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

COVID-19 Coverage Extension May 31

Thank you for choosing Optima Health. We hope you are enjoying the start of the spring season. It has now been a year since the pandemic began in the United States and we want to continue putting our members first. We previously announced that we would extend COVID-19 coverage for Optima Health members through April 30. We are now extending COVID-19 coverage through May 31, 20211 for the following:

American Rescue Plan Act Individual and Family Subsidy Changes

The American Rescue Plan Act, signed into law on March 11, 2021, provides additional aid to individuals and their families for health insurance coverage.

2021 Affordable Care Act Taxes and Fees

Recent legislative changes have affected the ACA-mandated taxes and fees for 2021.

Good News Regarding Patient First

We are happy to announce that we have reached an agreement with Patient First. We recently told you that we are negotiating with Patient First to keep their centers in our network for our Commercial, Individual, and Medicaid members. Our goal in these negotiations has been to keep healthcare costs for our members low while being fair to providers.

Reminder on Action Required: Balance Billing Protection

As a courtesy to our self–funded groups, we will be sending reminders to our business partners that beginning January 1, 2021, many Virginians covered under health insurance plans will have protection from "surprise billing" or balance billing.

1095 Documents for 2020 Tax Year

For the 2020 tax year, Optima Health mailed 1095-B tax form to all individuals covered by our fully insured health plans, including employer-sponsored and Individual & Family Plans sold off the Health Insurance Marketplace.

Extra Bonus and Rewards Opportunities

New Individual Product and Small Group Sales Incentives

COVID-19 Vaccine Availability at Pharmacies

As you know, vaccine distributions are well underway in Virginia. In addition to the current locations, multiple pharmacies will also soon receive vaccines to distribute.

Optima Health Plan New Special Enrollment Period

President Biden announced a new special enrollment period so individuals who do not have insurance or individuals that want to change coverage can enroll in a health insurance plan on the Federal Marketplace. This new special enrollment period runs from February 15, 2021 through August 15, 2021.

One Week Left to Earn 50 Points

Have you checked out our new Broker Rewards Program and started your wish list?