Member Handbooks

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.

Summary of Benefits

The Summary of Benefits is a brief overview of the benefits and services covered by the plan.

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.

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 send us the correct information by using the Provider Directory Error Report Form.