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Optima Health Brokers

We Offer Brokers More

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Innovative Tools

Work smarter, not harder.

Manage your book of business with effective, efficient, and secure online tools.

Learn More about our innovative approaches.

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Incentives

Incentives are just one perk of our partnership.

We offer opportunities to earn cash, prizes, and much more—just for selling Optima Health plans.

Learn More about the incentives we offer

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Products and Services

Comprehensive healthcare solutions.

Our plans, services, and value-added benefits will meet all your clients' needs.

Learn More about our products and services

 
A happy woman learning the Medical Loss Ratio rebates.

Medical Loss Ratio Rebates for 2020 Tax Year

Optima Health is issuing rebate checks for our regulatory fully insured large groups who had coverage for at least part of 2020.

Learn About MLR Rebates
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Balance Billing Protection

Effective January 1, 2021, Virginia state law protects members from balance or “surprise billing.” Elective (self-funded) Group Health Plans must opt-in to this balance billing law at least 30 days prior to their effective date if they would like to offer this protection to their employees.

Get More Information
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Broker Rewards — Small Group Sales

Brokers with the most new Small Group contracts sold between January 1, 2021 and June 30, 2021 can qualify to win extra Rewards points!

Get More Information
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Rewards Opt–in

You may have Rewards points waiting for you! Opt–in to the Broker Rewards program today to view and redeem your points. (Sign in required)

Learn About Rewards
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New Provider Search Experience

We have upgraded our online provider search tool to make it easier for you to find the doctors you need.

Find Doctors
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The Optima Health Provider Network

The Optima Health provider network offers our members the right care, in the right place, at the right time.

Learn About Our Network

News


Reminder on Action Required: Balance Billing Protection

As a courtesy to our self-funded groups, we will be sending reminders to our business partners that beginning January 1, 2021, many Virginians covered under health insurance plans will have protection from “surprise billing” or balance billing.

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Medical Loss Ratio Rebates Fall Update

Federal law requires that we spend a certain percentage of fully insured plan premiums on medical care. If we spend less during the three-year lookback period, we refund that money back to our customers.

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