• Members can claim their rewards by completing and submitting the reward form found on CalOptima Health’s website, www.caloptima.org/healthrewards.
• Medi-Cal members can call Medi-Cal Customer Service at 1-714-246-8500, toll-free at 1-888-587-8088 (TTY 711) to have a form mailed to them.
• OneCare members can call OneCare Customer Service toll-free at 1-877-412-2734 (TTY 711) to have a form mailed to them.
• Annual Wellness Visits and COVID-19 gift cards will be automatically sent to members without a reward form.  
• Members may participate in each reward program only once per calendar year.
• It may take up to eight weeks after receiving reward forms for gift cards to be mailed to members.
• Kaiser Permanente members are not eligible for these health rewards. Kaiser Permanente members may only participate in the COVID-19 Vaccine Member Health Reward. 

OCBJ Health Care Roundtable Features CalOptima Health CEO 

Department Spotlight: CalOptima Health OneCare

On January 1, 2023, CalOptima Health reintroduced OneCare (HMO D-SNP), a Medicare Medi-Cal Plan, to the community and welcomed members formerly in OneCare Connect. OneCare is the only plan in Orange County that combines Medicare and Medi-Cal benefits in a single plan to make members’ health care easier. 

Leading the effort to inform potential members about OneCare’s benefits is the OneCare Sales & Marketing department. The team handles member outreach and education and provides enrollment assistance into OneCare. Eight bilingual insurance agents, known as Community Partners, conduct daily outbound calls to members that are new to Medi-Cal or Medicare; to Medi-Cal members who are turning 65, and to existing Medi-Medi members. They schedule telephonic or in-person appointments to discuss OneCare at times and places convenient for potential members. Community Partners also conduct outreach and education to providers, medical groups, health networks and community-based organizations. 

To increase enrollments, CalOptima Health now contracts with Field Marketing Organizations, allowing their subcontracted independent agents to enroll members into OneCare. As of April 1, OneCare membership has grown to 17,533. If you know a Medi-Medi who could benefit from the coordinated care that OneCare delivers, have them call toll-free at 1-877-412-2734 (TTY 711) to learn more about our plan or speak to an enrollment specialist. Visit www.caloptima.org/OneCare.  

Checking blood pressure is important. If blood pressure stays high for a long time, it could lead to kidney disease, heart attack, stroke or a memory problem called vascular dementia. Since high blood pressure often has no symptoms, blood pressure should be checked regularly. There are blood pressure monitors that can be used at home. It can result in one of the following readings:

Other ways to manage blood pressure include:

• Taking medication prescribed by a doctor
• Making lifestyle choices such as quitting smoking, exercising regularly, and eating a healthy low-salt diet
• Regular doctor visits

The COVID-19 Uninsured Group Program — a temporary Medi-Cal program providing access to coverage for medically necessary COVID-19 testing and treatment services at no cost to individuals — will end on May 31. Those currently enrolled in the program may be eligible for comprehensive health care benefits and services through CalOptima Health Medi-Cal after it ends. Apply for ongoing coverage by calling SSA at 1-800-281-9799. 

Eligible CalOptima Health members age 6 months and older can get up to a maximum of four $25 gift cards (one gift card per recommended COVID-19 vaccine dose) if the first dose is started by June 30, 2023. Please note that members must be eligible on the date of their vaccination to receive the gift card(s). Members in Long-Term Care and the CalOptima Health Program of All-Inclusive Care for the Elderly (PACE) are not eligible for the COVID-19 Vaccine Member Health Rewards Program. 

To learn more about CalOptima Health’s Member Health Rewards Program, call 1-888-587-8088 (TTY 711) or visit our website.