As of January 1, 2026, residents who qualify in San Joaquin, Stanislaus, El Dorado and Alpine Counties have access to Health Plan’s new Advantage D-SNP (HMO) Dual Eligible Special Needs Plan- an integrated benefit package designed to better serve individuals who qualify for both Medicare and Medi-Cal.

The new plan offering provides a single, coordinated health plan that makes it easier for members to access the care and benefits they need. The primary goal is to streamline and enhance care for individuals by eliminating the fragmentation that often results from navigating two separate programs.

Advantage D-SNP brings together the best of Medicare, Medi-Cal/Medicaid in one seamless plan designed to simplify care and improve the member experience. With one plan and one card, eligible members can now enjoy integrated coverage that makes managing their health easier than ever. Advantage D-SNP also connects members to coordinated care—providing smooth access to trusted providers, specialists, and case managers who work together to support their health journey.

Members can now benefit from expanded services that include vision, dental, hearing, transportation, and over-the-counter allowances, ensuring more complete and convenient care. Health Plan is rooted in the community, providing members with access to  dedicated local support including a team of care managers and advocates who understand their unique needs and are committed to helping them live healthier, fuller lives.

“This is a milestone for our organization and our community,” said Health Plan’s Chief Executive Officer, Lizeth Granados. “Our Advantage D-SNP (HMO) plan streamlines services, making it easier for individuals and families to access coordinated, high-quality care.   By expanding local support and resources and offering dedicated care coordination close to home, we’re helping members receive guidance to get the care they need—right here in our communities.”

“This new plan offering strengthens what we can offer our members and gives them access to a broader range of benefits and health services,” said Dr. Lakshmi Dhanvanthari, Health Plan’s Chief Medical Officer.  “We are simplifying care and expanding the supports available to help our members stay healthy and independent.”

Eligible Medicare members — including those turning 65 and those under 65 with qualifying disabilities who also have Medi-Cal — now have the option to choose their local health plan of nearly 30 years as their Dual Special Needs Plan. Community members, providers, and partners can learn more by visiting www.hpsj-mvhp.org.

Health Plan of San Joaquin/Mountain Valley Health Plan Advantage D-SNP is an HMO with a Medicare and Medi-Cal contract. Enrollment in Health Plan of San Joaquin/Mountain Valley Health Plan Advantage D-SNP depends on contract renewal.

About Health Plan of San Joaquin/Mountain Valley Health Plan

Health Plan of San Joaquin/Mountain Valley Health Plan serves nearly 400,000 members in Alpine, El Dorado, San Joaquin, and Stanislaus counties. Visit the website at www.HPSJ-MVHP.org

Media Contact:
Vena Ford
Health Plan of San Joaquin/Mountain Valley Health Plan
vford@hpsj.com