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Feel the HPSJ Love - Member Newsletter 2022

Page 1

HPSJ

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Your care as an HPSJ Member

Thank you for being a Health Plan of San Joaquin Member! We support our members by giving them the tools for a healthy life at Health Plan of San Joaquin. We are proud to offer:

• Many Primary Care Doctors and specialists to choose from • Help after hours

• Mental health care

• Doctors who speak your language

We want to hear from you! You might be randomly selected to fill out a survey. This helps us improve programs and services. - HPSJ Team

• Interpretation services for appointments available for covered services

Learn how HPSJ cares for you

1

Thank you for being an HPSJ member

2-4

Member Resources and Information

5

HPSJ Member Benefits

1

6-7

HPSJ Member Portal


From, are Team Your C

You may get a mental health assessment at any time from a licensed mental health provider in the HPSJ network without a referral. HPSJ covers mental health services such as:

The goal of Health Plan of San Joaquin (HPSJ) is to improve the health of our community by creating health care value and advancing health care outcomes. HPSJ makes its members a priority, and will support you in any way we can.

• Individual and group mental health evaluation and treatment (psychotherapy)

• Psychological testing when clinically indicated to evaluate a mental health condition

If you need anything or have questions, don’t hesitate to call 888.936.PLAN (7526) TTY 711. Visit us online at www.hpsj.com

• Help with focusing, attention, and memory

• Outpatient services for the purposes of monitoring medication therapy

Protecting Your Identity is our Priority: • Customer Service staff must check 3 pieces of Private Heath Info (PHI) before they can help members.

• Callers 18 years of age or older need to call for themselves. If a parent or someone helping calls for a member, the HPSJ member MUST give consent. To protect you and your information, you MUST first say it is okay for us to speak to the person calling. To make changes to your name, address, or phone number, call your Eligibility Worker. San Joaquin County: 209.468.1000 Stanislaus County: 209.558.2500

Join HPSJ’s Diabetes Prevention Program! Health Plan of San Joaquin is proud to offer the National Diabetes Prevention Program online along with Melon Health.

Contact the Health Education team by phone or email to enroll or learn more about the program. 209.942.6356 | healtheducation@hpsj.com

You’re going to

love HPSJ’s

See page 4 for more details.

2

• Labs and medications

• Psychiatric consultation • Family Therapy

For help finding more information on mental health services provided by HPSJ, call Customer Service at 1.888.936.7526, TTY 711. No referrals are required. You may call counselors directly. Find a provider today at www.hpsj.com/find-a-provider

Do you LOVE your teeth as much as we do? Dental services are one of many programs covered when you qualify for Medi-Cal. Some members can get dental services provided through Medi-cal dental (previously known as Denti-cal). Visit www.smilecalifornia.org for more information. You can also call:

Telephone Service Center: 800.322.6384 Hearing Impaired (TTY): 800.735.2922

Program!


How much do you LOVE your doctor? When joining HPSJ, picking a doctor is one of the first things you should do. If you see a doctor that is not in HPSJ’s group, you may be able to keep them for 12 months in certain cases. If your doctor does not join HPSJ’s group by the end of 12 months, you will need to change to an HPSJ doctor. To learn how you can still see your doctor, visit www.hpsj.com/continuity-of-care* *Continuity of Care (COC) gives members continued access to non-HPSJ doctors for either medical or behavioral health services.

Need special treatment?

Your Primary Care Provider (PCP) will give you a referral to send you to a specialist if you need one. A specialist is a doctor who has extra education in one area of medicine. Your doctor will work with you to choose a specialist and help help you set up an appointment.

You do not need a referral for: • Regular doctor visits

• Sexually transmitted infection services (12 years or older)

• Obstetrics/Gynecology (OB/GYN) visits

• Chiropractic services (a referral may be required when provided by out-of network group)

• Urgent or emergency care visits

• Adult sensitive services, such as sexual assault care

• Acupuncture (the first two services per month; additional appointments will need a referral)

• Family planning services (learn more by calling the Office of Family Planning Information and Referral Service at 1.800.942.1054)

• Podiatry services

• Eligible dental services

• HIV testing and counseling (12 years or older)

• Initial mental health assessment

The best way to make sure your voice is heard is to tell your doctor what your needs are. Not sure which doctor you are assigned to? View your PCP online with a myHPSJ member portal account (visit www.hpsj. com/create-an-account for more details)or call our customer service team at 1.888.936.7526, TTY 711.

Get to know your ID Card

Your ID card has important information printed on it, such as:

John Q Public ID#: 111223333 Plan: MEDI-CAL

HPSJ’s Customer Service phone number

Office 10 ER/Urgent 15 Hospital 10 Rx 5

24/7 Nurse Line #: 1-800-655-8294

Contact information for mental health services, vision care, and pharmacy benefits

This card is for identification only and does not guarantee eligibility or payment for services. Providers: Verify member's PCP assignment and eligibility.

Your member ID number

3


Get rewarded for being healthy! You can get rewards for you and your family after going to the doctor for certain health exams. You may get a $25 gift card, if you qualify.

Diabetes A1C exam- Adults age 18-75 with diabetes (type 1 or type 2): Call or go to your doctor to get an A1C blood test screening lab slip. Next, go to a lab in the HPSJ Network to get the Diabetes A1C Test.

Well Child: 0-15 Months- Your baby must have six well child exams by the time he/she is 15 months old. On his/ her 6th visit, you can submit the reward request.

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Well Child: 3-21Years Old- Well child visits aren’t just for babies. All young people should receive a well visit every year to keep them healthy. You can get a reward if your child between the ages of 3-21 has a well visit at least once this year.

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Lead Screening- At least 2 lead screenings for children under 2. If there is no lead screening before then 1 catch up lead screening before age 6.

Well Child: 15-30 Months - A yearly well child health exam checks the health of your child’s eyes, hearing, and could involve shots, if they are due.

Prenatal- Visit doctor within the first three months (12 weeks) of becoming pregnant or within 42 days of becoming an HPSJ member.

Postpartum Visit- Women who gave birth should have at least one postpartum visit on or between 7 and 84 days after delivery.

Immunizations for Teens- Kids turning 13 should have the following vaccines before their 13th birthday: 1 dose meningococcal, 1 dose Tdap, complete HPV services (2 doses).

Cervical Cancer Screening- Women 21 or older: Make an appointment with your doctor or an OB/GYN to get tested for cervical cancer. The doctor will do a pap smear.

Flu Shot- Anyone 6 months or older: Make an appointment with your doctor or visit a local pharmacy or clinic to get your annual flu shot from 1/1/22-12/31/22.

Breast Cancer Screening- Women 40 or older: Call or go to your doctor to ask for a mammogram. Get your mammogram done to prevent or catch breast cancer early.

Check out myRewards at www.hpsj.com/myrewards

NEED TO QUIT TOBACCO? Talk to your doctor about what quit aids can help you. Call Kick It California for free counseling.

1.800.300.8086 Or visit www.kickitca.org

4


DID YOU KNOW? HealthReach

We can help you get care!

800.655.8294

Need to ask a question about your health? Call HealthReach - a FREE phone service for peace of mind when your doctor is not available. Nurses are available 24/7 to answer questions, give health advice, and help with medication prescriptions. Language assistance is also offered. Transportation

888.936.7526

Need a ride? Health Plan of San Joaquin provides non-medical transportation services for members: 1. Who do not have their own transportation available 2. For medically necessary managed care plan covered services

Types of Transportation: City bus vouchers, rideshare, taxi, mileage reimbursements Behavioral Health

888.581.7526

Health Plan of San Joaquin works with Beacon Health Strategies to provide behavioral health services. ✓ Get information ✓ Find a behavioral health doctor ✓ Make an appointment Eye Care

888.321.7526

Seeing is believing!

Eye exams are a covered benefit for HPSJ members Call VSP to see if you are eligible for your eye exam! Interpretation

888.936.7526

Help in your language! You have the right to no-cost interpreting, as well as American Sign Language. Need material in your language or format? You can get member materials in the language or format you want, such as large print or audio. To ask for material in your language or format call Health Plan of San Joaquin.

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Keep track of your health with an HPSJ Member Portal Use myHPSJ to: 3 Get a new ID card 3 Search for a doctor 3 Change your doctor 3 Get lab results 3 Talk to an Advice Nurse 3 Chat with a Customer Service representative 3 See real-time eligibility/eligibility status

View your myHPSJ account online, or through our app for easy and quick access! Download the FREE App Now!

and more!

Ready to set up your account online? See page 7 to learn how.

6


Fall in love with online tools!

Sign up for an HPSJ online account today using your computer, tablet or phone!

Visit www.HPSJ.com/portal

Have this before you start:

1 2 3 4

5 6 7 8

HPSJ Member ID

Birth Date Zip Code First Name / Last Name

Mobile Number Email for an account Username Password*

*Your password must be at least 8 characters. You must have at least three of the following: • A capital letter • A lower case letter

• A symbol (example: #, $, @) • A number

If the box turns red, you need to correct the information before an account can be created. Read the notes under the red box to find out what information must be corrected.

Note: It will take about 10 minutes to create an account. After that, access your account anytime you need to — day or night!

Need help? Go to www.hpsj.com/create-an-account to watch the help video, or call Customer Service at 1.888.936.7526 TTY 711.

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Language Assistance English Tagline ATTENTION: If you need help in your language call 888.936.7526, TTY/TDD 711. Aids and services for people with disabilities, like documents in braille and large print, are also available. Call 888.936.7526, TTY/TDD 711. These services are free of charge.

(Farsi) ‫مطلب به زبان فارسی‬ ‫ با‬،‫ اگر میخواهید به زبان خود کمک دریافت کنید‬:‫توجه‬ ‫ کمکها و‬.‫ تماس بگیرید‬888.936.7526, TTY/TDD 711 ‫ مانند نسخههای خط بریل و‬،‫خدمات مخصوص افراد دارای معلولیت‬ 888.936.7526, ‫ با‬.‫ نیز موجود است‬،‫چاپ با حروف بزرگ‬ .‫ این خدمات رایگان ارائه میشوند‬.‫ تماس بگیرید‬TTY/TDD 711

(Arabic) ‫الشعار بالعربية‬ ‫ل بىـ‬ ‫ فاتص ى‬،‫ل المساعد ىة بلغتك ى‬ ‫تإ ى‬ ‫ إذىا احتج ى‬:‫رج االنتباهى‬ ‫ُي ى‬ ً ‫ت‬ ‫ تتوف ىر أيضىا المساعدا ى‬.‫ى‬888.936.7526, TTY/TDD 711 ‫ت المكتوب ىة بطريق ىة‬ ‫ل المستندا ى‬ ‫ مث ى‬،‫ي اإلعاقة ى‬ ‫ص ذو ى‬ ‫ت لألشخا ى‬ ‫والخدما ى‬ .888.936.7526, TTY/TDD 711 ‫ل بىـ‬ ‫ اتص ى‬.‫الكبيى‬ ‫ل والخ ى‬ ‫بري ى‬ ‫ط ر‬ .‫ت مجاىنيةى‬ ‫هذ ىه الخدما ى‬

ह िं दी टै गलाइन (Hindi) ध्यान दें : अगर आपको अपनी भाषा में सहायता की आवश्यकता है तो 888.936.7526, TTY/TDD 711 पर कॉल करें । अशक्तता वाले लोगो​ों के ललए सहायता और सेवाएों , जैसे ब्रेल और बडे लरोंट में भी दस्तावेज़ उपलब्ध हैं । 888.936.7526, TTY/TDD 711 पर कॉल करें । ये सेवाएों लन: शुल्क हैं ।

Հայերեն պիտակ (Armenian) ՈՒՇԱԴՐՈՒԹՅՈՒՆ: Եթե Ձեզ օգնություն է հարկավոր Ձեր լեզվով, զանգահարեք 888.936.7526, TTY/TDD 711։ Կան նաև օժանդակ միջոցներ ու ծառայություններ հաշմանդամություն ունեցող անձանց համար, օրինակ` Բրայլի գրատիպով ու խոշորատառ տպագրված նյութեր։ Զանգահարեք 888.936.7526, TTY/TDD 711։ Այդ ծառայություններն անվճար են։

Nqe Lus Hmoob Cob (Hmong) CEEB TOOM: Yog koj xav tau kev pab txhais koj hom lus hu rau 888.936.7526, TTY/TDD 711. Muaj cov kev pab txhawb thiab kev pab cuam rau cov neeg xiam oob qhab, xws li puav leej muaj ua cov ntawv su thiab luam tawm ua tus ntawv loj. Hu rau 888.936.7526, TTY/TDD 711. Cov kev pab cuam no yog pab dawb xwb. 日本語表記 (Japanese) 注意日本語での対応が必要な場合は 888.936.7526, TTY/TDD 711へお電話ください。 点字の資料や文字の拡大表示など、障がいをお 持ちの方のためのサービスも用意しています。 888.936.7526, TTY/TDD 711へお電話ください。 これらのサービスは無料で提供しています。

ឃ្លាសម្គាល់ជាភាសាខ្មែ រ (Cambodian) ចំណ៖ំ ប ើអ្នក ត្រូវ ការជំនួយ ជាភាសា រ ស់អ្នក សូ ម ទូ រស័ព្ទបៅបេខ 888.936.7526, TTY/TDD 711។ ជំនួយ និង បសវាកមម សត្ា ់ ជនព្ិការ ដូ ចជាឯកសារសរបសរជាអ្កសរផុសសត្ា ់ជនព្ិការ ភ្នន ក ឬឯកសារសរបសរជាអ្កសរព្ុមពធំ ក៏អាចរកបានផងភ្ដរ។ ទូ រស័ព្ទមកបេខ 888.936.7526, TTY/TDD 711។ បសវាកមម ទ ំងបនេះមិនគិរថ្លៃប ើយ។

한국어 태그라인 (Korean) 유의사항: 귀하의 언어로 도움을 받고 싶으시면 888.936.7526, TTY/TDD 711 번으로 문의하십시오. 점자나 큰 활자로 된 문서와 같이 장애가 있는 분들을 위한 도움과 서비스도 이용 가능합니다. 888.936.7526, TTY/TDD 711 번으로 문의하십시오. 이러한 서비스는 무료로 제공됩니다.

简体中文标语 (Chinese) 请注意:如果您需要以您的母语提供帮助,请致 电 888.936.7526, TTY/TDD 711。另外还提供针 对残疾人士的帮助和服务,例如盲文和需要较大 字体阅读,也是方便取用的。请致电 888.936.7526, TTY/TDD 711。这些服务都是免费 的。

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888.936.7526, TTY/TDD 711. Estos servicios son gratuitos.

ແທກໄລພາສາລາວ (Laotian) ປະກາດ: ຖ ້ າທ ່ ານຕ ້ ອງການຄວາມຊ ່ ວຍເຫ ່ າ ຼື ອໃນພາສາຂອງທ ນໃຫ ້ ໂທຫາເບ ີ 888.936.7526, TTY/TDD 711. ຍັງມ ່ ວຍເຫ ໍ ິ ລການສ ໍ າລັບຄ ີ ຄວາມຊ ຼື ອແລະການບ ິ ົ ນພ ການ ່ີ ເປ ່ ັ ນເອກະສານທ ເຊ ູ ນແລະມ ັ ນອັກສອນນ ່ ີ ໂຕພ ິ ມໃຫຍ ໃຫ ໂທຫາເບ 888.936.7526, TTY/TDD 711. ້ ີ ່ົ ານ ການບ ໍ ິ ລການເຫ ້ ອງເສຍຄ ່ າໃຊ ້ ຈ ່ າຍໃດໆ. ີ ້ ໍ່ ບຕ

Tagalog Tagline (Tagalog) ATENSIYON: Kung kailangan mo ng tulong sa iyong wika, tumawag sa 888.936.7526, TTY/TDD 711. Mayroon ding mga tulong at serbisyo para sa mga taong may kapansanan,tulad ng mga dokumento sa braille at malaking print. Tumawag sa 888.936.7526, TTY/TDD 711. Libre ang mga serbisyong ito.

Mien Tagline (Mien) LONGC HNYOUV JANGX LONGX OC: Beiv taux meih qiemx longc mienh tengx faan benx meih nyei waac nor douc waac daaih lorx taux 888.936.7526, TTY/TDD 711. Liouh lorx jauvlouc tengx aengx caux nzie gong bun taux ninh mbuo wuaaic fangx mienh, beiv taux longc benx nzangc-pokc bun hluo mbiutc aengx caux aamz mborqv benx domh sou se mbenc nzoih bun longc. Douc waac daaih lorx 888.936.7526, TTY/TDD 711. Naaiv deix nzie weih gong-bou jauv-louc se benx wang-henh tengx mv zuqc cuotv nyaanh oc.

แท็กไลน์ภาษาไทย (Thai) โปรดทราบ: หากคุณต ้องการความช่วยเหลือเป็ นภาษาของคุณ กรุณาโทรศัพท์ไปทีห ่ มายเลข 888.936.7526, TTY/TDD 711 นอกจากนี้ ยังพร ้อมให ้ความช่วยเหลือและบริการต่าง ๆ สาหรับบุคคลทีม ่ ค ี วามพิการ เช่น เอกสารต่าง ๆ ทีเ่ ป็ นอักษรเบรลล์และเอกสารทีพ ่ ม ิ พ์ด ้วยตัวอักษรขนา ดใหญ่ กรุณาโทรศัพท์ไปทีห ่ มายเลข 888.936.7526, TTY/TDD 711 ไม่มค ี ่าใช ้จ่ายสาหรับบริการเหล่านี้ Примітка українською (Ukrainian) УВАГА! Якщо вам потрібна допомога вашою рідною мовою, телефонуйте на номер 888.936.7526, TTY/TDD 711. Люди з обмеженими можливостями також можуть скористатися допоміжними засобами та послугами, наприклад, отримати документи, надруковані шрифтом Брайля та великим шрифтом. Телефонуйте на номер 888.936.7526, TTY/TDD 711. Ці послуги безкоштовні.

ਪੰ ਜਾਬੀ ਟੈਗਲਾਈਨ (Punjabi) ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਹਾਨੂੰ ਆਪਣੀ ਭਾਸਾ ਧ ਿੱ ਚ ਮਿ​ਿ ਿੀ ਲੋ ੜ ਹੈ ਤਾਂ ਕਾਲ ਕਰੋ 888.936.7526, TTY/TDD 711. ਅਪਾਹਜ ਲੋ ਕਾਂ ਲਈ ਸਹਾਇਤਾ ਅਤੇ ਸੇ ਾ ਾਂ, ਧਜ ੇਂ ਧਕ ਬ੍ਰੇਲ ਅਤੇ ਮੋਟੀ ਛਪਾਈ ਧ ਿੱ ਚ ਿਸਤਾ ੇਜ਼, ੀ ਉਪਲਬ੍ਿ ਹਨ| ਕਾਲ ਕਰੋ 888.936.7526, TTY/TDD 711. ਇਹ ਸੇ ਾ ਾਂ ਮੁਫਤ ਹਨ| Русский слоган (Russian) ВНИМАНИЕ! Если вам нужна помощь на вашем родном языке, звоните по номеру 888.936.7256 (линия TTY/TDD711). Также предоставляются средства и услуги для людей с ограниченными возможностями, например документы крупным шрифтом или шрифтом Брайля. Звоните по номеру 888.936.7256 (линия TTY/TDD 711). Такие услуги предоставляются бесплатно.

Khẩu hiệu tiếng Việt (Vietnamese) CHÚ Ý: Nếu quý vị cần trợ giúp bằng ngôn ngữ của mình, vui lòng gọi số 888.936.7526, TTY/TDD 711. Chúng tôi cũng hỗ trợ và cung cấp các dịch vụ dành cho người khuyết tật, như tài liệu bằng chữ nổi Braille và chữ khổ lớn (chữ hoa). Vui lòng gọi số 888.936.7526, TTY/TDD 711. Các dịch vụ này đều miễn phí.

Mensaje en español (Spanish) ATENCIÓN: si necesita ayuda en su idioma, llame al 888.936.7526, TTY/TDD 711. También ofrecemos asistencia y servicios para personas con discapacidades, como documentos en braille y con letras grandes. Llame al

LANGAS-11242021-R

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7751 S. Manthey Road French Camp, CA 95231 888.936.PLAN (7526), TTY 711 www.hpsj.com

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Feel the HPSJ Love - Member Newsletter 2022 by Health Plan of San Joaquin/Mountain Valley Health Plan - Issuu