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