services, including;

prescriptions

Prescription Drugs

Medications prescribed by your doctor are covered. Some medications may require prior authorization: talk to your doctor. Some over-the-counter medications may also be covered, but must be prescribed by your doctor.

Costs

Costs

Co-pays: Medi-Cal providers and pharmacies may charge a $1 co-pay for some services and prescription drugs. However:

  • Medi-Cal providers and pharmacies may charge a $1 co-pay for some services and prescription drugs
  • Hospitals can charge a $5 co-pay for non-emergency care provided at an emergency room. Check with your provider or pharmacy to see whether they charge a co-pay for services or medications.

Share-of-cost (SOC) payments: Some Medi-Cal members must pay a monthly fee towards their health care expenses. The County of San Mateo Human Services Agency determines if you must pay SOC based on your earnings. Call their Health Benefits Information line at 1-800-223-8383 to learn more.

Nurse Advice Line

Nurse Advice Line

This toll-free phone hotline is open 24 hours a day, 7 days a week. Just call 1-833-846-8773.

Registered nurses are on hand to answer questions about your symptoms. They can tell you how urgently you need to see a doctor and may give you advice for self-care at home.

Learn more

care coordination

Care Coordination program

Helps get your doctors and HPSM all working to give you the focus and support you need to stay healthy. Your personal Case Manager helps you set health goals and make a plan for achieving them.

For more information, visit our Care Coordination page or call 650-616-2060

Health Education

HPSM’s Health Education Unit

Provides information on a range of topics and support programs, such as:

  • How to quit tobacco and other similar products
  • Managing your diabetes, asthma, blood pressure and more
  • The Baby + Me Program, which connects pregnant women and new moms with a range of support resources – and offers participants up to $100 in Target GiftCardsTM 
The Bullseye Design, Target and Target GiftCard are registered trademarks of Target Brands, Inc. Terms and conditions are applied to gift cards. Target is not a participating partner in or sponsor of this offer.
Transportation

Free rides to health care appointments, the pharmacy, and other health care services

For members who don’t have other means of transportation to health care services. To schedule a ride, call American Logistics Company (ALC) at 1-844-856-4389 at least two (2) business days before your appointment (ALC is open Monday through Friday). If you have an urgent appointment, call as soon as you can.

Learn more

care coordination

Free interpreter services

If your doctor does not speak your language, interpreter services are available by phone and video. Just ask your doctor to call an interpreter during your visit. In special cases, an interpreter can go to the visit with you.

Learn more

Telemedicine

Doctor’s visits by phone or video

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

Learn more