Your Care Network

Access Services in Your Care Network

Know Your SFHP Care Network

San Francisco Health Plan contracts with ten medical groups and their affiliated hospitals for clinical services. Individual physicians, other health care providers, and clinics participate in our network through one of these groups.

Your Primacy Care Provider (PCP)

The PCP or clinic you choose will oversee all of your health care needs. If you need specialty care, your PCP or clinic will help you find other health care providers, called specialists, and will refer you to them when needed.

  • PCP (doctor) appointments
  • Prescriptions
  • Durable Medical Equipment
  • Lab and test results
  • Care when you are sick or for emergencies
  • Referrals for specialists
  • After hour services
  • Immunizations

  1. Your Hospital
  2. Medical Group
  3. Member ID
  4. Member CIN#
  5. Program
  6. PCP Phone #
  7. PCN# 6334225
  8. Pharmacy BIN# 022659

 Need to find a Provider?

Our online Provider Search Tool helps you find and choose the right PCP and Specialist for you and your family.

Go to Provider Search Tool  

Questions?

  • Contact SFHP Customer Service
  • Contact Medi-Cal Office

 Pharmacy Services

To find pharmacies in your area and information about your pharmacy benefit, go to Medi-Cal Rx’s Homepage. To solve prescription drug and some durable medical equipment issues that are filled at a pharmacy, call Medi-Cal Rx’s toll-free number at 1(800) 977-2273. You can also call SFHP’s Customer Service at 1(415) 547-7800 or 1(800) 288-5555 (toll-free), and 1(415) 547-7830 (TTY).

Your Medical Group

Click on a medical group below for information on covered services:

IAll American Medical Group »All American Medical Group (AAMG) »

All American Medical Group (AAMG) is a medical group with over 150 physicians throughout San Francisco, including primary care physicians (PCPs) and specialists. Many of AAMG’s physicians speak Chinese dialects, as well as other Asian languages. AAMG’s Member Relations team is also fluent in Cantonese, Mandarin, English, and other local dialects and can be reached at 1(415) 590-7418 or Member.Relations@aamgdoctors.com.

More information is available at aamgdoctors.net.

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

Chinese Hospital
(Obstetrics and Pediatrics at CPMC)
1(415) 982-2400
845 Jackson Street

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

You may call your PCP’s office any time to get medical advice. An urgent care appointment will be scheduled within 48 hours of your request if no prior authorization is needed. When appropriate, please use the urgent care clinics instead of emergency room services if it’s not causing serious deterioration of your health and/or could seriously jeopardize the safety of yourself or others.

Dignity Health-GoHealth (Multiple Locations)
Dignity Health-GoHealth locations are subject to change. For updates and availability, visit gohealthuc.com/bayarea.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

IBrown & Toland Physicians Medical Group »Brown & Toland Physicians »

Your health is important to Brown & Toland. To ensure you maintain optimal health, they offer programs that focus on overall health, including care management services and a variety of health and wellness classes. There are more than 250 Brown & Toland Physicians located on hospital campuses and in private offices all over San Francisco. They include PCPs and specialists such as cardiologists, surgeons, and obstetrician/gynecologists.

For more information, visit brownandtoland.com.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

California Pacific Medical Center
Mission Bernal Campus
1(415) 647-8600
3555 Cesar Chavez Street

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain, you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

ICommunity Clinic Network »Community Clinic Network »

Community Clinic Network is made up of independent non-profit community clinics across San Francisco. They provide quality health care in culturally, linguistically, and population sensitive, community-based settings. Comprehensive primary, preventive, and ambulatory care services are provided by a team of doctors, mid-level clinicians, nurses, dentists, and health practitioners. Many clinics offer “one stop shopping” including mental health services, dental and vision care, health promotion, and disease prevention education. Specialty services and emergency care are provided by Zuckerberg San Francisco General Hospital and Trauma Center and skilled nursing and rehabilitation is available at Laguna Honda Hospital.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

Zuckerberg San Francisco General Hospital and Trauma Center
1(415) 206-8338
1001 Potrero Avenue

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain:

ZSFG – Adult Urgent Care Center
1(415) 206-8052
1001 Potrero Avenue
M-F 8:00am-8:00pm; SAT-SUN 8:00am-4:00pm

Or you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

IHill Physicians Medical Group »Hill Physicians »

Hill Physicians in San Francisco is a network of almost 200 doctors in many specialties. Across Northern California, more than 300,000 people rely on Hill Physicians for quality care in convenient locations near home and work. The California Association of Physician Groups has designated Hill Physicians as an “Elite” group in its Standards of Excellence, its highest ranking. Now your Hill Physicians doctor and Hill Physicians Medical Group can work with you to support a healthy lifestyle.

For more information and health resources, visit HillPhysicians.com.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

California Pacific Medical Center
Mission Bernal Campus
1(415) 647-8600
3555 Cesar Chavez Street

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain, you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

IJade Health Care Medical Group »Jade Health Care »

Jade is a medical group made up of over 230 providers in the areas of primary and specialty care services in San Francisco. We are committed in delivering the highest quality, culturally sensitive, bilingual managed health care to our community. The network hospital for Jade Health Care is Chinese Hospital. If your Jade Health Care specialist works with another hospital, such as California Pacific Medical Center or University of California, San Francisco, you might get needed hospital care at the other hospital. Care at another hospital is covered if authorized by Jade Health Care. Please visit jadehcmg.com or call Jade Health Care at 1(415) 669-8003 for more information.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

Chinese Hospital
(Obstetrics and Pediatrics at CPMC)
1(415) 982-2400
845 Jackson Street

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain, you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

INorth East Medical Services Medical Group »North East Medical Services »

North East Medical Services (NEMS) is a nonprofit medical group with seven clinics and individual primary care providers. The staff at NEMS clinics and individual provider sites provides comprehensive, quality health care services with a personal touch. NEMS serves all patients and specializes in a wide range of Asian cultural and ethnic backgrounds. The staff at NEMS can speak many languages including Mandarin, Cantonese, Vietnamese, Korean, Burmese, and English.

For more information, visit nems.org.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

California Pacific Medical Center
1(415) 600-6000

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain, you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

INorth East Medical Services with San Francisco Health Network »North East Medical w/ SFHN »

North East Medical Services has seven clinics and individual providers. They deliver primary and specialty care services. The San Francisco Health Network provides hospital and additional (ancillary) services such as outpatient lab and radiology services.

The staff at North East Medical Services’ clinics and individual provider sites provide comprehensive, quality health care services. They serve all patients and specialize in a wide range of Asian cultural and ethnic backgrounds. The staff can speak many languages including Mandarin, Cantonese, Vietnamese, Korean, Burmese, and English.

For more information, visit nems.org.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

Zuckerberg San Francisco General Hospital and Trauma Center
1(415) 206-8338
1001 Potrero Avenue

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain:

ZSFG – Adult Urgent Care Center
1(415) 206-8052
1001 Potrero Avenue
M-F 8:00am-8:00pm; SAT-SUN 8:00am-4:00pm

Or you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

ISan Francisco Health Network »San Francisco Health Network »

San Francisco Health Network is a community of top-rated clinics, hospitals and programs operated by the San Francisco Health Department. They connect San Franciscans to quality health care. Every year they serve more than 100,000 people in clinics and hospitals, such as Castro Mission, Chinatown, and Southeast Health Centers, Zuckerberg San Francisco General and Laguna Honda Hospital and Rehabilitation Center. As the city’s public health system they also provide emergency, trauma, mental health, and substance use care to any San Franciscan who needs it. The Health Network is dedicated to empowering all San Franciscans, without exception, to live the healthiest lives possible.

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

Zuckerberg San Francisco General Hospital and Trauma Center
1(415) 206-8338
1001 Potrero Avenue

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain:

ZSFG – Adult Urgent Care Center
1(415) 206-8052
1001 Potrero Avenue
M-F 8:00am-8:00pm; SAT-SUN 8:00am-4:00pm

Or you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

IUCSF Medical Group »UCSF »

UCSF Medical Group provides access to one of the top-ranked medical centers in the country. Members receive complete quality care from over 2,000 doctors who are part of the UCSF School of Medicine and who provide primary care, pediatric and gynecology care, women’s health services, emergency services, and more. By choosing a UCSF doctor, you have access to advanced health care services and a large network of specialists.

Read more at ucsfhealth.org.

 

Routine & Preventive Care

Primary Care Provider (PCP)

Your PCP is your first point of contact for non‑emergency, routine, and urgent medical needs.

Pharmacy Services

To find a participating pharmacy, go to Medi-Cal Rx’s pharmacy listings online at medi-calrx.dhcs.ca.gov/home or you can call Medi-Cal Rx toll-free at 1(800) 977-2273.

Mental Health Care

If you need to talk to someone, you can get an appointment with a psychologist or psychiatrist by calling Carelon Behavioral Health at 1(855) 371-8117.

Hospital Care

UCSF Medical Centers
1(415) 476-1000

Unless it is an emergency, you must first contact your PCP. An emergency is when you have a condition that endangers your life, are in extreme or intense pain, have serious difficulty breathing, or may have a broken bone. If you have a medical emergency, call 911 or go to the closest emergency room for help.

Afterhours Care

Urgent Care

Call your PCP’s office anytime, day or night, to get medical advice. You should get a PCP urgent care appointment within 48 hours of your request. When you need to be seen by a doctor right away because you are sick or hurting, or have symptoms like discomfort, fever, or slight pain, you can go to any Urgent Care Clinic near you.

Teladoc® Talk to a Doctor 24/7 FREE

You can have a phone or video consultation with a Teladoc doctor, 24 hours a day, 7 days a week.

1(800) 835-2362
sfhp.org/teladoc

Dental & Vision Care

Dental Care

For information on dental services, call Denti‑Cal at 1(800) 322-6384

Vision Care

For information on vision care, call VSP Vision Care at 1(800) 438-4560

Please check your Member Handbook to see what benefits are included in your plan.

 

Call SFHP Customer Service

San Francisco Health Plan Customer Service answers questions you may have about your health care benefits and services. We can help you find information on health care choices that are available for you and your family.

1(415) 547-7800

1(800) 288-5555 (toll-free)
1(415) 547-7830 (TTY)
  • Change your PCP (doctor)
  • Replace SFHP ID cards
  • Get a handbook or summary of benefits
  • Assist with billing issues
  • Update your contact information
  • Report a complaint
  • If you are having trouble scheduling appointments
  • Resolve durable medical equipment issues
  • Answer medical benefits question
  • And more

Apply for:

  • Medi-Cal
  • Covered California

 

Medi-Cal Office

They make sure that you are qualified and tell you when to reapply.

1(855) 355-5757

  • Applying for Medi-Cal
  • Renewing your Medi-Cal
  • Reinstatement if your coverage has stopped
  • Approval for coverage
  • If your application is on hold pending renewal
  • Replace Benefits Identification Card (BIC)

 

Medi-Cal Member Videos

Get Help Understanding Your Member Benefits & Services  Watch Videos »

Use of SFHP Logos, Names and Service Marks: No external organization, provider or vendor may use the San Francisco Health Plan (SFHP) logo, name, service mark, trademark, or likeness without obtaining prior written consent from SFHP and agreement to comply with any applicable conditions for use. Such consent should be procured at least 90 days in advance of proposed usage.

No Endorsement
San Francisco Health Plan (SFHP) does not endorse or promote any provider, health network, organization or vendor.

Compliance and Delegation Oversight Summary of Delegation Model

We set goals to give you easy access to our providers. We sign up doctors, clinics and hospitals into groups, called networks. This helps us with quality and costs. We call this groups of providers, “delegates.” We work with these delegates to make our service to you better. They have to follow the same rules that we do.

When you choose a primary care provider (PCP), you are also choosing a delegate. This includes all the doctors and hospitals within their network. We have them take care of referrals and prior authorizations for you. They also review and approve providers to join them. This is called credentialing. We also have them pay providers.

We make sure they take care of you. We do this by working with them and checking to see they are following the rules. We check that they give our members great service. We review them each year to make sure they follow laws and their contract with us.

  • Overview of Compliance Plan
  • Delegation Reporting and Compliance Plan
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