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  • Exclusions and Limitations - 2020 Plans

Exclusions and Limitations - 2020 Plans

Employer Plans

BusinessEDGE®, 10–150 Employees

  • Plus (PPO) Products
  • Vantage (HMO) and POS Products

Small Group, 1-50 Employees

  • Plus (PPO) Products — Off SHOP
  • Vantage (HMO) and POS Products — Off SHOP

Mid-Market Group, Large Group 51+ Employees

  • Plus (PPO) Products
  • Vantage (HMO) Products
  • POS and POSA Products

Individual & Family Plans

  • OptimaFit® HMO Products — Off Exchange
  • OptimaFit® HMO Products — On Exchange
  • OptimaFit® PPO Products — Off Exchange

SUMMARY OF BENEFITS

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© Optima Health 2021, 4417 Corporation Lane, Virginia Beach, VA 23462-3162

Optima Health is the trade name of Optima Health Plan, Optima Health Insurance Company, Optima Health Group, Inc., and Sentara Health Plans, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Optima Health Plan. Optima Preferred Provider Organization (PPO) products are issued and underwritten by Optima Health Insurance Company. Sentara Health Plans, Inc. provides administrative services to group and individual health plans but does not underwrite benefits.​