Visitors: Become a Member: How a Health Plan Works
How a Health Plan Works
San Francisco Health Plan is a managed care plan that provides medical, dental, and vision insurance through its programs. The benefits and elibility requirements for our programs are different depending on which program you or your family qualify for.
In managed care, your doctor (sometimes called a primary care provider or PCP), clinic, hospital, and specialist work together to care for you and your family.
Your doctor provides basic health care needs as part of a medical group. A medical group is made up of of specialists and other providers of health care services. A hospital is also connected with the medical group.
Your doctor and medical group direct the care for all of your medical needs. This includes authorizations to see specialists, or to get medical services such as lab tests, x-rays, and hospital care.
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