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URL: https://www.caloptima.org/en

⇱ CalOptima Health Website Home Page

Your Health Is Everything to Us

Orange County, CalOptima Health is here for you! We offer health insurance plans for low-income children, adults, seniors and people with disabilities. We provide all-around care for members to meet the needs of the whole person. Because housing is health. Food is health. And so much more is health. That’s why we say, “Your Health Is Everything to Us.”

ELIGIBILITY

Medi-Cal Changes Begin in 2026

Medi-Cal eligibility and benefits are changing for some adults starting in 2026. Learn more about the new rules and how they affect your coverage. 

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quality care

Find a Doctor

CalOptima Health works with thousands of Orange County providers, including doctors, specialists, hospitals, health networks, medical groups and more. Find the right providers for your needs.

MEDI-CAL RENEWAL

Protect Your Coverage

Take action to protect your Medi-Cal coverage by reporting new contact information or family changes to the County of Orange Social Services Agency. Look for the yellow envelope in the mail with your annual renewal forms.

RESOURCES

You Can Report Fraud or Abuse

If you see any activity that you think is fraud or waste, we strongly encourage you to call our Compliance and Ethics Hotline at 1-855-507-1805 (TTY 711). You can also report the activity using CalOptima Health’s Compliance and Fraud, Waste and Abuse (FWA) Reporting form.

You do not have to give your name to report fraudulent activity.

Our Plans

Medi-Cal

California’s Medicaid Plan

No-cost health coverage for low-income families with children, seniors, people with disabilities, foster care children, pregnant women, and low-income people with specific conditions.

Explore Medi-Cal

OneCare

Medicare Advantage Dual Eligible Special Needs Plan

Coordinated care for low-income seniors and people with disabilities who qualify for both Medicare and Medi-Cal. Benefits are combined in one single plan, making it easier to get health care.

Explore OneCare

PACE

Program of All-Inclusive Care for the Elderly

Comprehensive health care to keep frail elders active and living at home. PACE combines preventive, primary and acute care along with day health services in one plan for seniors with Medi-Cal only or Medicare and Medi-Cal.

Explore PACE

About CalOptima Health

COMMUNITY-BASED

Who We Are

CalOptima Health offers health insurance plans for low-income children, adults, seniors and people with disabilities in Orange County. Local leaders launched CalOptima Health in 1995 as a county organized health system to better serve vulnerable residents and provide access to quality health care. CalOptima Health operates independently, under the leadership of a Board of Directors made up of members, providers, business leaders and local government representatives.

MEMBER-FOCUSED

What We Do

CalOptima Health members have access to care from one of three health plans: 

  • Medi-Cal: Medi-Cal is California’s Medicaid program for low-income children, adults, seniors and people with disabilities. 
  • OneCare: OneCare is a Medicare Advantage plan that combines the benefits of Medi-Cal and Medicare for seniors and people with disabilities. 
  • Program of All-Inclusive Care for the Elderly: PACE is for seniors in need of a full range of health and social services so they can remain living at home.

30

Years of Serving OC

MISSION-DRIVEN

Why It Matters

CalOptima Health is the single largest health insurer in Orange County, and we cover nearly one in three residents. About a third of our members are children, so we are responsible for caring for the next generation in our community. We believe in health equity and access to care for all, and we serve members in the languages they prefer so they are engaged in their health and realize better outcomes. When our members are healthy, Orange County is healthier.

Additional Resources

RESOURCES

Access to Care for All

CalOptima Health is dedicated to providing access to health care for all members, regardless of immigration status. Virtual care is a way to receive health services during challenging times when in-person visits may be difficult. 
See Access to Care Resources
PREVENTIVE CARE

Cancer Screening

Through the Comprehensive Community Cancer Screening and Support program, CalOptima Health is focused on boosting screening rates for breast, cervical, colon and lung cancer. Learn more about when to get screened, what to do about test results and how to manage cancer care.

About Cancer Screening
MORE BENEFITS

CalAIM

California Advancing and Innovating Medi-Cal (CalAIM) is a statewide initiative to improve the quality of life and health outcomes of Medi-Cal members. CalAIM offers benefits that address the social drivers of health care, such as housing and food security.

About CalAIM
PUBLIC MEETINGS

Public Meetings and Materials

CalOptima Health welcomes participation in our public meetings. Get the latest schedule and materials for Board of Directors, Board committee and advisory committee meetings. 

See Public Meetings
PARTNERSHIP

Community Relations

CalOptima Health’s Community Relations team collaborates with local organizations to support our members. Learn more about our sponsorships, educational programs, health resources and events.

About Community Relations
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