Call Health Care Options (HCO) at 1-844-580-7272 (TTY: 1-800-430-7077) or submit a cancellation request through your HPSJ member portal.
How do I switch from Health Net to Health Plan of San Joaquin?
Contact HPSJ’s Enrollment Team at 1-888-896-PLAN (7526) or 209-942-6328, or fill out an interest form on their website.
HPSJ is a local Medi-Cal managed care plan serving San Joaquin and Stanislaus counties. Most switches process in about a day. If you’re on Health Net’s Medi-Cal plan, you can switch during open enrollment—or if you qualify for a special enrollment period. Just double-check your eligibility and when your new coverage kicks in before you pull the trigger.
Can you go to Kaiser with Health Plan of San Joaquin?
Yes, Kaiser Permanente is in HPSJ’s network.
HPSJ partners with Kaiser for everything from routine check-ups to hospital stays. Bring your HPSJ card to any Kaiser facility—just confirm the location and services you need first. Honestly, this is one of the better provider networks in the area.
Is Health Plan of San Joaquin a PPO or HMO?
That means you’ll pick a primary care doctor and get referrals for specialists. HMOs usually cost less out of pocket and focus on keeping you healthy. If you want the freedom to see any provider without referrals, you’ll need to look at other Medi-Cal plans in your county.
What type of plan is Health Plan of San Joaquin?
HPSJ is a local, publicly sponsored Medi-Cal managed care plan under California’s Two-Plan model.
It serves Medi-Cal members in San Joaquin and Stanislaus counties with coordinated, community-based care. The Two-Plan model lets you choose between HPSJ and another local plan, depending on what’s available and what fits your needs best.
Does Health Plan of San Joaquin cover ambulance?
Yes, HPSJ covers medically necessary ambulance rides—both emergency and non-emergency—when authorized.
Ground transport is covered when it’s medically necessary and driving yourself isn’t safe. Non-emergency rides usually need pre-approval. Always check with HPSJ first to avoid surprise bills.
Does Health Plan of San Joaquin cover gastric sleeve?
HPSJ covers bariatric surgery like gastric sleeve if it’s medically necessary and approved under Milliman Care Guidelines.
You’ll need to meet specific BMI and health requirements, plus get prior authorization. The plan also covers pre- and post-op care. Talk to your doctor to see if you qualify and to start the approval process.
Is Health Plan of San Mateo HMO or PPO?
Health Plan of San Mateo (HealthWorx HMO) is an HMO.
As an HMO, you’ll need to stick to in-network providers and get referrals for specialists. HealthWorx stays the HMO option for eligible city employees in San Mateo through 2026. For the latest details, check with your employer or the plan directly.
How do I unenroll from Health Net?
Call Health Care Options (HCO) at 1-844-580-7272 (TTY: 1-800-430-7077) during business hours to drop your Health Net Cal MediConnect Plan.
You can also mail or fax a written request. Your coverage ends at the close of the month after you request it. Make sure you’ve got a new plan lined up before you cancel, or you could end up with a gap.
How do I switch from one health insurance to another?
Apply for the new plan within 45 days of your current policy ending and fill out portability forms with your existing policy documents.
Portability lets you switch without a gap—but timing is everything. Before you make the move, compare the new plan’s network, benefits, and costs. Reach out to the new insurer or a licensed agent for advice that fits your situation.
Can I go to Kaiser with Health Net insurance?
It depends—some Health Net plans include Kaiser as an in-network provider.
Employer-sponsored Health Net plans sometimes partner with Kaiser. Check your plan documents or call Health Net at 1-800-433-2937 to confirm. If Kaiser isn’t in your network, you might pay out-of-network rates—or switch to a plan that includes Kaiser.
Does Kaiser accept IEHP insurance?
Yes, Kaiser Permanente is an in-network provider for Inland Empire Health Plan (IEHP) members.
IEHP is a Medi-Cal managed care plan in Riverside and San Bernardino counties, and Kaiser is one of their contracted providers. Use your IEHP member ID to access Kaiser services. Always verify the location and services you need before booking an appointment.
How do I switch from Kaiser to LA Care?
Call Health Care Options (HCO) at 1-800-430-4263 (TTY: 1-800-430-7077 or 711) during business hours.
You can switch during open enrollment or if you qualify for a special enrollment period. LA Care has a big network in Los Angeles County. Once you confirm the switch, your new coverage starts on the first day of the following month.
Does Sutter Gould accept Health Plan of San Joaquin?
Yes, Sutter Gould accepts HPSJ for Medi-Cal and AIM (Medi-Cal Access Program) members.
Sutter Gould clinics and hospitals are part of HPSJ’s network. Always verify the specific location you plan to visit is in-network and accepts HPSJ to avoid unexpected charges. You can check provider status on the HPSJ website or by calling member services.
Does Health Plan of San Joaquin cover Covid testing?
Yes, HPSJ covers medically necessary COVID-19 testing and treatment at no cost to members.
That includes PCR and antigen tests, plus treatment for COVID-19 symptoms. Coverage applies during the public health emergency and may change later. If you think you need testing, contact your primary care provider or visit an in-network testing site.
Does Health Plan of San Joaquin cover acupuncture?
As of 2026, HPSJ covers acupuncture for Medi-Cal members when it’s medically necessary and pre-authorized.
Acupuncture may be covered for pain management, nausea, or other covered conditions. You’ll need approval from HPSJ before treatment to ensure coverage. Check the HPSJ website or call member services for the latest policy details.
What is Medi-Cal insurance in California?
Medi-Cal is California’s Medicaid program offering free or low-cost health coverage to eligible low-income individuals and families.
It’s funded by federal and state dollars and covers doctor visits, hospital care, prescriptions, and preventive services. Eligibility depends on income, household size, and other factors. Head to CoveredCA.com to apply or learn more.
What is Medi-Cal eligibility?
Medi-Cal eligibility in California is based on income and household size; as of 2026, the limit for free coverage is 138% of the federal poverty level.
For example, a single person can earn up to $18,754 a year and qualify for free Medi-Cal. Larger families have higher income limits. Other qualifying factors include pregnancy, disability, or having kids. Use the Covered California Medi-Cal calculator to estimate your eligibility.
Does Sutter take Medi-Cal?
Yes, Sutter Health accepts Medi-Cal for eligible patients, including kids and adults, through various Medi-Cal managed care plans.
Sutter’s pediatricians and specialists provide primary and specialty care to Medi-Cal enrollees covered by plans like Anthem Blue Cross. Confirm Sutter’s participation in your specific Medi-Cal plan’s provider directory. If you’re unsure, call Sutter’s financial assistance office or your Medi-Cal plan directly.
Edited and fact-checked by the FixAnswer editorial team.