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Request an interpreter for your next doctor’s appointment
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Talk to a
Customer Service Representative
Contact Us
Medi-Cal
Toll Free
1-888-936-PLAN (7526)
Hours of Operation
8:00 a.m. to 5:00 p.m.
Mon – Fri
Provider Services
1-209-942-6340
Hearing Impaired
TTY 711
Automated Eligibility System
1-209-942-6303
General Fax
1-209-942-6305
Authorizations Fax
1-209-942-6302
Advantage D-SNP
Toll Free
1-888-361-PLAN (7526)
Hours of Operation
8:00 a.m. to 8:00 p.m.
Mon – Sun October 1 through – 31
Mon – Fri April 1 – September 30
Provider Services
1-209-942-6340
Hearing Impaired
TTY 711
Automated Eligibility System
1-209-942-6303
General Fax
1-209-942-6305
Authorizations Fax
1-209-942-6302
Health Plan Locations
Medi-Cal
Hours of Operation
8:00 a.m. to 5:00 p.m.
Mon – Fri
Toll Free
1-888-936-PLAN (7526)
Provider Services
1-209-942-6340
Hearing Impaired
TTY 711
Automated Eligibility System
1-209-942-6303
General Fax
1-209-942-6305
Authorizations Fax
1-209-942-6302
Advantage D-SNP
Hours of Operation
8:00 a.m. to 8:00 p.m.
Mon – Sun October 1 through – 31
Mon – Fri April 1 – September 30
Toll Free
1-888-361-PLAN (7526)
Provider Services
1-209-942-6340
Hearing Impaired
TTY 711
Automated Eligibility System
1-209-942-6303
General Fax
1-209-942-6305
Authorizations Fax
1-209-942-6302
Health Plan Locations
HealthReach 24/7 Advice Nurse Line
HealthReach is a free advice nurse line service that allows you to speak with a nurse or doctor from the comfort of your home. This service can be used when your doctor is not in the office or unavailable.
It’s accessible 24 hours a day, 7 days a week. You can call HealthReach to ask questions about your symptoms, get health advice, listen to audio health library topics, and much more!
Need to ask a question? Call HealthReach: 1-800-655-8294
HealthReach 24/7 advice nurse line for all members
Language Assistance Services
All Health Plan Advantage D-SNP members who speak languages other than English can ask for help. You have the right to no-cost interpreting, as well as American Sign Language. You do not have to use a friend or children to interpret for you.
An interpreter can help you:
- Listen to your doctor and tell you what he/she is saying in your language
- Tell your doctor what you are saying
Need help getting an interpreter in your language? Call our Customer Service Department at
1-888-361-7526 TTY 711.
NOTE: If you want a person who speaks your language to help at your doctor’s visit, call Customer Service at least 5 (five) working days before your scheduled appointment.
Frequently Asked Questions
I am a
Medi-Cal 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.
- 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 1-209-942-6320.
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 1-209-942-6320.
I want to update/change my address
- If you reside in San Joaquin County, contact your case worker or Human Services Agency (HSA) at 1-209-468-1000.
- 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 1-209-558-2777.
Do I have Behavioral Health benefits?
These services are coordinated by Health Plan. Please call 1-888-581-PLAN (7526). Click here to learn more.
Do I have Vision benefits?
These services are administered by Vision Services Plan (VSP), please contact them at 1-888-321-7526. 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 1-209-942-6328.
For other benefit questions or other inquiries
Please contact Customer Service at our Toll Free number 1-888-936-PLAN (7526) or 1-209-942-6320, or complete the Contact Us form below:
I am an
Advantage D-SNP (HMO) Member
I am
interested in Enrolling
Health Plan has an Enrollment Team dedicated to providing FREE Medi-Cal Application assistance.
Enrollment
- If you are interested in becoming a Health Plan member, please contact our Enrollment Team at our Toll Free number 1-888-896-PLAN (7526) or 1-209-942-6328, 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 1-209-942-6320.
Interest Form:
Please fill out this form and a representative from Health Plan will be in touch with you soon. Our callback hours are from 8:00 a.m. – 5:00 p.m.
1
I am
a Provider
Utilization Management/Medical Director
For authorization related questions, please contact Customer Service at 1-209-942-6320 or Provider Services at 1-209-942-6340 and you will be directed to the appropriate UM staff member. For physician peer to peer discussion, please call 1-209-942-6353. To send a fax to the UM Department, please use 1-209-942-6302 for the Prior Authorization Team and use 1-209-762-4702 for the Inpatient Team. Health Plan appoints a physician as a full-time medical director pursuant to 22 CCR section 53857. To reach Dr. Lakshmi Dhanvanthari, please login to the provider portal for contact information.
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 ‘New Account’ for more information.
Password Reset
If you are locked out of the Provider Portal (DRE), please contact Provider Services at 1-209-942-6340.
Eligibility
For eligibility, please call our automated system at 1-209-942-6303 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?
Posted on September 9th, 2025 and last modified on October 1st, 2025.
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