Health Plan of San Joaquin | Focus Your Health | Fall 2018

4 Focus Your Health Getting care ● ● Choose your primary care practitioner (PCP) at hpsj.com/find-a-provider . Our list shows each provider’s languages and sex. You can also find out about: their license, the medical school they went to, and their residencies and board status. You can also call us for help. ● ● Find how to reach your PCP. ● ● Choose a hospital by name or place. ● ● Learn how to get: ➜ Care during office hours ➜ After-hours care ➜ Specialty care ➜ Emergency care and when to use 911 ➜ Mental health care ➜ Hospital services ➜ Out-of-area care and coverage What your plan covers ● ● Find your Evidence of Coverage (EOC) online at hpsj.com/medi-cal-evidence -coverage . It tells you: ➜ What is and is not covered ➜ Your benefits and limits, in and out of our service area ➜ How we decide to involve a new technology as a covered benefit ● ● Find your Pharmacy Benefits at hpsj.com/formulary . It tells you: ➜ When we use generic medicine ➜ How to ask for brand-name medicine ➜ How to ask for a medicine that is not covered ➜ How to find out if your medicines are covered, need approval or are limited ➜ About therapeutic inter- change protocol for meds that work in a similar way and step therapy for other meds Visit hpsj.com/ rights-responsibilities to learn more about: ● ● How HPSJ protects your privacy ● ● Routine approval: What it means and what it covers ● ● How we use and share your information (info) ● ● How we get your approval to use your info ● ● How to ask for limits ● ● How you may see your info ● ● Sharing non-routine info ● ● How to limit how your info is used or shared ● ● How to change your health info ● ● How to find out who can see/has seen your private info For the complete list, please go to our website. Find what you need at hpsj.com Our website, hpsj.com , puts the news you need at your finger- tips. Many members use hpsj.com online tools to handle their care and fix their health. It is also the best way to: ● ● Get the most up-to-date facts about your plan. ● ● Find out how to reach us. ● ● Know what to do in a sudden event that must be handled right away. Visit hpsj.com from your PC, tablet or mobile phone. On hpsj.com you will find the news for the following topics: HPSJ member rights and responsibilities