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.

Optima Health members currently enrolled in a 4–star quality–rated1 OptimaFit® plan do not need to do anything. Their benefit coverage will not change. Any deductibles or coinsurance levels already met will remain. As long as they continue to make their monthly premium payments, they will continue to receive benefits including those below through December 31, 2021:

  • access to high–quality board–certified providers and facilities in your community
  • free preventive care services when received from an in–network provider or facility
  • 24–hour access to virtual healthcare
  • access to free health and wellness programs
  • value–added benefits including discounts on health and wellness services
  • value–added benefits for Emergency Travel Assistance
  • exemplary customer service
  • and more!

If you have clients who were unable to enroll in an OptimaFit Individual & Family Plan during the regular Open Enrollment Period, ,they can take advantage of this new special enrollment.

Plus — be on the lookout for a special bonus program for our valued brokers. More details to follow.

If you have any questions please contact your Optima Health representative.

1CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third–party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5–star scale. Ratings may change from year to year. Due to the COVID–19 virus, CMS did not collect data from health plans during the 2020 calendar year. Therefore, the ratings reflect data previously provided by health plans in 2019.