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 Manuals / Evidence of Coverage
The Member Handbook tells you about the covered benefits for each plan. It also explains your rights and responsibilities as a member of HPSM.
Summary of Benefits
The Summary of Benefits is a brief overview of the benefits and services covered by the plan.
Formularies / Lists of Covered Drugs
The formulary is a list of drugs that are in the plan's preferred drug list. If your doctor thinks you need to take a drug that is not on this list, your doctor will need to ask HPSM for pre-approval before you get the drug.
The Provider Directory lists hospitals, clinics, pharmacies, PCPs, specialists, medical equipment providers and others that participate in the HPSM network. The directory includes names, addresses, phone numbers, business hours, languages spoken and more.
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 send us the correct information by using the Provider Directory Error Report Form.