OptimaFit® Direct Network Plans for Individuals & Families

Our network designs offer lower-cost options that allow you to choose what works best for your clients' healthcare needs and their budget.

Direct network plans include the full network in a two-tier structure to maximize cost savings.  Members can save money when they get services from a Tier 1 doctor or facility.  Tier 1 includes all participating doctors and facilities except those in Tier 2 and Tier 2 includes Mary Washington Healthcare.

Plan Features

  • 24–hour access to virtual consults through our website and the Optima Health mobile app
  • access to award-winning free health and wellness programs with MyLife MyPlan
  • discounts on health and wellness services1
  • Emergency Travel Assistance2
  • a wide range of deductibles and copayments offered
  • Health Savings Accounts (HSAs)
  • Gold-, Silver-, and Bronze-level plans both on and off the Health Insurance Marketplace
  • free preventive care services when received from an in-network doctor or facility3

More Information

For more information, please view the Frequently Asked Questions or contact your Optima Health representative.

1 Sentara Health Plans, Inc., Provider Status Report, 2021.
2 Value-Added services; not a covered benefit.
3 Office Visit copayment or coinsurance may apply.

Broker Support

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Open Enrollment Period runs from November 1, 2022 - January 15, 2023.  Sign in or contact Broker Services 1-866-927-4785 for more information.

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Individual and Family Plans