Your Rights and Responsibilities

Image - Design Element


Câu Hỏi

If you have questions or need help with your health care, please call our Customer Service Department at:

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


Your Rights and Responsibilities

As a CalOptima member, you have rights and responsibilities. These are the standards we promise to you and your responsibilities as a member in turn.

Your Right To Privacy

CalOptima has a privacy policy that explains the steps we take to keep your personal information private. It also describes how and when we might share your health information with others.

You Can Report Fraud
Or Abuse

If you see any activity that you think is fraudulent or wasteful, we strongly encourage you to call our Compliance and Ethics Hotline at 1-877-837-4417 or report the activity using the Suspected Fraud or Abuse Referral Form. You do not have to give your name to report fraudulent activity.

You Can File A Grievance Or Appeal

In case you ever have concerns about the health care services you get, you have the right to file a grievance or appeal. CalOptima will not discriminate against you or limit your benefits in any way if you report concerns or file a complaint.

Notice Of Non-Discrimination

CalOptima complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. CalOptima does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

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