OneCare Connect

Member Documents

Things you may need

Download the 2019 OneCare Connect 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.

Annual Notice of Change Download PDF Icon Read the 2019 Annual Notice of Change.

Download the 2019 OneCare Connect provider and pharmacy directory Download PDF Icon Use the Provider and Pharmacy Directory to find a doctor, specialist, pharmacy or other provider near you.

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2019 OneCare Connect list of covered drugs (formulary) This includes criteria for prior authorization. It also has criteria for step therapy.

Latest member newsletter Download PDF Icon Read tips to keep you and your family healthy

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Common forms Find many of the forms you may need.

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Other important documents See the OneCare Connect Plan Rating, Best Available Evidence Policy, Notice of Privacy Practices, Notice of Nondiscrimination, Annual Notices and other documents.

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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.

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