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CalOptima Health Medi-Cal

Get full health care coverage with California’s Medicaid plan for low-income children, adults, seniors and people with disabilities.

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Access to Care for All Members, Regardless of Immigration Status

See Acces to Care Resources

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.

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Health Care Services

From preventive care to specialist visits, we’ve got your health covered every step of the way.

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Mental Health Care

Lead a balanced and fulfilling life with our behavioral health services.

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Medical Equipment and Supplies

Get everything you need to stay healthy, such as prescribed medical equipment to supplies.

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Vision Care

From routine eye exams to corrective lenses, we’ll help you see the world clearly.

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Transportation

With our transportation services, visiting your doctor has never been easier: 1-833-648-7528 (TTY 711).

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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.

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Additional Services

Need additional support? Connect 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 in to 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
     
Visit Member Portal

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. We have staff who speak your language.

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
     
Find a Doctor

Learn About Your Benefits

Read our Member Handbook to understand your benefits, how to get the care you need and your rights and responsibilities as a CalOptima Health member. If you want a Member Handbook mailed to you or if you have questions, call our Customer Service team at 1-888-587-8088 (TTY 711) toll free, 24 hours a day, 7 days a week. We have staff who speak your language.

See Your Doctor Right Away

See your doctor soon, so they can help you stay healthy. Make sure to visit them within 3 months of becoming a CalOptima Health member, then continue to see them each year.

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. We have staff who speak your language.

New Member Orientation: Medi-Cal is for members who have Medi-Cal

New Member Orientation: CalOptima Health Direct is for members who have Medicare and Medi-Cal

Upcoming Events

No Upcoming Events

Review Medi-Cal Member Documents and Forms

Important Information for Our Medi-Cal Members

Pregnant or Expecting Members

Call 1-888-587-8088

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 toll-free at 1-888-587-8088 (TTY 711), Monday–Friday, from 8 a.m.–5:30 p.m. We have staff who speak your language.

If you are pregnant, ask your doctor as soon as possible about Perinatal Support Services. This program shares helpful info throughout your pregnancy and 2 months after your baby is born.

Girl with ear to belly of pregnant mother

Medical and Non-Medical Transportation

Call 1-833-648-7528

As a Medi-Cal member, you could qualify for either medical transportation or non-medical transportation. These services are not for emergencies.

Learn about authorized services and request a ride by calling 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.

Senior woman getting into car, assisted by a caregiver

Medi-Cal Dental Services

Call 1-800-322-6384

Medi-Cal Dental covers many different services to keep your teeth healthy. If you have questions about dental services, call Medi Cal Dental at 1-800-322-6384 (TTY 1-800-735-2922 or 711). You can also visit the Medi-Cal Dental or Smile California websites.

Boy with dentist

Medi-Cal Vision Services

Call 1-800-438-4560

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.

Woman trying on glasses at an optometrist office

Frequently Asked Questions (FAQ)

See More FAQs
  • What 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.

Renewing Your Medi-Cal

Step 1

Update Your Contact Info

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.

Step 2

Create or Check Your Online Account

Create or log into your account at BenefitsCal.com to get updates, submit renewals or share any requested info online.
Visit BenefitsCal.com
Step 3

Check Your Mail and Complete Your Renewal Form (If You Get One)

SSA will send you a letter about your Medi-Cal eligibility. You may need to fill out a renewal form. If you get a renewal form in a yellow envelope, be sure to submit your info online, by phone, in person or by mail to avoid a gap in your coverage.
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Submitting Your Medi-Cal Application 

You have many ways to get help and enroll in Medi-Cal, 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
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