OneCare Connect

Benefits

The OCC member handbook 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
  • 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

Transportation

  • 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

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

Download the OCC member handbook Download PDF Icon It lists what is covered, how to get services, your rights as a member, your responsibilities, and much more.

Download the OCC summary of benefits Download PDF Icon This is a summary, please see the OCC member handbook for the full benefits list.

Arrow Icon

Nurse Advice Phone Line We want you to be able to get answers when you or your loved ones are sick, not feeling good or are injured.

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 Connect 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 Connect.

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 Connect 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
New OCC Members
Pharmacy

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

H8016_WEB023 Accepted 06/17/19

OneCare Connect Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees. Limitations, co-pays, and restrictions may apply. For more information, call OneCare Connect Customer Service or read the OneCare Connect Member Handbook. Benefits and/or copayments may change on January 1 of each year. Copays for prescription drugs may vary based on the level of Extra Help you receive. Please contact the plan for more details. Other Pharmacies/Physicians/Providers are available in our network. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you. OneCare Connect complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. You can get this information for free in other languages. Call toll-free 1-855-705-8823. TDD/TTY users can call 1-800-735-2929. The call is free.

Download the free Adobe Reader.

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.