CalOptima

Category: Health insurance agency

Address: 505 City Pkwy W, Orange, CA 92868, USA

Phone: +17142468400

Opening hours

Sunday: Closed

Monday: 8AM–5PM

Tuesday: 8AM–5PM

Wednesday: 8AM–5PM

Thursday: 8AM–5PM

Friday: 8AM–5PM

Saturday: Closed

Reviews

Christian

Apr 14, 2022

Doing everything they can to not issue authorization (aka promise to pay), then acting like they will when you want to file a grievance so they dont have to file a grievance either. I had no intentions of being with these jokers either, it was all done by state employees forcing me into this coverage which is a joke because its "free". Nothing is free except for the headache you get in dealing with these people.

Jeanine Barrus

Mar 22, 2022

Beware. Not a good healthcare system and very poor quality. My brother's girlfriend has been trying to get medical help for a possible autoimmune disease and has received nothing but the run around from the get go. She has been referred to a doctor who doesn't even take Cal Optima and then was made to wait over a month for another referral, which was approved 10 days prior to her checking on it and she was never called. Now she has to wait two and a half months to be seen by a specialist, and in the meantime, her symptoms are growing and she is worsening. It seems they don't care if you drop dead. This insurance should be entirely 100% free because it is a disgrace and quite frightening. You would think that we live in a third world country. Even the healthcare in socialistic countries is much quicker than and much more superior to Cal Optima!

Han Le

Jan 11, 2022

Cal Optima refers me to Rheumatologists who either does not accept me as their patient or that rheumatologist is no longer belong to a medical group. I have been waiting for almost 2 months just to get to get an appointment, but there is no hope. Non of the rheumatologist that Cal Op has approved for me to see is able to see me; meanwhile, I am in pain like dying and it worsen my anxiety. Staff is rude, slow, and does not know what's going on, trying to help in rudeness and ignorance. To whoever planning to register with Cal Op, please, please, please, if you are really care about your health, do not use this health insurance. Even my PCP office complains about this insurance network.

A Le

Nov 29, 2021

Cal-Optima phone system is inefficient, barely manned. When a representative finally answers, they're not allowed to wait for more than 2 minutes. This is after I myself have been waiting over 10 minutes for a representative to answer the call. So when it's my turn to ask them to hold while I get someone in my family on the line, the representative, Joanna, indicated that she can not hold for more than 2 minutes. And in reality, while I was waiting for the 2nd line to pick up to conference into the call, Joanna disconnected the call. Top that off, this is my 3rd attempt, on different occasions, for the SAME issue. Should I expect better?

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Questions & Answers

How do I check to see if I am still covered

Mario Sanchez | Aug 21, 2018
terrance wheeler | Aug 20, 2020

How do I check to see if I am still covered

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How to qualify to get

Van Nguyen | Aug 21, 2018
Mel_and_Mel ! | Aug 21, 2018

Call

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Do you accept medical, ipa

William Davila | Aug 21, 2018
Christa S. | Aug 21, 2019

Who? Me?

how do i get a new card

Debbie Ickes | Aug 21, 2018
Valerie Ann | Aug 21, 2018

Call the customer service number

I have cal -optima / MONARCH HEALTH INS.FOR THE PAST 5 YRS AND I WAS WONDERING WHY DID I GET CHARGED FROM A ASSISTED LIVING FACILITY

James “G'PA” Deville | Aug 21, 2019
Tito Bombaci | Aug 21, 2019

You'll have to ask them.

Has anyone heard of a healthcare network called southland? I can't find any info on it and I was told this is my new medical provider.

Katrina Schumacher | Aug 21, 2018
Brandon Leskil | Apr 22, 2022

There's no such healthcare network called "southland" with CalOptima. I think what you're referring to is the recent naming by the LA Times of Optum Health Care as the best o the southland 2021, southland as in Southern California. Maybe your new medical provider is Optum? Double check with Caloptima.

How can i change my PCP. Can i do it online?

James Angelosanto | Aug 21, 2018
Greyson Peltier | Aug 21, 2019

For Medi-Cal see here: https://www.caloptima.org/en/Members/Medi-Cal/OnlineTools.aspx

Can I get covid testing?

Andrew Leung | Sep 24, 2021
David Eakley | Sep 24, 2021

No, they don't offer any testing or vaccines at this location.

I recently moved to another county. do I have to pick a doctor or is there a way to stay with my doctor of 20 years. she is not in the cal optima network

Janelle Orloski | Aug 21, 2019
Tito Bombaci | Aug 21, 2019

Even if your move is "permanent" you'll still have 6 months to switch unless you've figured out a way to maintain a legal presence in Orange County. If your doctor is not in the Cal Optima network & you've been seeing her for 20 years then you should be fine going forward.

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Does Cal optima Pay for detox and or rehab

Patty cakesfla | Aug 21, 2019
Ashton Engberg | Aug 20, 2021

College Hospital in Costa Mesa provides medicated detox (detox only) that is covered by CalOptima. MD Health Clinics provide addiction therapy (and medication) in Tustin/Fullerton (in-patient) and their out-pateint is at least covered by Medical/CalOptima. I do not know if there in-patient is, but I believe it is. Good luck.

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What drug and alchohol treatment centers accept Cal Optima insurance? In orange county.

Michael Holbrook | Aug 21, 2019
Estela Ramirez | Aug 21, 2019

Go to the caloptima building that is left in the chapman

How do I enroll

Joseph Jadallah | Aug 21, 2019
Estela Ramirez | Aug 21, 2019

Go and look for the page of caloptima, so you can help with the information.

What does Caloptima vision plan cover?

Lex Beltran | Aug 21, 2019
Daina Thomas | Aug 21, 2019

CalOptima manages the medical benefits for Medi-Cal members who reside in Orange County. Vision coverage is managed by VSP.

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DO YOU STILL PROVIDE TRANSPORTATION TO AND FROM DOCTORS APPOINTMENTS. IF YES HOW DO I APPLY FOR THIS SERVICE

SpaRkls-Rade | Aug 21, 2019
Estela Ramirez | Aug 21, 2019

Yes, a Doctors.

Where do i take a prescription for a hospital bed

dd dom | Aug 21, 2019
Ramiro Lopez | Aug 21, 2019

It depends on which health network you are with. Give your health network a call and they can tell you which are contracted providers.

How do I go about seeing if about getting covered

William Erickson | Aug 21, 2019
Dan Galietto | Aug 21, 2019

You can apply through Covered California anytime for Medi-Cal. If Medi-Cal is not approved, you may have to wait until the open enrollment and apply for an Exchange plan. They are guaranteed issue and the Silver level plans have a sliding scale, where based on your income, they will adjust the cost of the plan (premium) as well as the benefit (copays for Dr visits, RX). If you do qualify for Medi-Cal and you live in Orange County, your coverage will likely be sent to Cal-Optima to manage. Cal-Optima is a Third Party that handles most of the OC Medi-Cal services. They offer various options of medical groups that you can choose such as Kaiser, Monarch Healthcare, CHOC, Regal Medical Group, AMVI and many more. Dependending on where you live, which physician or specialist you want to see, you can choose the most appropriate Medical Group and change it anytime (once per month as long as you notify them in advance). Covered CA, will determine the plans you are eligible for and let you know.

I need to go to the dr because I am sick. Where can I go with cal optima insurance

morgan valentine | Aug 21, 2019
Landon Vazquez | Aug 21, 2019

You need to find out who your PCP (Primary Care Provider) is. Call CalOptima, or your Health Network to find out who is assigned to you. You can also find some of this information on your CalOptima ID card, or online at CalOptima.org

If i get cal optima i live in anaheim CA and go to facility in orange CA am i able to move to Whittier CA and still go to the facility in Orange CA?

Jana Rodriguez | Aug 21, 2019
Estela Ramirez | Aug 21, 2019

It's easier in anaheim

Hi this is Carmen Becerra How I know to choose a Dr.?

Silvia Reyes | Aug 21, 2019
Tito Bombaci | Aug 21, 2019

Call the front desk.

is this a detox

Steven Moreno | Aug 21, 2018
THANH MAI DINH | Aug 21, 2018

No

Whats the easiest way to look for caloptima direct doctors?

david andrews | Aug 21, 2018
Valerie Ann | Aug 21, 2018

Website or request book or call

I need the detailed address showing major cross Streets

A Google User | Aug 21, 2018
Christa S. | Aug 21, 2019

I know this was last yr but sm people crack me up!

Cover me caloptima cover a molar

Angelica Peral | Aug 21, 2018
Yoli Fuentes Luna (Yoli) | Aug 21, 2018

If it covers you, I recommend magic dentist

can I get an eye exam in San Bernardino if my Caloptima is for orange county?

Monica Suzanne Voge (Q) | Aug 21, 2018
Name withheld Name withheld | Aug 21, 2019

No you must only go to providers under cal optima in orange county.You can't have med I cow in multiple counties,it must be the one that your living in.

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When is Open enrollment to change groups

Jennifer Cech | Aug 21, 2018
Greyson Peltier | Aug 21, 2019

For Medi-Cal, you “may ask to change health networks every 30 days.” Source: https://www.caloptima.org/en/Members/Medi-Cal/YourDoctorHealthNetworkandPharmacy/HowtoChooseaProvider.aspx

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Does medi-cal cover Suboxone?

Christina Mayorga | Aug 21, 2018
Christa S. | Aug 21, 2019

Yep

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