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About Optima Health

About Optima Health

Count on Optima Health

Supporting Good Health

Optima Health provides health plan coverage to more than 444,000 members throughout Virginia.1 We offer a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

Our quality provider network features more than 15,000 providers including specialists, primary care physicians and hospitals across Virginia.2

We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health. Wherever we serve our members, Optima Health stands out through our passion for health and service excellence.

Making Insurance Easier

Optima Health offers user-friendly customer service, claims processing and problem solving. You can expect personal service from enrollment to member services to renewal. We provide fast and accurate claim payments, so you spend less time following up on claim issues.

A Great Value: Progressive Plans & Products

Optima Health offers a broad spectrum of innovative products and service solutions designed for employers, employees and their families. Progressive plan designs encourage greater employee participation in healthcare decisions and can reduce administrative costs while improving service quality.

Better-informed employees make better decisions. Optima Health has been based in Virginia for 30 years. Our members have access to doctors and hospitals with nationally-recognized clinical programs, up-to-date preventive care and patient safety protocols, plus the latest medical procedures and technologies.

Locations

Virginia Beach Headquarters:
4417 Corporation Lane
Virginia Beach, VA 23462

Newport News:
11803 Jefferson Avenue, Suite 100
Newport News, VA 23606

Richmond:
1604 Santa Rosa Rd., Ste. 100,
Richmond, VA 23229

Roanoke:
129 Campbell Avenue, SE
Roanoke, VA 24011

You may contact us by email, phone, or mail.

Members | Brokers | Employers | Providers

Mission

We improve health every day.

Vision

To be the health plan of choice in the communities we serve.

Products

At Optima Health, we are committed to providing members with quality, cost-effective healthcare. Whether you’re choosing a health insurance plan for your employees or your family, we are confident you will find coverage that is right for you.

Current plans include:

  • Optima Vantage – Health Maintenance Organization
  • Optima Plus – Preferred Provider Organization
  • Optima Family Care – Medicaid HMO product in Virginia 
  • FAMIS – Virginia's program that helps working families provide health insurance for their children
  • Optima Individual & Family Plans3
  • Optima Medicare HMO - Medicare Advantage Plans
  • Optima EAP - Employee Assistance Program
  • Optima Association Plans

Our Pledge

Helping you take care of yourself and your family is our guiding mission.  You’ll see our commitment to you in the variety of innovative wellness programs we sponsor.  Our dedication is also echoed in the concerned, caring manner that characterizes our customer service staff and philosophy.  Simply put, it’s this: when you’re covered by Optima Health, we’re passionate about your health.

Accreditations and Awards

With a national and regional track record for success, we take a great deal of pride in our ability to offer award-winning health plans, educational programs and community initiatives. Please take a closer look at just a few of our many notable areas of achievement.

1 Optima Health, Total Medical Membership Summary, January 2014
2 Optima Health, Provider Status Report, January 2014
3Optima Health offers HMO and PPO plans off of the Health Insurance Marketplace and HMO plans on the Health Insurance Marketplace