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

Optima Health Members

We Offer Our Members More

A couple saving money with member discounts

Member Discounts

Get discounts on healthy products and services.

Save on massage therapy, eye exams, eyewear, hearing aids, and more to get the most out of your health plan benefits to improve your health.

Learn About Discounts

A relaxed, happy woman checking her treatment costs before she schedules an appointment.

Treatment Cost Calculator

Accurate, real-time cost estimates.

You can save by comparing out-of-pocket expenses for common medical procedures and services.

Get Cost Estimates for hundreds of treatments

A happy woman learning the Medical Loss Ratio rebates.

Medical Loss Ratio Rebates for 2020 Tax Year

Optima Health is issuing rebate checks for our Individual & Family Plan subscribers and regulatory fully insured large groups who had coverage for at least part of 2020.

Learn About MLR Rebates
A family enjoying a walk on a nice day.

Welcome Members

Thank you for choosing Optima Health. We'd like to welcome you with information to help you start using your new health plan.

Access Important Information
A happy, healthy woman checking her Personal Health Assessment while out on her morning walk.

Start Your Personal Health Assessment

Want to get — and stay — healthy? Want to feel vibrant and strong for decades to come? Your Personal Health Assessment will help you to develop a wellness program specifically tailored to your needs.

Get Started
A close-up view of the Optima Health mobile application homescreen

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
A sick girl receiving heath care virtually using her parent's smartphone.

MDLIVE - 24/7 Health Care

Members have access to care anytime, anywhere.

Get Details
Webinar on laptop

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.


News


Medical Loss Ratio Rebates Fall Update

Federal law requires that we spend a certain percentage of fully insured plan premiums on medical care. If we spend less during the three-year lookback period, we refund that money back to our customers.

Continue Reading

Consumer Directed Services - Paid Sick Leave Update

The 2021 General Assembly passed HB2137 requiring employers of home health workers to provide paid sick leave benefits to essential employees who work an average of 20 hours per week or 90 hours per month. The Virginia Medicaid agency is in the planning phase of this important benefit for home care attendants employed through the Consumer-Directed program.

Continue Reading