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Health Plan of San Joaquin/Mountain Valley Health Plan ("Health Plan") 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 will be in touch with you soon.

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

Contact Information



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.
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