Health and Wellness

Member Health Rewards Program

Take an active role in your health!

CalOptima Health offers rewards to eligible CalOptima Health members for taking an active role in their well-being! Please see each health reward for eligibility and program details.

  • Medi-Cal: Download and print the forms at the links below to complete with your doctor at your next visit.
  • CalOptima Health OneCare Complete (HMO D-SNP) and CalOptima Health OneCare Flex Plus (HMO D-SNP): Fill out forms at the links below after you’ve completed your preventive screening, test or exam.

If you have any questions about the Member Health Rewards Program, call CalOptima Health’s Customer Service at the toll-free numbers below. We have staff who speak your language.

  • Medi-Cal: 1-888-587-8088 (TTY 711), Monday through Friday, from 8 a.m. to 5:30 p.m.
  • OneCare: 1-877-412-2734 (TTY 711), 24 hours a day, 7 days a week.

Important: This page only shows current member health rewards. You must meet all health reward eligibility requirements to qualify for your reward. Rewards cannot be used to purchase alcohol, tobacco, firearms, gift cards or lottery tickets. You may only be approved 1 time per calendar year for each health reward. Rewards are available while funds last. Rewards are no longer available if you’re not enrolled in the plan.

This program may change or end at any time without notice. Participants in the CalOptima Health Program of All-Inclusive Care for the Elderly (PACE) are not eligible for health rewards.

CalOptima Health Medi-Cal Health Rewards:

It takes at least 8 weeks after we get the completed form or claim from your doctor visit to process your reward.

Cancer Icon

Breast Cancer Screening

Download the Form   

Reward

$25 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 50–74 who complete a breast cancer screening mammogram

Cervical Cancer Icon

Cervical Cancer Screening

Download the Form   

Reward

$25 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 21–64 who complete a cervical cancer screening

Diabetes A1c Test Icon

Diabetes A1C Test

Download the Form   

Reward

$25 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 18–75 with a diagnosis of diabetes who complete an A1c test

Diabetes Eye Exam Icon

Diabetes Eye Exam

Download the Form   

Reward

$25 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 18–75 with a diagnosis of diabetes who are due for and complete a diabetes dilated or retinal eye exam

Postpartum Icon

Postpartum Checkup

Download the Form   

Reward

$25 reward

Eligibility Criteria

CalOptima Medi-Cal members who have a postpartum checkup between 1–12 weeks after delivery

Wellness Icon

Annual Wellness Visit

Download the Flyer   

Reward

$50 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 45 years and older who complete an Annual Wellness Visit

Colorectal Cancer Icon

Colorectal Cancer Screening

Download the Form   

Reward

$50 reward

Eligibility Criteria

CalOptima Health Medi-Cal members ages 45-75 who complete a colonoscopy

Diabetes A1c Test Icon

Blood Lead Test at 12 Months of Age

Download the Flyer   

Reward

$25 reward

Eligibility Criteria

Eligible CalOptima Health Medi-Cal members can receive a no-cost $25 gift card for completing a blood lead test at 12 months of age!

Diabetes A1c Test Icon

Blood Lead Test at 24 Months of Age

Download the Flyer   

Reward

$25 reward

Eligibility Criteria

Eligible CalOptima Health Medi-Cal members can receive a no-cost $25 gift card for completing a blood lead test at 24 months of age!

Diabetes A1c Test Icon

Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications

Download the Flyer   

Reward

$25 reward

Eligibility Criteria

Eligible CalOptima Health Medi-Cal members ages 18–64 who have a diagnosis of Schizophrenia or Bipolar Disorder who complete a diabetes screening in 2025 and are dispensed an antipsychotic medicine.

Diabetes A1c Test Icon

Follow-Up Care for Children Prescribed ADHD Medication

 

Coming Soon

Reward

$25 reward

Eligibility Criteria

Eligible CalOptima Health Medi-Cal members ages 6–12 who complete 3 recommended follow-up visits within 5 months of being prescribed ADHD medicines.

CalOptima Health OneCare (HMO D-SNP), a Medicare Medi-Cal Plan Health Rewards:

It may take up to 5 business days after we get the completed form to process your reward. Rewards expire on December 31, 2025. All rewards expire at the end of the same year they are earned.

Cancer Icon

Breast Cancer Screening

 

Coming Soon

Reward

$25 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members who are due for and complete a breast cancer screening mammogram

Colorectal Cancer Icon

Colorectal Cancer Screening

 

Coming Soon

Reward

$50 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members who complete a colonoscopy

Wellness Icon

Annual Wellness Visit

 

Coming Soon

Reward

$50 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members who complete an Annual Wellness Visit

Diabetes A1c Test Icon

Diabetes A1C Test

 

Coming Soon

Reward

$25 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members with a diagnosis of diabetes who complete an A1C test

Diabetes Eye Exam Icon

Diabetes Eye Exam

 

Coming Soon

Reward

$25 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members with a diagnosis of diabetes who complete a diabetes dilated or retinal eye exam

Wellness Icon

Osteoporosis Screening

 

Coming Soon

Reward

$25 to your OneCare &more card

Eligibility Criteria

CalOptima Health OneCare members who get a bone mineral density test, also known as a DXA or DEXA (Dual Energy X-ray Absorptiometry).

Advance Directive Icon

Health Risk Assessment

 

Coming Soon

Reward

$25 to your OneCare &more card

Eligibility Criteria

You must be an eligible CalOptima Health OneCare (HMO D-SNP), a Medicare Medi-Cal Plan, member

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