Disclaimers

CalOptima Health OneCare (HMO D-SNP), a Medicare Medi-Cal Plan, is a Medicare Advantage organization with Medicare and Medi-Cal contracts. Enrollment in CalOptima Health OneCare depends on contract renewal. Eligible beneficiaries can enroll at any time. Eligible beneficiaries must have Parts A, B and D to enroll in the plan. Contact the plan for more information. Medicare beneficiaries may also enroll in OneCare (HMO D-SNP) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.  

This information is not a complete description of benefits. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Medicare has neither reviewed nor endorsed this information. The list of covered drugs (formulary), provider and pharmacy network may change at any time. You will receive notice when necessary. Other Pharmacies/Physicians/Providers are available in our network. Contact OneCare Customer Service if you need help finding a provider.

OneCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This information is available for free in other languages. Call OneCare Customer Service toll-free at 1-877-412-2734 (TTY 711), 24 hours a day, 7 days a week. Visit us at www.caloptima.org/OneCare.  

Special Supplemental Benefits for the Chronically Ill (SSBCI): The CalOptima Health OneCare Flex Plus grocery benefit is part of a special supplemental program for the chronically ill. Not all members qualify. To use the grocery benefit, CalOptima Health OneCare Flex Plus members must have one or more comorbid and medically complex chronic conditions that are life threatening or significantly limits 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 grocery benefit. Receiving the grocery benefit depends on the member having a high risk of hospitalization or other adverse health outcomes and a need for intensive care coordination.