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SFHP Medi-Cal Benefits: Complete Care for Better Health

At SFHP, your health matters. We’re here to provide timely, quality care and help you learn how to get the most out of your Medi-Cal benefits.

Get to Know Your Medi-Cal Benefits

Medi-Cal covers many benefits to help you stay healthy and feel your best. All your in-network and medically needed care is free. SFHP may cover medically needed care that is out of network. For out-of-network care, ask SFHP or your medical group for approval first.

Get to know your covered Medi-Cal benefits:

Dental Care

Medi-Cal Dental can help you keep your teeth and gums strong. Get yearly dental exams, cleanings, X-rays, fluoride varnish, fillings and more.

Vision Care

SFHP partners with VSP Vision Care (VSP) to keep your vision healthy. VSP offers yearly eye tests, eyeglasses, contacts & other vision care.

Preventive Care

Preventive care like check-ups, vaccines, and screenings can help you stay healthy. It can also help you avoid serious health problems in the future.

Specialty Care

SFHP partners with 3,000+ specialists to help you get expert care for health problems like:

  • Asthma
  • Diabetes
  • Heart disease
  • Glaucoma

Talk to your PCP to learn if you need specialty care.

Pediatric & Teen Care

SFHP covers medical, dental, vision and more to keep your children and teens healthy. All care is free for kids and teens from birth to age 21.

Behavioral & Mental Health Care

Feeling anxious, stressed, or sad? You are not alone. You and your family can get care like counseling, psychiatry, therapy for autism spectrum disorder (ASD), medication, and more.

From the start of pregnancy until up to 1 year after the end of pregnancy, you can get care from a doula (birth worker). Medi-Cal covers:

  • 9 visits before, during, and after pregnancy
  • Support during labor and birth, stillbirth, abortion, or miscarriage
  • 2 three-hour visits after pregnancy

You can get 24/7 care if you are having a medical emergency. Emergency care includes psychiatric screening, testing, and treatment for an injury or health problem that needs care right away.

When you need medicine, your primary care provider (PCP) can order it for you. Medications covered by Medi-Cal Rx are free. To learn what medications are covered, visit Medi-Cal Rx or call 1(800) 977-2273 (toll-free).

You can get many reproductive health services with SFHP. Learn about family planning, birth control, pregnancy care, counseling, abortion care, STI testing, and more.

As an SFHP member, you can get free rides to and from covered health and pharmacy visits. We partner with Modivcare to offer this benefit.

To see the full list of your covered Medi-Cal benefits, check your Member Handbook.

24/7 Teladoc Care

With Teladoc, you can get 24/7 care by phone, video, or smartphone app. Save a trip to urgent care or the ER. Talk to a doctor in your language and get help as soon as the same day.

Earn Health Rewards

With SFHP, you and your family can earn gift cards for staying healthy. Get health rewards for well-child visits, some health screenings, and more.

Questions About Your Benefits?

Your member materials can help you learn more about your covered Medi-Cal benefits. Check your Member Handbook or call SFHP Customer Service for help. Call SFHP Customer Service at 1(415) 547-7800, 1(800) 288-5555 (toll-free), or 711 (TTY), Monday–Friday, 8:00am–5:00pm.

Not a Member Yet?

Learn about your health care options and see if you can get Medi-Cal at sfhp.org/qualify.

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