Medi-Cal eligibility and benefits are changing for some adults starting in 2026. Learn more about the new rules and how they affect your coverage.
Learn More About Medi-Cal Changes
A new federal rule requires California to change how some members who do not meet certain federal immigration requirements get Medi-Cal services. Starting January 1, 2027, these members will move from CalOptima Health to Medi-Cal Fee-for-Service.
CalOptima Health Medi-Cal covers many health services at little to no cost. Follow these steps to enroll:
Before you apply, make sure you qualify for Medi-Cal. You could qualify based on income, household size, age and if you live in Orange County. Visit one of the County of Orange Social Services Agency’s (SSA) local offices, visit the BenefitsCal website, or call SSA at 1-800-281-9799, Monday–Friday, from 8 a.m.–5 p.m.
To apply, you will need to show certain records to prove who you are, your income, where you live and other details. These include:
There are many ways to get help and apply for Medi-Cal:
Once your Medi-Cal application is approved, you’ll get a packet in the mail with more info. It will have steps on how to choose us as your Medi-Cal health plan. Choosing CalOptima Health means joining a trusted community-based organization dedicated to serving Orange County residents. We offer a network of over 7,000 doctors, so you have access to high-quality care close to home.
You’ll get a confirmation letter and your CalOptima Health member ID card. This card is key to using the many benefits available to you through our Medi-Cal plan. It has important details about your coverage, such as your member ID number, primary care provider (if chosen) and info on how to access services.
Congratulations—you’re a CalOptima Health member! You can now make use of full health care services at little to no cost. These include:
Search our network to find a trusted provider that meets your health care needs.
View a list of benefits and services offered by our Medi-Cal program.
See other programs and services offered to our Medi-Cal members.
Read about our integrated behavioral health services to support your mental wellness.
Find out how CalAIM is transforming Health care with new services and supports.