Complaints, Coverage Decisions, and Appeals

If you are a member of Optima Community Complete (HMO D-SNP) 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 our plan or penalized in any way if you make a complaint, request a coverage decision, or file an appeal.

Forms and Websites

Who to Contact

Information about the number of Appeals, Grievances & Exceptions filed with Optima Community Complete:

Optima Community Complete
Appeals Department
P.O. Box 62876
Virginia Beach, VA 23466-2876
Fax: 757-687-6232 or Toll-free Fax: 1-866-472-3920
TTY: VA Relay Service 1-800-828-1140 or 711