Individual Plan Descriptions - California Healthy Families - State of ...

1-800-750-4776
Monday–Thursday: 8:00 a.m.–6:00 p.m.
Friday: 9:30 a.m.–6:00 p.m.
English, Spanish and Tagalog.
Other languages available through interpreter services.
Why Choose Health Plan of San Mateo (HPSM)?
Choose HPSM and get the health care you need from the community
doctors, clinics, and hospitals you know! HPSM has operated locally in
San Mateo County since 1987. We work with most of the local doctors and
hospitals in the area and chain and independent pharmacies. Our doctors
speak several languages, understand your culture, and are close to your
home or work.
If you choose HPSM, the Community Provider Plan in San Mateo County,
your monthly premium will be less than if you choose another Healthy
Families Plan in the county.
Healthy Families monthly premiums are based on income and family size.
The range is $4 to $21 per child per month to a maximum of $63 per month
for all children in a family.
How the Plan Works
Every HPSM Healthy Families member chooses a Primary Care Physician
(PCP). Your child’s PCP takes care of most of your child’s health care
needs. If there is an emergency, call your child’s PCP anytime, including
nights and weekends.
We can help you find the right PCP. You can change your child’s PCP as
often as once a month. If needed, your child’s PCP will refer you to one
of HPSM’s specialists. Members can get family planning and prenatal
care without a referral. If your child needs medicine, the doctor will write
a prescription. Once your child enrolls you will receive a packet with
membership information including a Member ID card. You should carry
this card with you to all your child’s doctor appointments and to pharmacies
to get your child’s prescriptions.
What if I have a Question about HPSM?
If you have any questions or need assistance, please call HPSM’s Member
Services Representatives at 1-800-750-4776 or 1-650-616-2133.
How to Choose
To become an HPSM Healthy Families member, write HPSM in the space
provided on the form.
At HPSM, we fight to make a different in our community-to turn our vision
of better health for everyone, into a reality.
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The Healthy Families Program Handbook - September 2012