Looking for a previous newsletter? Contact

BusinessEDGE® and BusinessEDGE elite TM

BusinessEDGE® (10-150 enrolled) and BusinessEDGE elite (10-50 enrolled) are now available to quote for the fourth quarter of 2019. Don’t wait too long to get great rates for your groups.

2019 Second Quarter Updates

We want to keep our valued broker partners up to date on changes that may affect your clients.

Introducing the New Optima Health Mobile App

New name. New look. New features.

More Ways Brokers and Employer Groups Win with Optima Health

Lock in for an 18-month rate guarantee with BusinessEDGE elite!

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.

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.