Health Plan of San Joaquin (HPSJ) is a publicly sponsored, local non-profit, health care plan designed by and for the people of San Joaquin and Stanislaus counties.
HPSJ is available for San Joaquin and Stanislaus county residents for Medi-Cal benefits
.
How do I switch from health Net to Health Plan of San Joaquin?
If you are interested in becoming a Health Plan of San Joaquin (HPSJ) member, please
contact our Enrollment Team at our Toll Free number 1.888. 896. PLAN (7526) or 209.942. 6328, or fill out and submit the interest form
, and you will receive a response by the end of our next business day.
Can you go to Kaiser with Health Plan of San Joaquin?
Health Plan of San Joaquin works with the State of California to help you get the health care you need.
Kaiser Permanente is your health care provider through Health Plan of San Joaquin
.
Is Health Plan of San Joaquin a PPO or HMO?
As a
publicly sponsored, not-for-profit, Health Maintenance Organization (HMO)
, we have a contract with the California Department of Health Care Services (DHCS) to manage health care for Medi-Cal members.
What type of plan is Health Plan of San Joaquin?
HPSJ is part of the
Two-Plan
model and serves as the local initiative in both San Joaquin and Stanislaus Counties.
Does Health Plan of San Joaquin cover ambulance?
Emergency (Ambulance)
Ambulance services are covered in an emergency or when Health Plan of San Joaquin allows it
. We cover some kinds of medical ground transportation if you need it to get urgent health care services when it is not medically advisable for you to use a public or private vehicle.
Does Health Plan of San Joaquin cover gastric sleeve?
Health Plan of San Joaquin will cover Bariatric Surgery if the patient meets the medical necessity requirements per the Milliman Care Guidelines
. The purpose of this coverage policy will be to examine currently FDA approved agents for weight management and their coverage criteria.
Is health Plan of San Mateo HMO or PPO?
HealthWorx HMO
is a health insurance program for eligible employees of the city of San Mateo.
How do I Unenroll from healthnet?
You must ask to be disenrolled from Health Net Cal MediConnect Plan. There are two ways you can asked to be disenrolled: To disenroll, please
call Health Care Options (HCO) at 1-844-580-7272, 8am – 6pm (PST), Monday – Friday except holidays
. TTY/TDD users should call 1-800-430-7077.
How do I switch from one health insurance to another?
- Step 1- Apply for portability to the new insurer within 45 days of your current policy expiry date.
- Step 2- Fill up the portability and proposal forms and keep all the documents of your existing policy ready.
Can I go to Kaiser with Health Net insurance?
Kaiser will allow you to offer Kaiser side by side with Health Net
. This is the best of both worlds. We can offer each employee one worksheet.
Does Kaiser accept Iehp insurance?
Inland Empire Health Plan works with the State of California to help you get the health care you need.
Kaiser Permanente is your health care provider through Inland Empire Health Plan
.
How do I switch from Kaiser to LA Care?
You may leave L.A. Care and join another health plan in your county of residence at any time.
Call Health Care Options at 1-800-430-4263 (TTY: 1-800-430-7077 or 711) to choose a new plan
. You can call between 8:00 a.m. and 6:00 p.m. Monday through Friday.
Does Sutter Gould accept Health Plan of San Joaquin?
| To: Health Plan of San Joaquin (HPSJ) Providers | Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) |
|---|
Does Health Plan of San Joaquin cover Covid testing?
There is no cost to members for medically-needed screening, testing, and treatment for Coronavirus
.
Does Health Plan of San Joaquin cover acupuncture?
| Date: July 25, 2016 | To: To: Health Plan of San Joaquin (HPSJ) Providers |
|---|
What is Medi-Cal insurance in California?
Medi-Cal is
California's Medicaid health care program
. This program pays for a variety of medical services for children and adults with limited income and resources. Medi-Cal is supported by federal and state taxes.
What is Medi-Cal eligibility?
Medicaid income eligibility in California is based on household size. To qualify for free Medi-Cal coverage, you need to
earn less than 138% of the poverty level
, based on the number of people who live in your home. The income limits based on household size are: One person: $17,609. Two people: $23,792.
Does Sutter take Medi-Cal?
Sutter's pediatricians will continue to provide primary-care to Medi-Cal-enrolled children covered by Anthem Blue
, and the insurer's Medi-Cal enrollees also still will be able to access Sutter specialists.
