Let's Get Started!

Enter your name as it appears on your CalOptima health plan member card.

Note: If you are submitting for someone else, enter their name as it is listed ont he CalOptima member card

Please enter your mobile phone number

Note: ONLY add a cell phone number that can send and receive SMS messages, so we can best support you with your orders.

Confirm Your Delivery Address

Where do you want your healthy meals to be delivered?

Have you noticed your weight change over the last 12 weeks?

If YES, by approximately how many pounds?

Have you been diagnosed with any of these health conditions or diseases?

Select all that apply, then click NEXT

Do you have any other ongoing health conditions?

Since starting the Tangelo nutrition program, how has your diet changed?

Vegetables

Fruits

Lean protein

Whole grains

How does eating food from the Tangelo nutrition program help you?

Food from Tangelo helps me feel better

Food from Tangelo helps improve my energy level

Food from Tangelo helps me manage or improve my health conditions

Food from Tangelo helps me stay out of the hospital

Food from Tangelo helps me maintain my independence

Food from Tangelo helps increase my knowledge about nutrition related to my condition

Food from Tangelo helps improve my access to healthy food

Without access to healthy food from Tangelo, what is your level of concern that your health condition(s) will worsen over the next 12 weeks?

Without access to healthy food from Tangelo, what challenges or barriers might you face in the next 12 weeks to manage your health condition(s)? 

Check all that apply:

Do you face any other challenges or barriers that make managing your health condition(s) more difficult?

Do you have any dietary restrictions?

Select all that apply

Do you have any other dietary restrictions?

Do you have cultural dietary preferences?

What other cultural dietary preferences do you have?

You're all done!

Here's what happens next...