Commonly asked questions

Questions or comments about Health Plan of San Joaquin? Here are some of the most frequently asked questions. If you still can’t find the answer to your question, you can complete the Contact Us form below. We will refer your message to the appropriate person or department within our organization.

Please select an option:

I am a current HPSJ member

ID Card Request
  • I’m a new member, when will I get my ID card?
    • Your card will be mailed to the address on file within 7 business days after becoming a member of Health Plan of San Joaquin.

  • I’m an existing member and need a replacement ID card.
    • Please create or log into your member account by visiting the Members page or contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or (209) 942-6320.
How can I change my Primary Care Physician (PCP)?
Please create or log into your member account by visiting the Members page or contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or (209) 942-6320.
I want to update/change my address
  • If you reside in San Joaquin County, contact your case worker or Human Services Agency (HSA) at (209) 468-1000.
  • If you reside in Stanislaus County, contact your case worker or Community Service Agency (CSA) at their Toll Free number 1-877-652-0734 or (209) 558-2777.
Do I have Behavioral Health benefits?
These services are administered by Beacon, please contact them at 1-888-581-PLAN (7526). Click here to visit their website.
Do I have Vision benefits?
These services are administered by Vision Services Plan (VSP), please contact them at 1-800-877-7295. Click here to visit their website
Do I have Dental benefits?
Your dental benefits are covered by Denti-Cal at 1-800-322-6384. Please be sure to present your Medi-Cal card.
Assistance with Medi-Cal annual renewals
Please contact our Enrollment Team at our Toll Free number 1-888-896-PLAN (7526) or (209) 942-6328.
For other benefit questions or other inquiries
Please contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or (209) 942-6320, or complete the Contact Us form below:

I am a provider

Claims/Authorization Status
Please log into our Provider Portal (DRE). If you are not currently a provider portal (DRE) user, please click here and select Sign Up for more information.
Password Reset
If you are locked out of the Provider Portal (DRE), please contact Provider Services at (209) 942-6340.
Eligibility
For eligibility, please call our automated system at (209) 942-6303 or log into our Provider Portal (DRE).
Forms
Forms (i.e. Authorization, Referral, etc.) can be found in Section 3 – Additional Resources of the Provider Manual under Forms & Documents.
Member Benefits
Member benefit information can be found in our Provider Portal (DRE).
Other questions/topics?

I am interested in becoming an HPSJ member

    Health Plan of San Joaquin has an Enrollment Team dedicated to providing FREE Medi-Cal Application assistance.
    Enrollment
    • 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.
    Benefits
    • What are the covered benefits?
      • Please review our Evidence of Coverage located under Member Tools or contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or (209) 942-6320.
    Interest Form:
    Please fill out this form and a representative from Health Plan of San Joaquin will be in touch with you soon. Our callback hours are from 8:00am - 5:00pm.
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    Health Plan of San Joaquin has a team of staff who are fully dedicated to providing FREE Medi-Cal Application assistance. Please fill out this form and a representative from Health Plan of San Joaquin will be in touch with you soon.

    Please provide the following information and an HPSJ representative will contact you within 24 hours. Do not submit any personal health information via this form.

    Contact Information

    Phone Number
    First and Last Name
    Address
    City
    Zip Code

    Your date of Birth


    Best time to call

    Please specify the day and time you would like us to call you.

    Medi-Cal Eligibility representatives are available to assist you Monday to Friday from 8:00 a.m. – 5:00 p.m.

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    HPSJ General Telephone Numbers

    Toll Free 1-888-936-PLAN (7526)

    Toll Free (Spanish Speaking) 1-888-312-PLAN (7526)

    Provider Services (209) 942-6340

    Hearing Impaired – (TTY/TDD) 711

    Automated Eligibility System (209) 942-6303

    General Fax (209) 942-6305

    Authorizations Fax (209) 942-6302

    Member Services Representatives are available to assist you
    Monday – Friday from 8:00 a.m. – 6:00 p.m.

    Locations

    HPSJ is part of the Two-Plan model and serves as the local initiative in both San Joaquin and Stanislaus Counties.

    San Joaquin County
    HPSJ Headquarters
    7751 South Manthey Road
    French Camp, CA 95231-9802

    Stanislaus County
    1025 J Street
    Modesto, CA 95354
    View parking locations

    Posted on September 23rd, 2014 and last modified on July 11th, 2019.

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