News

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More Ways Brokers and Employer Groups Win with Optima Health

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Change In Prior Authorization Requirements for Prescription Opioid Drugs

Effective March 1, 2019, all opioid drug prescriptions will require prior authorization from the prescribing physician.

1095 Documents for 2018 Tax Year

The Affordable Care Act (ACA) requires every issuer of health insurance to report certain information to the Internal Revenue Services (IRS), and individuals to report coverage information on their annual income tax filing.

2019 ACA Taxes and Fees

The updated tax and fee schedules are now available.

2019 Enrollment Applications and Broker Guide Available

The 2019 Commercial Group Broker Guide and the 2019 Individual Product Broker Guide are now available.

New Health Management Incentive Program for OptimaFit Members

New for 2019: a disease management program designed to reward members for taking charge of their health, exclusively for OptimaFit^® Individual & Family Plan subscribers and covered spouses.

Delta Dental Change Correction Notice

We recently discovered that a system error generated a letter to some of our Mid-Market and BusinessEDGE Group members stating that January 1, 2019, Delta Dental of Virginia will no longer administer the pediatric oral service and that Optima Health would administer this service for the rest of their plan year. In actuality, this only applies to Small Groups who renew between February and December 2018.