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.

Here are some answers to the most commonly asked questions:

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 888.321.7526. Click here to visit their website

Do I have Dental benefits?

Your dental benefits are covered by Smile California, please contact them 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 8:00 a.m. - 5:00 p.m.

[]

Health Plan of San Joaquin has a team of staff who are fully dedicated to providing FREE information on 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.

Member Development representatives

are available to assist you Monday to Friday from 8:00 a.m. – 5:00 p.m.

Best Day to Call you

There has been a lot of talk about the Coronavirus (COVID-19). There are other ways we can help: Create an online account to change your doctor, email the advice nurse, or order an ID card. Schedule a call with our Customer Service Team.