Is CalOptima the same as Medi-Cal?
Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. ... CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal.
How do I check my CalOptima coverage?
Use these resources to verify member eligibility and benefits:
- CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
- Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
- Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.
How do I change my provider on CalOptima?
Call CalOptima's Customer Service department to change your health network. You may have to change your PCP if the health network you selected is not affiliated with your current PCP.
How do I submit a claim to CalOptima?
Call our Customer Service department. Fill out the member grievance or appeal form online and click the “submit” button. Visit our office at 505 City Parkway West, Orange, CA 92868. Fill out the member complaint form or write a letter to CalOptima and mail it to us at the address above.
Is Medi-Cal the same as CalOptima?
CalOptima is the Medi-Cal provider for Orange County.
How do you check if I have CalOptima?
How to Verify Eligibility
- CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
- Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
- Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.
What kind of insurance is CalOptima?
Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases.
Can I get my CalOptima card online?
The member portal is a secure online website where you have 24-hour access to CalOptima from anywhere with an internet connection. By having a secure username and password, you can view your personal information and do things like: Request a member ID card.