The PureCare Health Care Services Plan (HSP) requires members to access benefits through participating PureCare HSP providers in their service area network (PDF). Out-of-network services are not covered unless authorized by the plan. Refer to the member's PureCare HSP identification (ID) card or quick reference (PDF) for more information.
PCPs and Self-Referrals
Members enrolled in PureCare HSP are required to select a primary care physician (PCP) or Essential Community Providers (ESP clinics). The clinic is listed as the member's PCP instead of the physician's name. PureCare HSP members may self-refer within the PureCare HSP service area for services that do not require prior authorization. The PCP or clinic is listed on the member's ID card.
Acupuncture services are administered by American Specialty Health Plans of California, Inc. (ASH). Mental health, bBehavioral health and substance abuse services are administered by MHN Services.