Medicare Plans

Care That Changes With Your Clients' Needs

We’re proud to offer Optima Medicare – plans that give your clients everything Medicare offers plus some extra benefits and preventive services including:

• $0 copay for personal doctor visits
• $0 copay for many generic drugs
• Dental, vision and hearing benefits
• Over-the-counter allowance

Broker Resources

• Scope of Appointment Confirmation Form

Important Changes for 2020

New plan options are available with the 2020 Optima Medicare HMO plans, along with an expansion to our Hamptons Roads, Halifax and Northern Virginia service areas. A new Optima Medicare Classic (HMO) plan (for Hampton Roads only) is now available that offers the same great benefits, only without prescription drug coverage.

2020 Plans

Optima Medicare HMO

• 2020 Optima Medicare HMO Decision Guide
• 2020 Optima Medicare Value/Prime (HMO) - Summary of Benefits - Peninsula
• 2020 Optima Medicare Value/Prime (HMO) - Summary of Benefits - Southside
• 2020 Optima Medicare Value/Prime (HMO) - Summary of Benefits - Halifax
• 2020 Optima Medicare Value/Prime (HMO) - Summary of Benefits - Northern Virginia
• 2020 Optima Medicare HMO Formulary
• 2020 Optima Medicare HMO Formulary (Large Print)
• Optima Medicare HMO Provider Directory
• Optima Medicare HMO Provider Directory (Large Print)
• 2020 Optima Medicare HMO - AEP Optional Dental Enrollment Form
• 2020 Optima Medicare HMO - Enrollment Change Request/Short Form
• 2020 Optima Medicare HMO - Print Enrollment Form - Peninsula
• 2020 Optima Medicare HMO - Print Enrollment Form - Southside
• 2020 Optima Medicare HMO - Print Enrollment Form - Halifax
• 2020 Optima Medicare HMO - Print Enrollment Form - Northern Virginia

Online Enrollment

Optima Community Complete (HMO D-SNP)

• 2020 Optima Community Complete (HMO D-SNP) - Summary of Benefits
• 2020 Optima Community Complete Formulary
• Optima Community Complete Formulary (Large Print)
• Optima Community Complete Provider Directory
• Optima Community Complete Provider Directory (Large Print)
• 2020 Optima Community Complete (HMO D-SNP) - Print Enrollment Form - Virginia

Online Enrollment

2019 Plans

Optima Medicare HMO

• 2019 Optima Community Complete - Summary of Benefits
• 2019 Optima Medicare HMO - Summary of Benefits - Peninsula
• 2019 Optima Medicare HMO - Summary of Benefits - Southside
• 2019 Optima Medicare HMO Formulary
• Optima Medicare HMO Provider Directory

Optima Community Complete (HMO D-SNP)

• Optima Community Complete - Summary of Benefits
• Optima Community Complete Formulary
• Optima Community Complete Provider Directory