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Benefits and Services

The Healthy Kids program provides medical, dental, and vision coverage.  San Francisco Health Plan offers members:

  • Doctor Visits - over 2,500 providers to choose from
  • Dental Care
  • Vision Care (Glasses & Eye Exams) - over 200 vision service providers
  • Hospital and Emergency Room Care - six of the best San Francisco hospitals
  • Prescription Drugs - over 200 pharmacies throughout San Francisco
  • Regular Check-ups  and Immunizations (shots)
  • OB/GYN Services and Pregnancy Care
  • Family Planning
  • Substance Abuse Programs
  • Mental Health Services
  • Specialty Care - over 2,000 specialists in our network

Summary Of Benefits

The Summary of Benefits () matrix is intended to be used to help you compare coverage benefits and is a summary only.


Evidence of Coverage

The Evidence of Coverage () should be consulted for a detailed description of coverage benefits and limitations. 

Please note, effective December 1, 2009, The Healthy Kids Program has made changes to your premium and co-payment amounts. SFHP has notified you of these changes by mail. To download a copy of the Healthy Kids Program change notification letter, click here().

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