News

For up-to-date information related to COVID-19 coverage, please view our Broker page.  Looking for a previous newsletter? Contact brokernews@optimahealth.com

Electronic Delivery of Employer Group Contracts

At Optima Health, we are always looking for ways to improve processes and leverage technology to enhance the customer experience.  With this in mind, we wanted to let you know that Optima Health is moving to electronic delivery of Employer Group Contracts for Small and Mid-Market groups (sized 1-150).

Upcoming Continuing Education Opportunities

To assist you in satisfying your continuing education requirement while maintaining social distancing, Optima Health has partnered with HealthEquity® to offer additional continuing education (CE) credit(s) via webinars in July and August.

COVID-19 Coverage Extended to July 31

Optima Health continues to monitor the COVID-19 pandemic and its impact on our communities.

Medicare Billing & Enrollment Inquiries

We have created a new mailbox for Medicare enrollment inquiries: MA_enrollment@sentara.com.

IRS Guidelines Regarding COVID-19 Plan Coverage

According to new IRS guidelines, during the period between January 1 and December 31, 2020, an employer offering fully insured or self-funded health plan coverage may amend one or more of its cafeteria health plans to allow employees to do the following on a prospective basis...

2020 Affordable Care Act Taxes and Fees

Recent legislative changes have affected the ACA-mandated taxes and fees for 2020.

COVID-19 Extended Coverage

In order to help remove barriers to care and provide safe options for our members during the COVID-19 crisis, Optima Health committed to expanded coverage. All out-of-pocket member costs associated with COVID-19 diagnostic testing will be covered through the duration of the pandemic.

Health Plan Options

As we all navigate through the different circumstances we find ourselves in due to COVID-19, we want you to know Optima Health is here for you and your clients.

Employer Group Contract Delivery

We are always looking for ways to improve processes and leverage technology to enhance the customer experience. With this in mind, we wanted to let you know that Optima Health is moving to electronic delivery of Employer Group Contracts.

Off-Anniversary Plan Changes​

To support groups during the COVID-19 crisis, Optima Health will allow off-anniversary plan changes to groups with effective dates between April 1, 2020 and June 1, 2020. These changes are only allowed for plan downgrades to assist our employers in reducing costs during this unprecedented period.