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Cal-Optima is the managed care program that administers Medi-Cal benefits in Orange County. Once your Medi-Cal application is approved, you will receive enrollment information from Cal-Optima and at that time you will be able to choose a health care provider.ny bill received 3 months prior to your application for Medi-Cal may be covered by requesting Retroactive Medi-Cal Coverage. In addition, certain unpaid, old medical bills can be used to reduce your Medi-Cal share of cost (SOC).
Medicare does not pay for all medical expenses, and usually must be supplemented with private insurance (medigap) or consumers can enroll in an HMO plan that contracts with Medicare. After 3 days of prior hospitalization, Medicare will pay up to 100% for the first 20 days of skilled nursing care.edi-Cal is a combined federal and California State program designed to help pay for medical care for public assistance recipients and other low-income persons. Although Medi-Cal recipients may receive Medicare, the Medi-Cal program is not related to the Medicare program.