Employer News Quarter 3 September 2023In This Issue: We’re Moving and Other Important Updates, New Password Requirements, Introducing Sentara Health Plans, Getting Back Into the School Routine, Heart Disease: Heart Attack Symptoms, Risk, and Recovery, and more.
CAA Gag Clause Prohibition Compliance AttestationOptima Health continues to review the requirements under the Consolidated Appropriations Act (CAA).
Employer News 2nd Quarter June 2023A quarterly newsletter about your health plan benefits.
Employer News 1st Quarter 2023A quarterly newsletter about your health plan benefits.
Temporary Provisions to Waive Cost Sharing for COVID-19 Testing and Related Visits Ending May 11, 2023BusinessEDGE® 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.
Data Collection Updates for RxDC ReportingOptima Health continues to review the data requirements and reporting timelines under the Consolidated Appropriations Act (CAA).
Bon Secours Remains in NetworkWe are excited to share with you that Bon Secours Health System will remain as part of the Optima Health provider network.
Celebrating Small BusinessesOptima Health is always looking for ways to celebrate local businesses and recognize your impact on our community.
1095 Documents for 2022 Tax YearFor 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.
Welcoming Valley Health Back To Our NetworkWe are happy to announce that Valley Health is re-joining our Optima Health commercial and individual product network starting on January 1, 2023.
We're Moving and Other Important UpdatesAs 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.
Employer News 4th Quarter December 2022A quarterly newsletter about your health plan benefits.
Exciting Vendor ChangesOptima 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).
Employer News 3rd Quarter August 2022A quarterly newsletter about your health plan benefits.
Medical Loss Ratio Rebates for 2021 Tax YearBased on our final assessment, we will not issue rebates for our regulatory fully insured small and large group clients for plan year 2021.
Inova® is Joining Our NetworkWe 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.
Employer News 2nd Quarter June 2022A quarterly newsletter about your health plan benefits.