About TotalCare (HMO D-SNP) Access Your Health Information
As a TotalCare member, you can view your health information through a health information application. (Note: The Health information applications are generally available only in English.) You can review information about your past visits to Medi-Cal and TotalCare network providers. You can also review other health history information dating back to January 1, 2016. You can get information about your medications, lab results, immunization records, and more. This allows you to track your health and discuss your information with your providers.
Note: Using a health information application to access your health information is different than using our My Health Member Portal.
When you get your health information online, you can see your medical history as an Alliance and TotalCare member and track your health. You will be able to see information like your:
- Past provider visits.
- Medications that are prescribed.
- Lab tests and results.
- Immunizations.
- Care team and more!
You can discuss your health information with your providers. This can help them provide you with better care.
You can access your health information only using health information applications (apps) that meet our security standards. You can choose a trusted app from our approved list. Each app has its own policies and is not under the control of the Alliance or TotalCare.
For more information about protecting your data, please see the FAQs below.
To remove an app’s permission to get your information, you can choose to “revoke consent,” or cancel, at any time. You can opt out through the health information app or through the Alliance.
Choose someone to be your personal representative. This person will be able to speak with TotalCare about your health care needs. Both you and the person you choose to represent you will need to sign the Appointment of Representative Form.
How to Access Your Information
You will need to do a few things to view your health information online.
To create an account, you will need to perform the following steps:
1. On the Create Member Online Account page:
a. Provide basic information about yourself, including your email address and your TotalCare Member ID number. You can find your ID number on your TotalCare Member ID card.
b. Create a username and password that you will use to log in to your account. Make sure to keep your password in a safe place.
c. Click SUBMIT on the form and be sure to keep the page open.
2. Alliance Member Services will send you an email with a verification code. Enter the code on the page you left open above, and click VERIFY. A message on the page shows that your account has been successfully created.
Choose a health information app to view your health information online. You can choose an app from the list of certified apps below. These apps have been certified with the Alliance because they follow basic security standards.
Before you choose a health information app, you may want to do two things:
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Check if the app has agreed to follow the CARIN Code of Conduct. The CARIN Code of Conduct holds high standards for your privacy and security. Apps that do not follow the CARIN Code of Conduct may do less to protect your privacy and security.
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Read the app’s privacy policy to understand how your information will be stored, used, shared, and protected.
The Alliance currently supports the health information applications listed below.
Note: As noted below, some apps are web-based and some are for Android and/or iOS (Apple) devices. Web applications can be accessed using most internet browsers on your computer, smartphone or tablet. Android and iOS applications can be downloaded and installed on your smartphone or tablet.
- Edifecs Member Portal (https://ccah.memberportal.edifecsfedcloud.com) – Web
- MyFlexpa (https://my.flexpa.com) – Web
- b.well Connected Health (https://portal.icanbwell.com) –Web, Android, iOS
The health information apps listed above adhere to the conditions of health information disclosure cited in our Notice of Privacy Practices.
When you log in to the selected health information app, you are asked to agree to the Alliance’s Terms of Service and Privacy Policy.
The procedure for logging in to health information apps is outlined below. Depending on the app, the details may vary.
- Access the health information app you chose above.
- Select the name of your health plan: “Central California Alliance for Health.” (Note: For the Edifecs Member Portal, you will skip this step because the application was developed specifically for the Alliance.)
- Log in to your user account.
- If you already have an account, enter your username and password.
- If you have not created an account, you can create one by following the directions in the “Create a user account.” section above.
- If you have forgotten your username or password, you can recover that information on our Recover Member Online Account page.
- Grant permission to access your health information.
- If you are okay with what the privacy policy says, choose “the option to continue.”
- If you do not want to accept the privacy policy, you should not use the app. You can choose a different app, as available, with a privacy policy you agree with.
If you have questions, you can find more details in our Frequently Asked Questions section below.
Frequently Asked Questions
You will have access to information about your medical and behavioral health claims online. You can also access your clinical information if it is available. This includes your:
- Name.
- Sex.
- Date of birth.
- Preferred language.
- Smoking status.
- Medications and medication allergies.
- Laboratory tests and results.
- Office visits and procedures.
- Care team members.
- Immunizations.
If you forget your username or password, you can recover your login information on our My Health Member Online Account page. Click the “Recover Account” tab, fill in the required information, and click “Submit.”
You can also change your password on that page. Click the “Change Password” tab, fill in your username and password, and then click “Log In.” On the lower part of the page, type your new password in the two fields, and then click “Change Password.”
If you are an Alliance or TotalCare member, your health information is kept private and secure. It is protected by the Health Insurance Portability and Accountability Act (HIPAA).
When you give permission, the Alliance can share your health information with the app you have chosen. Your health information is shared in an encrypted form. This means that your information can only be understood and accessed by the app(s) with permission to access it.
Note: If you choose to share your information with an app, the information you share will be subject to the app’s privacy policy. Apps do not have to follow HIPAA rules to protect your information. This is why it is important to understand the privacy policy of the app you are using.
The Health Insurance Portability and Accountability Act (HIPAA) protects health information handled by certain entities, known as covered entities, including:
- Health care providers (doctors, hospitals, clinics)
- Health plans (insurance companies, Medicare, Medicaid)
- Health care clearinghouses
HIPAA also applies to business associates that perform services for covered entities involving protected health information.
Not all organizations are covered by HIPAA. Apps, wellness programs or other services that are not health care providers or health plans may not follow HIPAA rules. This means your information may not have the same protections.
You get to decide if an app has permission to access your health information. If you choose to share your information with an app, that platform does not have to follow HIPAA laws for privacy and security. Your information may be shared by the app, according to the app’s privacy policy. That is why it is important to understand the privacy policy of the app before you agree to it.
If a privacy policy is not available, we recommend that you do not use the app. Do not share your health information with anyone that you do not trust.
At the Alliance, we care about protecting your health information. When you are choosing a health information app, we suggest that you check if the app is on the list of applications that follow the CARIN Code of Conduct. If an app follows the CARIN Code of Conduct, this means they have agreed to follow high standards for your privacy and security.
If you choose a health information app that follows the CARIN Code of Conduct, this means that the app will:
- Provide an easy-to-read privacy policy that explains how and when your information will be used and shared.
- Ask for your ongoing consent when collecting your personal information.
- Allow you to view any information about yourself that the app has access to.
- Let you know how to tell the app you do not want to give access to your personal information anymore.
What steps can I take to protect my health information?
Your health information is valuable and personal. Here are steps you can take to help protect your information and ensure it is used safely:
- Choose trusted applications carefully: Before sharing your health information with an app or online service, review how the app uses your data. Some apps may share data for marketing, research or other purposes. We also highly recommend that you choose only applications that follow the CARIN Code of Conduct.
- Understand security and privacy practices: Look for apps that clearly explain how they protect your data, such as encryption and secure storage. Avoid apps that do not provide clear privacy information.
- Control your data: Only share the information you are comfortable sharing, and understand the permissions you grant.
- Stay informed: Keep software and devices updated, and be cautious of sharing sensitive information over unsecured networks.
- Use strong passwords: You should create strong passwords for your Alliance user account and your health information app account. A strong password:
- Is at least 12 characters.
- Uses a combination of letters, numbers and symbols.
- Is not the same as other passwords that you use.
Note for members under age 18:
To protect privacy and comply with California laws that safeguard confidential minor consent and sensitive services, online access to health information through our member portal and health information applications is limited to members aged 18 and older. Parents and guardians cannot access a child’s information through these tools. Alliance Member Services can help share information in another way that follows relevant member privacy rules.
If you have questions about accessing your health information, please contact TotalCare Member Services at 833-530-9015. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language at no cost to you. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: 711).
If you have a question about the health information app you are using, contact the makers of that app directly.
Submit a Complaint
If you feel your privacy rights have been violated, you may file a grievance, also called a complaint, with our Privacy Officer. As a TotalCare member, you have the right to file a complaint. Filing a complaint will not affect the quality of the health care services you receive or your TotalCare benefits. Learn how to file a grievance on our File a Grievance or Appeal page.
Contact us
Central California Alliance for Health – Privacy Officer
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066
833-530-9015 (toll-free)
800-735-2929 (TTY: 711) (Hearing or Speech Assistance Line)
You can also submit a complaint to the U.S. Department of Health & Human Services Office of Civil Rights (OCR) or the Federal Trade Commission (FTC).
The Office for Civil Rights (OCR), part of the U.S. Department of Health and Human Services, enforces HIPAA rules and investigates complaints about violations of privacy and security for covered entities.
Contact the OCR if you believe that the Alliance/TotalCare has violated your health information privacy or failed to report a breach of your health information. You can contact the OCR by mail, by phone or by submitting a complaint online.
Find directions on how to submit your complaint on the Office of Civil Rights website.
OCR Contact Information:
Centralized Case Management Operations
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Room 509F HHH Bldg.
Washington, DC 20211
Call the U.S. Department of Health and Human Services at their toll-free number: 877-696-6775.
The Federal Trade Commission (FTC) oversees privacy and security practices for companies that are not HIPAA-covered entities, including most health apps and technology companies.
Contact the FTC if you believe that a health information app has violated your health information privacy. You can file a complaint if:
- You believe that the app participated in deceptive or unfair acts or practices regarding your privacy and information security.
- You believe that the app gave false or misleading claims about its safety or performance.
FTC contact information:
To report a privacy or security concern about a non-HIPAA-covered entity or submit a complaint, call the FTC Consumer Response Center at 877-382-4357 or submit a complaint online.
We are here to help you.
You can speak to a Member Services Representative by calling 833-530-9015
Contact Member Services
- Monday through Friday, 8 a.m. to 8 p.m.
- Phone: 833-530-9015
- Deaf and Hard of Hearing Assistance
TTY: 800-735-2929 (Dial 711) - Nurse Advice Line
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