D-SNP is a type of Medicare Advantage (MA) plan, also known as a Medi-Medi plan. D-SNP is only offered to “dual eligible” people (those who have both Medicare and Medi-Cal).

Using both Medicare and Medi-Cal can be hard and confusing. A D-SNP health plan combines Medicare and Medi-Cal into one plan, making it simpler to get benefits and care.

SFHP Care Plus gives the same coverage as Medicare and Medi-Cal, PLUS extra benefits and services, and personalized care, all at no extra cost to you.

Yes, SFHP Care Plus is an HMO D-SNP plan. This means you must get care from doctors and hospitals in the SFHP Care Plus network.

SFHP Care Plus partners with providers from North East Medicare Services (NEMS), All American Medical Group (AAMG), and more.

Providers in the SFHP Care Plus network offer health care services in many languages and dialects, including English, Cantonese, Mandarin, Toisanese, Vietnamese, Burmese, Korean, Spanish, and Hindi.

If you need emergency care or out-of-area dialysis services, you can use providers outside of the SFHP Care Plus network. You can also get urgent care from out-of-network providers if you cannot access network providers within a reasonable time to address your urgent care needs.

If your providers (doctors, hospitals, pharmacies, etc.) are in the SFHP Care Plus network, you can keep seeing them and your care will be covered.

SFHP Care Plus partners with providers from North East Medicare Services (NEMS), All American Medical Group (AAMG), and more.

SFHP Care Plus also partners with several hospitals:

• California Pacific Medical Center (CPMC)
• Zuckerberg San Francisco General Hospital and Trauma Center
• Chinese Hospital
• UCSF Health Hyde Hospital (previously Saint Francis Memorial Hospital)
• UCSF Health Stanyan Hospital (previously St. Mary’s Medical Center)
• AHMC Seton Medical Center

If you need urgent or emergency care or out-of-area dialysis services, you can use providers outside of the SFHP Care Plus network.

Once you finish your Health Risk Assessment (HRA), you and your care team will work together to create a personalized or individualized care plan (ICP). Together, we can make sure you get the support you need.

You will get care from a team of experts that is coordinated by SFHP. Your SFHP Care Plus care manager will help you navigate your plan, your providers, and your services. Their mission is to make sure you get what you need.

You will not pay any monthly premiums for your health coverage, including the Medicare Part B premium, because you have Medi-Cal.

There is no yearly deductible or cost sharing for medical care. You will not lose any of your current Medi-Cal benefits. As a member of SFHP Care Plus you will get additional, no-cost coverage and benefits.

Starting in 2027, you will pay $0 for all covered prescription drugs. You will have no copay or out-of-pocket costs for covered prescription drugs. Please refer to the member handbook for more information.

SFHP Care Plus is a Dual Eligible Special Needs Plan (D-SNP), also known as a Medi-Medi plan. If you qualify for both Medicare Parts A and B, and full-benefits Medi-Cal, you can enroll in SFHP Care Plus. Find out if you qualify for SFHP Care Plus.