This program is administered
by the Managed Risk Medical Insurance Board (MRMIB).

Health Plans

This chart lists the health plans in your county. The chart answers common questions about the plans. Information about each plan was provided by the plan. Click on each plan name for a description of the plan.

San Mateo County

The information on this chart was provided by each plan.	Health Plan of San Mateo	Kaiser Permanente
Are members required to have a Primary Care Physician (PCP)?	Yes	Yes
Are members required to get a referral from a PCP before going to a specialist?	No	Yes
How many times in a benefit year does the plan allow a member to change his/her PCP?	12	Unlimited
On average, how soon can a member be seen for a routine visit after requesting an appointment? (in weeks)	2 weeks	2 weeks
On average, how soon does it take to be seen if follow up care is necessary? (in weeks)	1 week	2 weeks
Does the plan offer a prescription drug mail-in program?	No	Yes
What types of physicians are offered as PCPs in this plan?
General Practice	Yes	Yes
Family Practice	Yes	Yes
Pediatrician	Yes	Yes
Obstetrics/Gynecologist (OB/GYN)	No	Yes
Internal Medicine	Yes	Yes
Does the plan provide the following optional benefits:
Biofeedback	No	No
Acupuncture	Yes	No
Chiropractic	Yes	Yes
Health Plan Statistics:
Total number of HFP members *	6,017	176,099
Other:
Does the plan require its members to use Binding Arbitration to resolve disputes? **	No	Yes
If yes, does Binding Arbitration include Medical Malpractice?	N/A	Yes

* This number represents the insurance plan's membership as of January 1, 2008.
** To get additional information about each insurance plan's dispute resolution provisions, call the plan or refer to the plan's Disclosure Form and Evidence of Coverage booklet, which is available upon request from each health plan.

NOTE: These summaries are for information only. This is not a contract. For a detailed and precise statement of benefits and exclusions, please refer to you Evidence of Coverage/Certificate of Insurance.