Contributing 

How do I cancel Cal Optima?

Leia Doyle

How do I cancel Cal Optima?

If you need to cancel your Medi-Cal coverage, call your local county office. Once you are released from Medi-Cal, call 1-877-752-4737 option 3 to be enrolled in a Covered California plan.

Is Cal Optima 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.

Do you have to pay for CalOptima?

CalOptima Medi-Cal is the last payer. First, you have to ask your primary insurance for payment for services before CalOptima (Medi-Cal) will pay.

Is CalOptima a good insurance?

CalOptima is California’s top-rated Medi-Cal plan, according to the NCQA’s Medicaid Health Insurance Plan Ratings 2017–2018. It is the fourth year in a row that NCQA has named CalOptima best overall in the state.

Is Cal Optima a Medicare?

What is it? OneCare (HMO SNP) is a Medicare Advantage Special Needs Plan for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal.

Does Medi-Cal have dental?

Medi-Cal offers comprehensive preventative and restorative dental benefits to both children and adults. You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

Is Cal Optima PPO or HMO?

What is it? OneCare (HMO SNP) is a Medicare Advantage Special Needs Plan for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal. OneCare means total care.

How do I check my CalOptima coverage?

Use these resources to verify member eligibility and benefits:

  1. CalOptima Interactive Voice Response (IVR) Call it at 800-463-0935.
  2. Automated Eligibility Verification System (AEVS) Call it at 800-456-2387 (Medi-Cal only).
  3. Point of service (POS) help desk. Call 800-541-5555 only for Medi-Cal.

Is Medi-Cal Medicaid?

Medi-Cal is California’s Medicaid health care program. This program pays for a variety of medical services for children and adults with limited income and resources. If you are found (or determined) eligible, you can get Medi-Cal as long as you continue to meet the eligibility requirements.

How do I know if I have Denti-Cal?

A provider can utilize the following tools to verify whether they are currently enrolled in the Medi-Cal Dental program:

  1. Call the Provider Customer Service Phone Line at: 1 (800) 423-0507.
  2. Submit an electronic Provider Enrollment Status Inquiry Form through the Medi-Cal Dental website and;

How do I know if my Medi-Cal covers dental?

You can find a Medi-Cal dentist on the ​ Medi-Cal Dental Provider Referral List, or by calling 1-800-322-6384.

What is covered with Denti Cal?

​The Medi-Cal Dental Program covers a variety of dental services for Medi-Cal beneficiaries, such as:

  • Diagnostic and preventive dental hygiene (e.g. examinations, x-rays, and teeth cleanings);
  • Emergency services for pain control;
  • Tooth extractions;
  • Fillings;
  • Root canal treatments (anterior/posterior);

How much can I make and still get Medi-Cal?

According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.