The Summary of Benefits and Coverage (SBCs) and the Benefits Summaries (BSs) documents for 2021 Individual & Family Plans will be finalized in time for Open Enrollment (starting 11/1/20). Please note, some of the links to these documents may be broken until that time; we recommend using the benefit information on the web pages themselves for any 2021 purchase decisions prior to Open Enrollment.

Questions about the Coronavirus (COVID-19)? We're here for you.

Optima Health Members

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Did You Receive a Rebate Check?

You may have received a letter that included a rebate check for premiums paid in 2019.  Please note the funds are available to you.  If you have questions about tax implications, please consult with the IRS or a tax preparation service.  Optima Health does not provide tax advice.  

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Return to Care

Medical appointments skipped because of COVID-19 related closures or fears could lead to health issues. Optima Health is here to help you get back on track with your preventive care, immunizations, and disease management as safely as possible.

Get Back on Track
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Free Colorectal Screening Kit

Optima Health offers an easy and fast at-home screening program for colon health, at no cost to members — the BioIQ Fecal Immunochemical Testing (FIT) kit.

Get the Screening Kit
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Get the Optima Health Mobile App

Safely and securely access important health information when you need it — home, at the doctor, and even on the road. Schedule virtual care appointments, get ID cards, check your claims, and more.

Get the App
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Wellness Lunch and Learn Videos

A video webinar series that highlights various health and wellness topics to encourage a healthy lifestyle.

View Videos

Covered By Medicare Or Medicaid?

If you are covered by either Medicare or Medicaid, please see the specific information below about your plan. Please note that you should visit the general Manage My Plan area of the site to access forms, drug lists and other important general plan information.


Medical Loss Ratio Rebates

Learn more about the Medical Loss Ratio (MLR) rebate you received and how it may affect your tax filing.

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MemberNEWS 3rd Issue September 2020

In this issue: COVID-19 Updates, COVID-19 and Asthma, Be Safe, Be Well: A Checkup for Success, WebMD ONE Podcasts and Videos, and more.

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