The Navigator Program

The Optima Health Navigator Program provides personalized one-on-one assistance to ensure that members1 have convenient, timely access to healthcare services, are knowledgeable consumers of healthcare, and understand their health plan benefits.

With the Optima Health Navigator Program, a personal Navigator can help you:

  • find and connect with a participating provider
  • schedule new patient visits with certain providers and facilities
  • assist with scheduling a variety of elective services and procedures
  • research estimated costs for certain procedures
  • respond to questions about explanation of benefits, claim payments, authorizations for services, member ID cards and benefit coverage
  • navigate the healthcare system and where to go for specific services
  • find ways to improve member health through Optima Health programs or connect to wellness programs

1 The Navigator Program is only available to select employer groups. Please contact your Human Resources Department to confirm your eligibility for this program.

Contact a Personal Navigator

Our personal Navigators can help you get started with the Optima Health Navigator Program:

Hours: 8 a.m. to 6 p.m. EST Monday-Friday
Phone: 757-552-7110 or 1-800-229-1199