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Need Assistance?

CareAdvantage members

Call 1-866-880-0606 or 650-616-2174 Monday–Sunday 8:00 a.m. to 8:00 p.m.

TTY: 1-800-735-2929 or dial 7-1-1

Email: CareAdvantageSupport@hpsm.org

Medi-Cal and HealthWorx members and ACE Program participants

Call 1-800-750-4776 or 650-616-2133 Monday–Friday 8:00 a.m. to 6:00 p.m.

TTY: 1-800-735-2929 or dial 7-1-1

Email: MemberServicesSupport@hpsm.org

Member Handbooks

Below are electronic copies of member materials and translated versions for each plan.

The name of your health plan can be found on your HPSM member ID card.

Member Handbooks / Evidence of Coverage

The Member Handbook / Evidence of Coverage tells members about the covered benefits for their plan. It also explains their rights and responsibilities as a member of HPSM.

Formulary

The Formulary is a list of medicines that are covered under each HPSM plan's preferred medicine list. If a provider wants to prescribe an HPSM member a medicine that is not on this list, the provider must get prior authorization from before prescribing the medicine.

Provider Directory

The Provider Directory lists hospitals, clinics, pharmacies, PCPs, specialists, medical equipment providers and others that participate in the HPSM network. The Directory includes providers' names, addresses, phone numbers, business hours, languages spoken and more.

EnglishEspañol
CareAdvantage D-SNP 2025 Directorio de proveedores y farmacias Medi-Cal directorio de proveedores y farmacias HealthWorx HMO Directorio de proveedores y farmacias San Mateo County ACE Lista de Proveedores
中文
CareAdvantage D-SNP 2025 服務提供者及藥房名錄 Medi-Cal 服務提供者及藥房名錄 HealthWorx HMO 服務提供者及藥房名錄
Tagalog
CareAdvantage D-SNP 2025 Direktoryo ng Tagabigay ng Serbisyo at Parmasiya Medi-Cal Direktoryo ng Tagabigay ng Serbisyo at Parmasiya HealthWorx HMO Direktoryo ng Tagabigay ng Serbisyo at Parmasiya

Viewing a PDF document requires the free version of Adobe Acrobat Reader or equivalent software.

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.