CareAdvantage Dual Eligible Special Needs Plan (D-SNP) 2025
Vision Benefits
Eye exam, eyewear and eye care services
Vision co-pay – $0
Covers annual eye exam, glaucoma screening and eye care services.
- Services must be obtained from a CareAdvantage network optometrist or ophthalmologist
- Every year, choose between one pair of eyeglasses with frames or contact lenses
- $175 allowance for frames or lenses every year
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.
New address or contact information?
If you move and/or change your contact information (phone number, email), you must tell both HPSM and either the San Mateo County Human Services Agency at 1-800-223-8383 or Social Security Administration at 1-800-772-1213. This will ensure that you continue to get important information about your Medi-Cal coverage status.
To report your new information with HPSM, you can log in to the Member Portal or call the number below if you need assistance.
CareAdvantage Unit
Toll free: 1-866-880-0606
Local: 650-616-2174
TTY: 1-800-735-2929 or dial 7-1-1
Phone hours: Monday–Sunday 8:00 a.m. to 8:00 p.m.
Office hours: Monday–Friday 8:00 a.m. to 4:00 p.m.
Email: CareAdvantageSupport@hpsm.org
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.
CareAdvantage Dual Eligible Special Needs Plan (D-SNP) 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 D-SNP 2025 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 or dial 7-1-1). ( Download this statement in multiple languages.)
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Page updated November 1, 2024