At CalOptima, our goal is to provide you with access to the highest quality care possible. To us, quality care means more than having great health care providers. It means making sure you understand your benefits and know your rights as a CalOptima member. It also means working together with us to improve our programs and services. And, in case you ever have concerns about the health care services you get, it is important to us that you understand where to get help.

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

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.

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

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