Yes, CalOptima members can now choose different health networks for different family members. This means your children up to age 21 can continue getting their health care services through CHA and you can be in another health network.
For the Medi-Cal Beneficiary Identification Card (BIC), call your local County of Orange Social Services Agency.
For the CalOptima card, call the CalOptima Customer Service Department toll free at 1-888-587-8088.
For the CalOptima Kids card, call the CalOptima Kids Member Services Department toll free at 1-800-530-2899.
If you did not choose a PCP on the CalOptima Selection Form, CHOC Health Alliance will assign your child a PCP close to your home. You may change your child’s PCP every 30 days. To do so, call our Member Services Department.
You can ask your PCP for a referral. Your PCP will work with CHOC Health Alliance to get approval.
You should first call the provider who is billing you. This should be the same provider who provided care to your child. You should give this provider your child’s CHOC Health Alliance Medi-Cal information. You should then call CHOC Health Alliance for further assistance or use the Contact Us page located on our website.
The other health insurance will be the primary payer responsible for covering the services your child needs and/or receives. CHOC Health Alliance will be the last payer. You will need to seek payment for services through your child’s primary insurance before CHOC Health Alliance pays.
If your child is outside of Orange County and has an emergency, go to the nearest hospital emergency room. Show the hospital staff your child’s CalOptima and/or BIC card and identify your child as a CHOC Health Alliance member. Ask the hospital staff to call CHOC Health Alliance within 24 hours. If you are not sure if it is an emergency, call your child’s PCP first. Do not use the emergency room for routine care!
If you have an emergency situation, go to the nearest emergency room or call 9-1-1.
Urgent care is medical care needed for sudden illness or injury that cannot wait for a regular office visit. If your child has an urgent situation, call your child’s PCP first. If you cannot reach your PCP, call CHOC Health Alliance.
As a Medi-Cal member, your child can go to any dentist who takes Medi-Cal. You can call Denti-Cal toll free at 1-800-322-6384 for a list of dentists.
Call CalOptima Kids at 1-800-530-2899 to find out your dental plan.
As a Medi-Cal member, your child can get most mental health benefits through CalOptima Mental Health Plan. To get these services, call toll-free 1-855-877-3885.
You may self-refer to a participating behavioral health provider of your choice for an initial face-to-face assessment.
Emergency transportation is available to CHOC Health Alliance members when the member’s medical conditions are life threatening. Non-emergency transportation will require approval in advance from CHOC Health Alliance. You should call your PCP to schedule transportation service.
Yes. As a CHOC Health Alliance member, you can get free interpreter services when you have a doctor’s appointment. You can also ask to have an interpreter assist you when you call CHOC Health Alliance. This includes sign language interpreters. Call our Member Services Department toll free at 1-800-424-2462 for more information.
Call the County of Orange Social Services Agency and/or the U.S. Social Security Administration to report any changes such as name, telephone number and/or address.