Discover a Plan for Your Complete Health Care
Medi-Cal is California’s version of Medicaid, offering full health care coverage to those with low income. Whether you’re a family with children, a senior, a person with disabilities or expecting a new addition to your family, CalOptima Health Medi-Cal is here to support you. We have everything you need to stay healthy and flourish—because your health is everything to us!
Full Health Care Services
From preventive care to specialist visits, we’ve got your health covered every step of the way.
Compassionate Mental Health Care
Lead a balanced and fulfilling life with our behavioral health services, because your mental and emotional well-being matters.
Essential Medical Equipment and Supplies
Get everything you need to stay healthy, from prescribed medical equipment to supplies and beyond.
High-Quality Vision Care
From routine eye exams to corrective lenses, we’ll help you see the world clearly.
Convenient Transportation
With our transportation services, visiting your doctor has never been easier.
Personalized, Long-Term Care
If you need extra care, our long-term services and supports provide peace of mind, so you can live as independently as possible.
Additional Services
Need additional support? Let us connect you with our trusted partners for more services, including:
- Medi-Cal Dental services
- Services for the developmentally disabled
Important Steps for New Members
As a new CalOptima Health member, you’ll receive a welcome packet in the mail with important info about your health care benefits. After you receive it, please:
Access Our Member Portal
Sign up and log into our Member Portal to:
- Update your personal info
- Request a new member ID card
- Print your member ID card
- Change your health network or primary care provider (PCP)
- Request interpreter services
Choose a Primary Care Provider (PCP) and Health Network
Your PCP oversees your routine medical care. Your health network is a group of doctors and hospitals that gives you health care services.
You must choose your PCP from our network within 30 days of joining CalOptima Health. Otherwise, we will choose one for you. You can change your PCP and health network every 30 days.
To find a PCP and health network, use our Find a Doctor search. If you need our Provider Directory mailed to you, call our Customer Service team at 1-888-587-8088 (TTY 711) toll free, 24 hours a day, 7 days a week.
To choose a PCP and health network:
- Login to our Member Portal
- Call our Customer Service team
- Fill out and return the CalOptima Health Network Selection Form in your welcome packet
Learn About Your Benefits
Make Your Initial Health Appointment (IHA)
As a new member, we urge you to visit your new Primary Care Provider (PCP) within 120 days for an IHA. The IHA helps your Primary Care Provider (PCP) learn your health care history and needs. During your visit, your PCP might ask you about your health history and have you fill out a survey. They will also tell you about health education counseling and classes.
New Member Orientation
See our upcoming orientation sessions. To sign up for an orientation session, request an interpreter or for questions, please call our Customer Service team at 1-888-587-8088 (TTY 711) toll free, 24 hours a day, 7 days a week.
Upcoming Events
Review Medi-Cal Member Documents and Forms
Read the Medi-Cal Member Handbook and Related Documents
Learn more about our Medi-Cal program’s benefits and services.
See California Advancing and Innovating Medi-Cal (CalAIM) Forms
View referral forms for CalAIM Community Supports and Enhanced Care Management (ECM).
Access Other Important Documents
See our information on how to request language assistance, notices on privacy practices and nondiscrimination, past annual notices newsletters, and the Foster Youth Resource Guide.
Review Forms Related to Protected Health Information (PHI)
View forms related to your PHI and medical records as a Medi-Cal member.
Authorization for Release of PHI Access
Review Additional Forms Related to PHI
Access more forms related to handling your PHI as a Medi-Cal member.
Request for an Accounting of Disclosures
Request for Restriction on Manner/Method of Confidential Communications
Revocation of Authorization for Release of PHI
Statement of Disagreement Request to Include Amendment Request and Denial With Future Disclosures
Learn About Your Rights, Responsibilities and Reporting Fraud, Waste and Abuse as a Medi-Cal Member
Review your rights as a CalOptima Health Medi-Cal member. If you think you see fraud or waste, call our Compliance and Ethics Hotline at 1-855-507-1805 (TTY 711) or complete our fraud, waste and abuse reporting form.
CalOptima Health Medi-Cal Member Rights and Responsibilities
See Other Important Information for Our Medi-Cal Members
Pregnant or Expecting Members
Planning to get pregnant? We have family planning services, such as counseling, pregnancy testing and birth control methods, that are covered by your health network or CalOptima Health. Call our Customer Service team at 1-888-587-8088 (TTY 711) toll free, 24 hours a day, 7 days a week.
If you are pregnant, ask your doctor as soon as possible about Perinatal Support Services. This program shares helpful info throughout your pregnancy and two months after your baby is born.
Medical and Non-Medical Transportation
As a Medi-Cal member, you could qualify for either medical transportation or non-medical transportation. These services are not for emergencies and may be free.
For medical transportation, you can:
- Use this service if you have medical needs that don’t allow you to use a car, bus or taxi to your appointments
- Be transported by ambulance, litter van, wheelchair van or air transport for covered services and Medi-Cal-covered pharmacy appointments
- Ask your doctor, dentist, podiatrist or mental health or substance use disorder provider for it. Your provider will choose the correct type of transportation to meet your needs
For non-medical transportation, you can:
- Use this service to get to your appointments for Medi-Cal-covered services when you don’t have access to transportation
- Be transported by car, taxi, bus or other public or private option
- Get a ride for free when you have tried all other ways to get transportation
To request a ride for authorized services, call our transportation line at 1-833-648-7528 (TTY 711) at least 2 business days (Monday–Friday) before your appointment. You can also call as soon as you can when you have an urgent appointment. Have your member ID card ready when you call.
Medi-Cal Dental Services
The Medi-Cal Dental Fee for Service (FFS) Program is the same as FFS Medi-Cal for your dental services. Before you get dental services, you must show your state-issued Medi-Cal Benefits Identification Card (BIC) to the dental provider. Make sure the provider takes FFS Dental and you are not part of a managed care plan that covers dental services. Medi-Cal covers many different dental services through the Medi-Cal Dental Program.
If you have questions about Medi-Cal dental services, call the Medi-Cal Dental Program at 1-800-322-6384 (TTY 1-800-735-2922 or 711). You can also visit the Medi-Cal Dental or Smile California websites.
Medi-Cal Vision Services
Medi-Cal vision coverage includes:
- Routine eye exam once every 24 months; more frequent eye exams are covered if medically necessary, such as if you have diabetes
- Eyeglasses (frames and lenses) once every 24 months with a valid prescription
For more information, call Vision Service Plan (VSP) at 1-800-438-4560 (TTY 1-800-735-2922) or visit the VSP website. You can also use our provider search tool to help you find a Medi-Cal vision provider.
Frequently Asked Questions (FAQ)
See More FAQsWhat is Medi-Cal?
Medi-Cal is California's Medicaid program, a public health insurance program for certain individuals and families with low income. Medi-Cal members include:
- Families with children
- Seniors
- People with disabilities
- Pregnant women
- Children in foster care
How does Medi-Cal verify income?
Your income can be verified through a mix of ways, including:
- Federal and state databases
- Pay stubs and tax returns
- Employer verification
- Bank statements
- Other income documents, such as Social Security and unemployment benefits statements
Can I still see my regular doctor with Medi-Cal?
Yes, you can see them if they are part of our growing network of more than 7,000 doctors. If your doctor is not in the network, you can keep seeing them for a period of time if they agree to work with Medi-Cal.Where can I see a list of Medi-Cal doctors near me?
Use our Find a Doctor search tool to see doctors who accept Medi-Cal members and their locations.
Who do I call if I lost my Medi-Cal card?
If you lost your CalOptima Health Medi-Cal member ID and need to replace it, call CalOptima Health Customer Service toll-free at 1-888-587-8088 (TTY 711), Monday through Friday, from 8 a.m. to 5:30 p.m. We have staff who speak your language.
Take Action to Keep Your Medi-Cal
Make sure you renew your Medi-Cal when it’s time, so you can keep your health benefits.
Follow These Steps to Renew Your Medi-Cal
Update Your Contact Info
Keep your contact info up to date. Report changes to your name, mailing address, email address or phone number, so the County of Orange Social Services Agency (SSA) can reach you. Call 1-800-281-9799.
Create or Check Your Online Account
Check Your Mail and Complete Your Renewal Form (If You Get One)
Submit Your Medi-Cal Application
Interested in CalOptima Health Medi-Cal? You have many ways to get help and enroll, such as:
- Submitting your application online or by mail
- Connecting with the County of Orange Social Services Agency (SSA) in person or by phone
- Talking to a Medi-Cal enrollment navigator through some of our community partners
Access Helpful Resources
Find a Doctor Near You
Search our network to find a trusted provider that meets your health care needs.
Explore Medi-Cal Benefits
See the benefits and services our Medi-Cal program offers.
Discover Our Mental Health Services
Read about our integrated behavioral health services to support your mental wellness.
Learn About California Advancing and Innovating Medi-Cal (CalAIM)
Find out how CalAIM is transforming Health care with new services and supports.