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Optima Health Employers

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Tax Information for Benefits Administrators

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.

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New Balance Billing Protection

Beginning January 1, 2021, Virginia state law protects members from balance or “surprise billing.” Elective (self-funded) Group Health Plans must opt-in to this balance billing law at least 30 days prior to their effective date if they would like to offer this protection to their employees.

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Find Doctors, Drugs and Facilities

Use our online search tools to find doctors and other health care providers, care facilities, and covered prescription medications.

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Strengthening Organizations by Supporting Employees

Learn more about Optima Employee Assistance Program (EAP).

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News


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:

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2021 Affordable Care Act Taxes and Fees

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

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