New Members Start Here

As a new CalOptima member, you will get a “Welcome to CalOptima” package in the mail. Please open it right away and do these 4 things:

The package will have instructions on how to access the Health Network and Provider Directory. Please choose a PCP and health network from the directory. You must also choose a PCP who belongs to the health network you choose.

The health network selection form is in your new member packet. You must list your choice of health network and PCP, sign the form, and return it to CalOptima as soon as you can.

The package will have instructions on how to access your CalOptima Member Handbook. Your handbook has key information about CalOptima’s programs and services. Refer to your handbook to find out what we cover, how to change your health network, how to change your PCP and many other details.

Schedule the first health exam within 90 days (3 months) of joining CalOptima. We believe preventive care is the best way to keep you and your family health. That means seeing your doctor for the first time, even if you do not feel sick. Your doctor can find health issues early, before they turn into big problems.

Family planning services are covered by your health network or CalOptima. These include counseling, pregnancy testing, and birth control methods. Call the CalOptima Customer Service department at the numbers below.

You need to see your doctor as soon as you think you are pregnant to begin prenatal care. Ask your doctor about Perinatal Support Services. This is a program that gives you more information while you are pregnant and for two months after your baby is born.