If you are a member of Optima Medicare HMO Plans, and you have a concern about your health plan, the quality of your care or your coverage for certain services, you may follow an established process to resolve your concern. You cannot be disenrolled from Optima Medicare plans or penalized in any way if you make a complaint, request a coverage determination or file an appeal.
Complaints, Coverage Decisions, and Appeals Procedures for Part C and D
2017 Annual Notice of Change and Evidence of Coverage for Optima Prime plan2017 Evidence of Coverage for Optima Value plan
About general information or information about the number of Appeals, Grievances & Exceptions filed with Optima Medicare:
Optima Medicare Appeals Department P.O. Box 62876Virginia Beach, VA 23466-2876Fax: 757-687-6232 or Toll-free Fax: 1-866-472-3920TTY VA Relay Service 1-800-828-1140 or 711
1-855-434-3267 (TTY Service 1-800-828-1140 or 711)
Information in other languages
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Licensed Optima Medicare Advisors are available for your questions and to help you through your Medicare journey.
Call us today!
TTY 1-800-828-1140 or 711
Monday – Friday | 8 am – 6 pm EST