Contact Us

If you think you have been exposed to COVID-19 or have symptoms, call your primary care doctor. Your doctor may refer you to a COVID-19 test site. There is no cost to members for medically-needed screening, testing, and treatment for Coronavirus

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

• 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 Carelon, 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 1-888-321-7526. 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

    Utilization Management/Medical Director

    For authorization related questions, please contact Customer Service at 209-942-6320 or Provider Services at 209-942-6340 and you will be directed to the appropriate UM staff member. For physician peer to peer discussion, please call 209.942.6353. To send a fax to the UM Department, please use 209-942-6302 for the Prior Authorization Team and use 209-762-4702 for the Inpatient Team. HPSJ/MVHP 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 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 (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.
    • 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.