Member Centered Programs

Incentives Available to Members

  • Contact the Health Education Department to request incentive materials (forms and prepaid envelopes), or for a presentation to your staff about SFHP’s incentive programs.
  • Fax incentive forms directly back to SFHP at 1(415) 615-4547.
  • Members should call SFHP Customer Service at 1(800) 288-5555 if they have not received a response in 4-6 weeks of submission.

For more information contact Health Improvement.

SFHP no longer offers an Asthma member incentive program. Also, the Childhood Immunization Member Incentive Program will end on June 30 2020. If your patient received either of these forms in the mail, please advise them to return it to SFHP via mail or your office may fax it to us directly at 1(415) 615-4547. SFHP will process the completed incentive form for these programs as usual.

The blank asthma and childhood immunization incentive forms are no longer available on our member-facing website or our provider resource page. Please continue to give recommendations to your patients about immunizations and asthma. You may also direct patients to the SFHP website for health education resources at https://www.sfhp.org/health-wellness/health-education-library/.

Member incentive card

For Medi-Cal members ages three through six.

Children who receive a well-child visit during the calendar year.

Members receive mailed information on their birthday month each year.

Member incentive card

For Medi-Cal pregnant members.

Pregnant members who receive a prenatal checkup within the required time frame (42 days for new members and first trimester for existing members).

Members can call SFHP to request a submission form.

Member incentive card

For Medi-Cal members who have given birth.

Members who receive a postpartum health visit between three and eight weeks after delivery.

Members can call SFHP to request a submission form.

Member incentive other screenings

Member incentive dilated eye exam

For Medi-Cal members with diabetes ages 18+.

*One for dilated eye exam, one for all other screenings

Members with a diagnosis of diabetes (type 1 or type 2) who receive each of the following screening tests:

  • Blood Pressure Check
  • HbA1c Test
  • Monitoring for Nephropathy

  • Retinal Eye Exam (once a year or if members had a retinal eye exam in the prior calendar year and had a negative test result for retinopathy)

Member incentive card

For Medi-Cal members with hypertension ages 18+.

Members with a diagnosis of hypertension who receive a blood pressure check with their PCP team and who complete the Healthy Action Plan during the calendar year.

Members receive mailed information once a year.