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CalOptima

CalOptima

caloptima.org
What is your customer experience with CalOptima?

CalOptima Overview

The generated data is based on reviews and questionnaires provided by PissedConsumer.com users.

Based on reviews, created with AI
Rating Distribution

CalOptima has a 2.4 star rating based on 3 customer reviews. Consumers are mostly dissatisfied; reviews highlight issues with reliability, high price level, poor discounts and special offers, and concerns about insurance plans acceptance.

Key Takeaways for Future Customers

  • Check recent CalOptima reviews for referral reliability before choosing providers.
  • Confirm provider network and insurance plans acceptance directly to avoid surprises.
  • Expect mixed experiences; verify billing coverage in advance.

Negative Feedback / Risk Areas

  • Recurring complaints about being sent to wrong doctors and authorization/referral errors labeled in CalOptima customer complaints.
  • Billing issues reported, including hospitals billing patients directly and threats of collections.
  • Poor customer service responsiveness and difficulty resolving disputes.

Positive Feedback

One reviewer noted CalOptima took care of a bill, and reviewers value reliability and insurance plan acceptance when it works.

View full overview ›

Turn one complaint into a collective action

PC collective complaint

A Collective Complaint helps you unite consumers dealing with the same issue, such as wrong charges, unexpected fees, damaged items, or misleading promises. It goes beyond a single review by growing stronger with every signature, making it harder to ignore. Once you reach 20 supporters, we’ll send it to the company to encourage a response.

Start Collective Complaint
Darlene G Khu

My insurance for medical isn't sending me to the right Doctors offices. I had an appointment & every time I get to my apps they keep sending me home r& saying that they don't have an authorized Refer

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AI Highlights
  • - They keep sending me to the wrong doctors.
  • - This has been happening for six months.
  • - They aren’t doing their jobs and seem lazy.

They keep sending me to the wrong Doctors. This has been happenings for the last 6 months.

There not doing there jobs they are being L A Z Y. They need to get to the program.

Or get out of that field... we all need to be more compassionate & help o

Preferred solution: Apology

User's recommendation: Don't pick CalOptima for your medical insurance cuz they don't like there job. I say get out of the medial field etc...

View full review
Darlene G Khu

I'm being sent to the wrong doctors for the last 6 months. Your a business so get your *** together or ship out. I can't believe this is happening to me. I just need to see an Orthopedics for my low

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AI Highlights
  • - They keep sending me to the wrong doctors.
  • - This has been happening for six months.
  • - The reviewer says we should be more compassionate and help others.

They keep sending me to the wrong Doctors. This has been happenings for the last 6 months.

There not doing there jobs they are being L A Z Y. They need to get to the program.

Or get out of that field... we all need to be more compassionate & help others.

Preferred solution: Apology

User's recommendation: I wouldn't recommend this

View full review
Billy S Dvz

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Hospital Bill

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AI Highlights
  • - ER visit Jul 11 2023 at Fountain Valley Regional Hospital for forearm fracture.
  • - Billed $6,040; go to collections after not contacting Caloptima.

I had a visit to the E.R at Fountain Valley Regional Hospital for a broken radial bone in my left forearm on July 11, 2023. The hospital has failed to contact my Cal- optima insurance provider for the billing and have instead billed me directly for the amount of $6,040 and now wants to send it to collections

User's recommendation: Cal-optima took care of the bill for me

View full review

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Exposed: Types of Insurance Scams and Fails

In this video interview, Charles R. Gallagher, an attorney, explains what sort of insurance fraud happens with consumers. Find out more about insurance fraud, the worst cases discovered, and how to protect yourself from insurance scam.

Read full article
Charles
Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

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