Employer News

Optima Health continues to review the requirements under the Consolidated Appropriations Act (CAA).

A quarterly newsletter about your health plan benefits.

A quarterly newsletter about your health plan benefits.

BusinessEDGE® and Fully Insured Employers*: Optima Health has continuously monitored the spread of COVID-19 to keep your employees informed of the latest developments and how these changes could affect their health plan.

Optima Health continues to review the data requirements and reporting timelines under the Consolidated Appropriations Act (CAA).

We are excited to share with you that Bon Secours Health System will remain as part of the Optima Health provider network.

Optima Health is always looking for ways to celebrate local businesses and recognize your impact on our community.

For the 2022 tax year, Optima Health will mail 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.

We are happy to announce that Valley Health is re-joining our Optima Health commercial and individual product network starting on January 1, 2023.

As you may have heard, Optima Health will change its branding and become Sentara Health Plans as we enter 2024. As we work toward unification with our parent company, Sentara Health, we will update you on our progress toward this goal.

A quarterly newsletter about your health plan benefits.

Optima Health continuously looks for ways to improve benefits and services and increase cost efficiencies for its employer groups and members. As a result of these efforts, we have made the strategic decision to change our pharmacy benefit manager (PBM) from OptumRx® to Express Scripts (ESI) and our vision services vendor from Eyemed to VSP Vision Care (VSP) for all lines of business, effective January 1, 2023 (regardless of the group’s effective date).

A quarterly newsletter about your health plan benefits.

Based on our final assessment, we will not issue rebates for our regulatory fully insured small and large group clients for plan year 2021.

We are pleased to announce that effective September 1, 2022, Optima Health includes all Inova^® Health System hospitals, facilities, physician practices, and providers as in-network for our commercial group and Individual & Family Plan members.

A quarterly newsletter about your health plan benefits.