Medi-Cal and Medicare Benefits Combined
Choose from one of our two OneCare options: OneCare Complete or OneCare Flex Plus.
Premiums and Benefits
CalOptima Health OneCare Complete
Monthly plan premium
You pay $0
Deductible
You pay $0
Supplemental Benefits
CalOptima Health OneCare Complete
Flex card: Over-the-counter (OTC) items/healthy food and produce*
$167 per quarter with no rollover of unused funds. *Healthy food and produce only available to members with eligible chronic conditions
Fitness Benefit
You pay $0
Transportation: 1-866-612-1256 (TTY 711). Unlimited to and from the gym within a 10-mile radius
You pay $0
Comprehensive Dental
You pay $0
Vision care: Annual exam and up to $500 for eyeglasses, contact lenses and repairs every 2 years
You pay $0
Hearing aids: Up to $500 for hearing aids. Medi-Cal may cover up to an additional $1,510
You pay $0
Annual Physical Exam: Once per year
You pay $0
In-home support services/companion care: Up to 90 hours per year
You pay $0.
Erectile dysfunction medicines: 6 pills per month
You pay $0
Worldwide emergency room and urgent care: Up to $100,000 reimbursement per year
You pay $0
Pharmacy Services
CalOptima Health OneCare Complete
Pharmacy Services
You pay $0 for generic medicines and up to $12.65 for brand-name medicines. After out-of-pocket costs total $2,100, OneCare covers all drug costs until the end of the year
Hospital Services
CalOptima Health OneCare Complete
Inpatient hospital coverage
You pay $0
Outpatient hospital coverage: Ambulatory surgical center & Outpatient surgery (hospital)
You pay $0
Hospital care and surgeries
You pay $0
Emergency room services
You pay $0
Ambulance services
You pay $0
Skilled nursing facility and home health care
You pay $0
General Benefits and Services
CalOptima Health OneCare Complete
Doctor visits: Primary Care Provider (PCP) & Specialists
You pay $0
Preventive care
You pay $0
Lab tests
You pay $0
X-rays
You pay $0
Durable Medical Equipment (DME)
You pay $0
Flu shots
You pay $0
Screening mammograms
You pay $0
Pap tests and pelvic exams
You pay $0
Prostate cancer screenings exams
You pay $0
Bone mass testing
You pay $0
Diabetic supplies and podiatry services
You pay $0
Mental health services (inpatient and outpatient)
You pay $0
Physical and occupational therapy
You pay $0
Chiropractic and acupuncture services
You pay $0
Medical equipment and supplies
You pay $0
Nurse advice line
You pay $0
Home and Community Services via Medi-Cal
CalOptima Health OneCare Complete
Orange County In-Home Supportive Services (IHSS)
You pay $0
Community-Based Adult Services (CBAS)
You pay $0
Long-Term Care (LTC)
You pay $0
Healthy Food and Produce Benefit
To find out if you qualify to buy healthy food and produce with your flex card:
- Call OneCare Customer Service toll-free at 1-877-412-2734 (TTY 711).
- Or, download the 2026 Healthy Food and Produce Benefit form and ask your doctor to fill it out.
*The 2026 CalOptima Health OneCare Complete food and produce benefit is part of a special supplemental program for the chronically ill. Not all members qualify. To use the food and produce benefit, OneCare Complete members must have one or more comorbid and medically complex chronic conditions that are life-threatening or significantly limit the overall health or function of the enrollee. Eligible conditions include, but are not limited to, cardiovascular disorder, diabetes mellitus, chronic heart failure, chronic lung disease or end-stage renal disease. Even if the member has a chronic condition, the member will not necessarily receive the food and produce benefit. Receiving the food and produce benefit depends on the member having a high risk of hospitalization or other adverse health outcomes and a need for intense care coordination. Transportation to the grocery store is not available to OneCare Complete members.
Transportation
Call 1-866-612-1256
Learn about authorized services and request a ride by calling our transportation line toll-free at
1-866-612-1256 (TTY 711) at least 2 business days (Monday–Friday) before your appointment.
Non-Emergency Medical Transportation:
- Ambulance and wheelchair van services are available for medical visits
- Services are also available when travel by public or private transportation is not possible due to physical condition
Non-Medical Transportation
Unlimited transportation to plan-approved locations for:
- Medically necessary covered services
- Picking up drug prescriptions
- Picking up medical supplies and other medically necessary covered equipment
- Trips to and from the gym as part of supplemental gym membership benefit (10-mile radius)
- OneCare Complete members only — 100 one-way trips to grocery stores (10-mile radius)
Comprehensive Dental
Call Liberty Dental Plan at 1-888-704-9838 or Medi-Cal Dental at 1-800-322-6384
CalOptima Health OneCare works with Liberty Dental Plan to provide you with comprehensive dental services that add to the services you can get through Medi-Cal Dental. Click below for more information about which dental services CalOptima Health OneCare covers and how they work.
2026 CalOptima Health OneCare Dental Benefits and Medi-Cal Dental Benefits
2026 Liberty Dental Plan Benefits
2026 Liberty Dental Plan Frequently Asked Questions
For more information about your supplemental dental benefits, call Liberty Dental Plan toll-free at 1-888-704-9838 (TTY 711), Monday through Friday, from 8 a.m. to 8 p.m., or visit www.libertydentalplan.com.
For a full list of services covered by Medi-Cal Dental, call 1-800-322-6384 (TTY 1-800-735-2922) or visit Smile California. These resources can also help you locate a Medi-Cal Dental provider and file a grievance or complaint.
Enjoy Flexible Spending With Your OneCare &more™ Card
Use your OneCare &more flex card like a debit or credit card to buy approved grocery and non-prescription items in-store, online at participating stores or through a catalog.
&more Benefits Prepaid Mastercard® is issued by Avidia Bank, pursuant to a license from Mastercard Incorporated. Use of this card is subject to the terms and conditions of the Cardholder Agreement.
Create an &more™ Account
Know What You Can Buy
OneCare Complete Members
- $167 per quarter
- No rollover of unused funds
- Buy items, including:
- Over-the-counter non-prescription items, such as cough and cold medicine, acetaminophen, and bandages
- Healthy food and produce (if approved), like fruits and vegetables, whole foods and canned foods. To request approval, print the Flex Card Healthy Food and Produce Benefit form and have your doctor fill it out.
Note — you cannot buy alcohol, tobacco, sugary drinks and other items that are not approved.
Buy Your OTC Items in 4 Easy Ways
1. In-Store
Use your OneCare &more™ flex card at participating stores, such as:
• Albertsons
• CVS
• Ralphs
• Safeway
• Walgreens
See the full list at andmorehealth.com, download the andmore mobile app or call 1-855-AND-MORE (1-855-263-6673; TTY 711)
2. Online
Visit andmorehealth.com.
By visiting andmorehealth.com, you will be leaving the official CalOptima Health website. The policies that apply to our website might not be the same as the terms of use for other websites. We don’t operate or control the linked website and are not responsible for its operation or content.
3. Mobile App
Download the andmore mobile app.
Available for Apple and Android mobile phones. There is no charge to download or use the app. Internet access is required. Data rates may apply.
4. Catalog Orders
View the 2026 Over-the-Counter Catalog and Instructions, and call 1-855-AND-MORE (1-855-263-6673; TTY 711).
OneCare Coverage, No Matter What
Out-of-Network Care
Our network providers will provide most of your health care services. If you need a covered service that isn’t in our network, we’ll pay for the cost for you to see an out-of-network provider. You have the right to see an out-of-network urgent or emergency care provider when you need to. If your current Medi-Cal or Medicare provider is not in our network, you can keep seeing that provider for some time if they will work with us.
Emergency Care
If you need emergency care at any time, 24 hours a day, 7 days a week, you don’t need to get approval first. We’ll give you a list of services or procedures that require you to get prior authorization before the service is provided.
Disasters and Public Health Emergencies
If a state of disaster or public health emergency is declared in Orange County, you’ll still get the care you need from OneCare. During this time, if you can’t use a network provider, we’ll let you get care from out-of-network providers at no cost to you. If you can’t use a network pharmacy, you’ll also be able to get your medicines at an out-of-network pharmacy.
24/7 Nurse Advice Line
Call 1-844-447-8441
If you can’t get hold of your doctor or health network, you can speak to one of our nurses 24 hours a day, 7 days a week at 1-844-447-8441 (TDD/TTY 1-844-514-3774). We can help:
- Figure out your symptoms and what you can do
- Refer you to get help, see your doctor, go to urgent care or visit the hospital
- Explain your condition or your diagnosis
- Learn about your medicines
- Provide interpreter services by phone
For medical or psychiatric emergencies, call 911 or go to the nearest hospital.