Your Benefits

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Questions

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If you need another copy of the CalOptima Member handbook, have questions, or need help with your health care, please call our Customer Service Department at:

1-714-246-8500
1-888-587-8088 (toll free)

24 hours a day, 7 days a week.

Members with hearing or speech impairments can call the TDD/TTY line at 1-800-735-2929.

We also provide interpreter services at no cost to our members.

We have staff who speak your language.

Tenemos personal que habla su idioma.

Chúng tôi có nhân viên nói cùng ngôn ngữ với quý vị

ما پرسنلی را در استخدام داریم که به زبان شما تکلم می کنند.

여러분의 언어를 하는 직원이 있습니다.

ما پرسنلی را در استخدام داریم که به زبان شما تکلم می کنند

我們有工作人員會講您的語言。

Covered Benefits

Your health is important to us. We are here to help you understand and access all your benefits as a CalOptima member.

A complete list of benefits can be found in your CalOptima Member Handbook. Please read and keep it in a place that is easy to find.

Prior Authorization

Some services require prior authorization before they can be covered. Prior authorization is an approval for special medical services given by your health network. These services can include but are not limited to:

  • Consults

  • View authorization status

  • Follow-up visits and care

  • Inpatient and outpatient hospital care

  • Ancillary care (home health care, medical supplies, durable medical equipment (DME), non emergency medical transportation, etc.)

If you would like to request a prior authorization, please contact your primary care provider (PCP) or specialist.

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