CalOptima Health

CalOptima Health members

Dedicated guidance for CalOptima Health members seeking gender-affirming surgery with a multidisciplinary team.

The approach

CalOptima Health coverage pathway

We accept Medi-Cal, LA Care, CalOptima Health, IEHP, Blue Shield, Anthem Blue Cross and most private and employer-sponsored health plans. We verify your benefits before a date is set. This page does not decide coverage.

Bring your preferred procedures and any existing referral or letter documentation. Call 424-253-0000 with your member ID. Do not put the member ID on the public form. Our team coordinates across specialties so you are not sent to four separate practices for core care.

Procedures

Quick facts

01

Plan

CalOptima Health

02

Pre-auth

Ask us to verify benefits before a date is set

03

Team

Dr. David N. Sayah, MD, Dr. Toby G. Mayer, M.D., F.A.C.S., Dr. Maurice M. Garcia, MD, MAS, and voice care on one coordinated roster

04

Next step

Online pre-auth intake + benefits verification

The plan follows the examination.
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What to expect

What to expect.

01

Confirm CalOptima Health benefits

Call the number on your CalOptima Health card, or call us at 424-253-0000. Do not put the member ID on the public form.

02

Start pre-authorization

Start pre-authorization with your procedure interest. Call 424-253-0000 with your member ID. Do not put the member ID on the public form.

03

Gather letters

See WPATH letters if readiness documentation is required.

04

Consult

Schedule once eligibility is underway.

Common questions

Frequently asked questions

Does Chrisalys Clinic work with CalOptima Health?

Yes, CalOptima Health members should verify benefits, then start pre-authorization. Call 424-253-0000 with your member ID if you need help interpreting coverage.

Is pre-authorization required?

We verify your benefits before a date is set. This page does not decide coverage. Incomplete paperwork is a common source of delay.

Can I combine procedures?

Often staging is clinical. Tell us your goals on the pre-auth form so the multidisciplinary team can plan safely.

Get started

CalOptima Health members, begin pre-authorization

Secure intake takes a few minutes. We usually follow up within one business day.

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