Frequently Asked Questions

CalOptima Health OneCare is a Medicare Advantage Dual Special Needs Plan that combines your Medicare, prescription drug and Medi-Cal benefits into one plan. It is a plan designed only for people who are enrolled in Medi-Cal and Medicare.

You can enroll in OneCare if you:

CalOptima Health offers two options for you to choose from: OneCare Complete and OneCare Flex Plus. Both offer the benefits of Medicare, Medi-Cal and more all in one plan.

Yes, based on an approved formulary which may change from year to year. Some drugs may require prior authorization, step therapy or quantity limits

Yes. Vision services include eye exams and eyewear, but there are some limits. Please contact OneCare for details or view the plan Member Handbooks for information.

With many health plans, it’s hard to understand and use the benefits. It is even harder when you have Medicare, Medi-Cal and Part D (prescription drugs). With OneCare your Medicare, Medi-Cal and Part D benefits are together in one health plan.

There is no cost to enroll in OneCare. You do not pay plan premiums, or deductibles. You also do not pay a co-pay or co-insurance for medical services. You may have co-payments for some prescription drugs. Please contact OneCare for more details.

Yes. You can choose from a large network of doctors in Orange County. OneCare also has hospitals in your area.

Yes. You have unlimited transportation benefit for your doctor visits at no cost to you. You can also get non-medical transportation to plan-approved locations, including the gym.

For more information about OneCare or to enroll, please call us at the numbers below.