How to Choose a Provider

Image - Design Element

Questions

Preguntas
Câu Hỏi
سئوالات
질문
الأسئلة
問題

If you have questions about how to choose or change your PCP or health network, 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。

Choose a Provider and Health Network

Members new to CalOptima need to choose a health network and Primary Care Provider (PCP). When you become a CalOptima member, you receive a new member packet with a Health Network Selection Form and Health Network and Provider Directory.

The Health Network and Provider Directory is a list of health networks, PCPs, and hospitals.

You may choose any of the doctors listed in the Health Network and Provider Directory as your PCP. We will do our best to give you the PCP that you choose. If the PCP you chose is not open to new members, your health network will choose one
for you.

You may change PCPs every 30 days. If you change doctors, please fill out the Medical Release Form and return this form to your new doctor’s office.

You and your eligible family members may ask to change health networks every 30 days. To do this, you need to complete a Health Network Selection Form. You may call CalOptima’s Customer Service Department to ask for a form. CalOptima must receive your form by the 10th of the month for your health network change to be effective the 1st of the following month.

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.

Text Size