$170 per quarter with no rollover of unused funds.
Transportation: 300 one-way trips to and from the gym and grocery stores within a 10-mile radius*
*This benefit is a Special Supplemental Benefit for the Chronically Ill (SSBCI). To qualify, you must have a qualifying chronic condition such as heart disease, diabetes, cancer, lung disease or dementia. Not all members with a chronic condition will qualify. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please see Chapter 4 in the CalOptima Health OneCare Complete Member Handbook.
You pay $0 for generic medicines and brand-name medicines.
Use your OneCare Flex Card like a debit or credit card to buy over-the-counter (OTC), non-prescription items in-store, online at participating stores or through a catalog. Many members may qualify to buy healthy food and produce as well. To find out if you qualify to buy healthy food and produce with your flex card:
OneCare Complete Members
Note — you cannot buy alcohol, tobacco, sugary drinks and other items that are not approved.
Use your OneCare Flex Card at participating stores, such as:
Visit andmorehealth.com.
By visiting andmorehealth.com, you will be leaving the official CalOptima Health website. The policies that apply to our website might not be the same as the terms of use for other websites. We don’t operate or control the linked website and are not responsible for its operation or content.
Download the andmore mobile app.
Available for Apple and Android mobile phones. There is no charge to download or use the app. Internet access is required. Data rates may apply.
View the 2027 Over-the-Counter Catalog and Instructions, and call 1-855-AND-MORE (1-855-263-6673; TTY 711).
Our network providers will provide most of your health care services. If you need a covered service that isn’t in our network, we’ll pay for the cost for you to see an out-of-network provider. You have the right to see an out-of-network urgent or emergency care provider when you need to. If your current Medi-Cal or Medicare provider is not in our network, you can keep seeing that provider for some time if they will work with us.
If you need emergency care at any time, 24 hours a day, 7 days a week, you don’t need to get approval first. We’ll give you a list of services or procedures that require you to get prior authorization before the service is provided.
If a state of disaster or public health emergency is declared in Orange County, you’ll still get the care you need from OneCare. During this time, if you can’t use a network provider, we’ll let you get care from out-of-network providers at no cost to you. If you can’t use a network pharmacy, you’ll also be able to get your medicines at an out-of-network pharmacy.
Palliative care services can help members feel better and manage their illness with support from a health care team. This care helps with pain, stress and other problems. It also supports members’ families. Members can get this care at any time, even while getting other treatments.
Call 1-844-447-8441
If you can’t get hold of your doctor or health network, you can speak to one of our nurses 24 hours a day, 7 days a week at 1-844-447-8441 (TDD/TTY 1-844-514-3774). We can help:
For medical or psychiatric emergencies, call 911 or go to the nearest hospital.