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.