OptimaFit® Direct and Select Network Plans for Individual & Family Health Plans
Our new 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 of over 35,0001 doctors and facilities, in a two-tier structure to maximize cost savings. Members can save money when they get services from a Tier 1 doctor or facility.
Select network plans utilize local doctors and facilities within key clinically integrated networks, to provide high-quality and efficient care. Members can save money if they get services from a regionalized group of doctors and facilities.
Select and Direct At–A–Glance Comparison Chart
OptimaFit Direct | OptimaFit Select | |
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Overview | Direct network plans include the full network of over 35,0001 doctors and facilities, in a two-tier structure to maximize cost savings. | Select network plans utilize local doctors and facilities within key clinically integrated networks, to provide high-quality and efficient care. |
Available In... | Charlottesville, Halifax, Hampton Roads, Harrisonburg, Mecklenburg, Richmond and Rockingham areas Some surrounding areas may be included. See a detailed listing of counties in the OptimaFit Direct service area Search your zip code |
Charlottesville and Rockingham areas Some surrounding areas may be included. See a detailed listing of counties in the OptimaFit Select service area Search your zip code |
Spending Account Options |
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In–Network Coverage |
Note: Effective January 1, 2021, UVA doctors and facilities are in Tier 2 and Virginia Commonwealth University (VCU) doctors and facilities are in Tier 1. Prior to January 1, 2021 UVA was in Tier 1 and VCU was in Tier 2 |
Most doctors and facilities in UVA Health System network are not in the Select network |
Out–of–Network Coverage |
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Features and Benefits |
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More Information
For more information, please view the Frequently Asked Questions and flyers or contact your Optima Health representative.
- OptimaFit Buyer's Guide
- OptimaFit Direct FAQs
- OptimaFit Direct Flyer
- OptimaFit Select FAQs
- OptimaFit Select Flyer
1 Sentara Health Plans, Inc., Provider Status Report, 2020
2 Value-Added services; not a covered benefit
3 Office Visit copayment or coinsurance may apply