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BACKGROUND AND HISTORY

Health Plan of San Joaquin (HPSJ) is a publicly sponsored, not-for-profit, managed care health plan designed by and for the people of San Joaquin County. Licensed as a Health Maintenance Organization under the State of California Knox-Keene Act, HPSJ contracts with the State Department of Health Services (DHS) for care of persons on Medi-Cal in San Joaquin County, as well as the Healthy Families Program regulated by the California Managed Risk Medical Insurance Board (MRMIB).

In 2003 Health Plan partnered with First 5 San Joaquin Children & Families Commission to fund the Healthy Kids Program. That same year HPSJ launched Healthy Connections it’s first commercial product that provides medical and vision coverage to San Joaquin County’s In-Home Support Services (IHSS) workers.

In July 2006, Health Plan began serving Healthy Families members in Stanislaus and Merced Counties, becoming the first Local Initiative in the State to successfully achieve a Service Area Expansion. Members who choose HPSJ for medical benefits through Medi-Cal Managed Care, Healthy Kids, Healthy Families and Healthy Connections receive services such as:

  • Over 180 Primary Care Physicians (PCP) with access to most hospitals and area clinics and specialists referrals
  • Member service representatives who speak your language are available Monday – Friday from 8:00 a.m. – 5:00 p.m
  • Health education programs that deal with common concerns such as: asthma, diabetes, obesity and much more
  • Free 24-Hour Advice Nurse to answer your after-hours medical questions and concerns
  • Various member newsletters and brochures that provide tips and offer solutions to common health concerns
  • Case management and patient advocacy
  • Online grievance and complaint form
  • Culturally diverse doctors and providers who can assist members in over 30 languages

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