News

For up-to-date information related to COVID-19 coverage, please view our Employer page.  Looking for a previous newsletter? Contact employernews@optimahealth.com

Employer News 1st Quarter February 2021

A quarterly newsletter about your health plan benefits.

Reminder on Action Required: Balance Billing Protection

As a courtesy to our self–funded groups, we would like to remind you that beginning January 1, 2021, many Virginians covered under health insurance plans will have protection from "surprise billing" or balance billing.

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.

Member COVID-19 Coverage Extended to March 31

We previously announced that Optima Health would waive cost-shares for the services listed below through February 28, 2021. This coverage has now been extended through March 31, 2021 (optional for self-funded employers).

COVID-19 Vaccine Availability

Now that the COVID-19 vaccine has been approved, we plan to continue updating Optima Health members about how and when they can receive one.

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. Employers can choose to opt in effective January 1 or effective on the first day of the group’s plan year.

Coverage of the COVID-19 Vaccine

As we previously shared with you, the Food and Drug Administration (FDA) has approved COVID-19 vaccines from Pfizer Inc./BioNTech and Moderna.

COVID-19 Vaccine: What You Need to Know

As you may be aware, the Food and Drug Administration (FDA) has approved a COVID-19 vaccine for individuals 16 years of age and older from Pfizer Inc./BioNTech and plans to approve a vaccine from Moderna for individuals 18 years of age and older soon. 

We're Thankful for You

Optima Health understands that this year’s holiday season will be different due to the pandemic. COVID-19 has put a strain on families and forced us to practice social distancing with loved ones. While the safest way to celebrate is only with those in your household, we understand that many will continue with their normal holiday plans of visiting family and friends.

Employer News 4th Quarter November 2020

A quarterly newsletter about your health plan benefits.

New Member Welcome Email Campaign

We at Optima Health value our members and are always excited to receive new ones. In an effort to help members learn about and engage with their new plan, we are excited to launch our welcome email campaign for Commercial group members of all sizes.

New Provider Search Tool

Enjoy a whole new provider search experience on optimahealth.com and the Optima Health mobile app! Available to members and visitors, the new Online Provider Search includes a simplified search menu within an updated and user-friendly design.

Employer News 3rd Quarter August 2020

A quarterly newsletter about your health plan benefits.

Gov. Northam Announces $70M COVID Grant Program

Governor Northam Announces $70 Million Rebuild VA Economic Recovery Fund for Small Businesses, Nonprofits Impacted by COVID-19. Grants of up to $10,000 will be awarded to approximately 7,000 applicants.

Electronic Delivery of Employer Group Contracts

At Optima Health, we are always looking for ways to improve processes and leverage technology to enhance the customer experience.  With this in mind, we wanted to let you know that Optima Health is moving to electronic delivery of Employer Group Contracts for Small and Mid-Market groups (sized 1-150).

Health Plan Options

As we all navigate through the different circumstances we find ourselves in due to COVID-19, we want you to know Optima Health is here for you and your employees.

2020 Affordable Care Act Taxes and Fees

Recent legislative changes have affected the ACA-mandated taxes and fees for 2020.

Employer News 2nd Quarter May 2020

A quarterly newsletter about your health plan benefits.

Employer Group Contract Delivery

We are always looking for ways to improve processes and leverage technology to enhance the customer experience. With this in mind, we wanted to let you know that Optima Health is moving to electronic delivery of Employer Group Contracts.

Virginia Premier Joint Ownership

Important Announcement from Optima Health: In September of 2019, we shared the news that Sentara Healthcare will become the majority owner of Virginia Premier and VCU Health System will retain a 20 percent ownership stake in Virginia Premier. We are pleased to announce that VCU Health System and Sentara Healthcare have finalized the transaction for joint ownership of Virginia Premier.