OneCare (HMO SNP)


The OC evidence of coverage has a complete list of benefits.

Stethoscope Icon

Health services

  • “Welcome to Medicare” preventive visit (1 time only)
  • Primary care doctor visits
  • Medical specialist visits
  • Hospital and emergency care
  • Rehabilitation services
  • Immunizations
  • Drugs
  • Over the Counter (OTC) Items
  • Laboratory services
  • Hospice
Hand Holding Heart Icon

Behavioral health services

  • Inpatient mental health care
  • Outpatient mental health care
  • Outpatient substance abuse services
Wheelchair Icon

Other services and supplies

  • Hearing aids
  • Oxygen equipment and supplies
  • Home health services
  • Medical supplies
  • Chiropractic services
  • Foot care
  • Wheelchairs, walkers, crutches, etc.
Eye Icon

Vision care

  • Routine eye exams
  • Eyeglasses or contact lenses
Ambulance Icon


  • Ambulance services
  • Non-emergency medical transportation
  • Non-medical transportation to gym
Bed Icon

Long-term services and supports

  • Multipurpose senior services program
  • Community-based adult services
  • Nursing facility care
Document with arrow pointing down icon

Download the 2022 OneCare summary of benefits Download PDF Icon This is a summary, please see the OC evidence of coverage for the full benefits list.

Arrow Pointing Right Icon

Over-the-Counter (OTC) Benefits Learn how to order OTC products online, by phone or by mail.

Dental Care: Preventive and restorative dental services are provided through Medi-Cal. For benefits or to find a dentist, call Medi-Cal at 1-800-322-6384 or visit

Out-of-network coverage

Most services will be provided by our network providers. If you need a covered service that cannot be provided within our network, OneCare (HMO SNP) will pay for the cost of an out-of-network provider. You have the right to see an out-of-network urgent or emergency care provider, when necessary. If your current Medi-Cal or Medicare provider is not in our network, you can keep seeing that provider for a period of time if he or she agrees to work with OneCare.

Emergency services coverage

If you need emergency care at any time, 24 hours a day, 7 days a week, you don’t need to get approval first. OneCare can provide you with a list of services or procedures that require you to obtain prior authorization before the service is provided.

Contact Us
Visit Us
  • We are continuing to serve our members through our Customer Service phone numbers, as we adhere to guidelines to reduce the possibility of COVID-19 transmission. Our buildings are closed to visitors.

  • We speak your language
    Request interpreter services
New OneCare Members

To file a complaint with Medicare, click on the following link to complete a complaint form on the Medicare website: Medicare Complaint Form.

H5433_22WEB001_2022_A (Accepted 9/25/2021)


Materials available on this website in PDF format may require the free Adobe Reader to view. To download Adobe Reader for free from the Adobe website, click here.

Download the free Adobe Reader.