Patient medical information in all forms is crucial to keep private and secure, particularly when medical data communication occurs through insecure channels. Therefore, there is a bad need for protecting and securing the color medical images against impostors and invaders. In this paper, an optical medical image security approach is introduced. It is based on the optical bit-plane Jigsaw Transform (JT) and Fractional Fourier Transform (FFT). Different kernels with a lone lens and a single arbitrary phase code are exploited in this security approach. A preceding bit-plane scrambling process is conducted on the input color medical images prior to the JT and FFT processes to accomplish a tremendous level of robustness and security. To confirm the efficiency of the suggested security approach for secure color medical image communication, various assessments on different color medical images are examined based on different statistical security metrics. Furthermore, a comparative analysis is introduced between the suggested security approach and other conventional cryptography protocols. The simulation outcomes acquired for performance assessment demonstrate that the suggested security approach is highly secure. It has excellent encryption/decryption performance and superior security results compared to conventional cryptography approaches with achieving recommended values of average entropy and correlation coefficient of 7.63 and 0.0103 for encrypted images.