CalOptima Health OneCare (HMO D-SNP), a Medicare Medi-Cal Plan, is a Medicare Advantage organization with Medicare and Medi-Cal contracts. Enrollment in CalOptima Health OneCare depends on contract renewal. Eligible beneficiaries can enroll at any time. Eligible beneficiaries must have Parts A, B and D to enroll in the plan. Contact the plan for more information. Medicare beneficiaries may also enroll in OneCare (HMO D-SNP) through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
This information is not a complete description of benefits. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Medicare has neither reviewed nor endorsed this information. The list of covered drugs (formulary), provider and pharmacy network may change at any time. You will receive notice when necessary. Other Pharmacies/Physicians/Providers are available in our network. Contact OneCare Customer Service if you need help finding a provider.
CalOptima Health OneCare (HMO D-SNP), a Medicare Medi-Cal Plan, is a Medicare Advantage organization with Medicare and Medi-Cal contracts. Enrollment in CalOptima Health OneCare depends on contract renewal. Call CalOptima Health OneCare Customer Service toll-free at 1-877-412-2734 (TTY 711), 8 a.m. to 8 p.m., 7 days a week (October 1 to March 31), and 8 a.m. to 8 p.m., Monday through Friday (April 1 to September 30). Visit us at www.caloptima.org/health-insurance-plans/OneCare.
Special Supplemental Benefits for the Chronically Ill:
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.