Your Optima Health Plan

Find Doctors and Facilities

Our network features more than 33,000 providers2 and access to Sentara Medical Group (SMG), Sentara Quality Care Network (SQCN), Riverside Health System, Tidewater Physician Multispecialty Group (TPMG) and other top-quality providers.

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Search Medications

You can Search Medications that are covered under the Optima Health Plan, then select Optima Health Plans Standard Formulary from the drop down menu.

Refer to your Summary of Benefits for information about your prescription plan coverage and formulary type.

Search Medications

Transitioning Health Coverage

Are you in the middle of treatment, but you want to move your health coverage to Optima Health?  We understand the importance of maintaining your health coverage without interruption in your medical treatments.  For those who may be receiving obstetrics care, have a future procedure scheduled or receive on-going treatment for a chronic condition, you may wish to have added support in your transition to Optima Health. If this applies to you, please submit a Transition of Care Assessment. We can help you make a smooth transition to your new Optima Health Plan.

Download our FAQs or these other helpful resources

Still Have Questions?

Call member services at 1-877-552-7401 or TTY 711.

1 This information is specific to members enrolled in Optima Health fully insured employer group health plans issued by Optima Health Plan and Optima Health Insurance Company. Members enrolled in a self funded employer group health plan should verify benefits with their employer.

2 Sentara Health Plans, Inc. Provider Status Report, 2020