Benefits and Services


The Healthy Kids HMO program offers medical, dental, and vision care. Medical care is provided by San Francisco Health Plan. Covered services include:

  • Doctor Visits
  • Hospital & Emergency Room Care
  • Prescription Drugs
  • Regular Check-Up’s and Immunizations (shots)
  • OB/GYN Services and Pregnancy Care
  • Family Planning
  • Substance Abuse Programs
  • Mental Health Services
  • Specialty Care
  • Dental Care – Through Delta Dental
  • Vision Care  – Through  VSP


See the Evidence of Coverage and the Healthy Kids HMO Summary of Benefits for details on the program benefits and limits.

See the New Consumer Protection Law Notice (AB72) for information about protection from surprise medical bills.

This glossary of health coverage and medical terms has many commonly used terms, but isn’t a full list. These glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan.

Note: There are no co-pays for preventive visits or for members under the age of 24 months for well-baby care and office visits. There are no co-pays for members who are documented Alaska Natives or Native Americans.