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Welcome to Optima Medicare

Thank you for choosing Optima Medicare.

You will need to Sign In or Register to access secure online member information, such as claims, benefits and authorizations.

If you are a new member, please expect to receive various materials over the next few weeks to help you navigate your plan. This will include welcome information, benefit materials, and your member ID card. If you have any questions, please feel free to contact member services.

Request a new member ID card

You can request a new member ID card by calling member services.

Member Services

1-800-927-6048 (TTY: 711)

8 a.m. - 8 p.m. | Monday – Sunday
October 1 – March 31

8 a.m. - 8 p.m. | Monday – Friday
April 1 – September 30

Member Resources for Optima Medicare

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    Documents and Forms

    Member forms and documents necessary to manage your Optima Medicare plan.
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    Prescription Drugs

    Access prescription drug and pharmacy related resources.
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    Find Doctors and Facilities

    Find an in-network doctor or facility using our convenient online doctor search tool.
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    Extra Benefits

    Get the most out of your plan, and use your extra benefits!
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    Medicare Member Incentives

     Learn how to earn and use your Medicare member incentives.
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    Frequently Asked Questions

    Common questions about Medicare plans.

Secure Tools

Access to the following tools requires you to sign in.
  • Claims
  • Benefits
  • Authorizations
  • Change your primary care doctor

Additional Information

These tools and resources are available without needing to sign in.
  • Health and Wellness
  • Out-of-Network Coverage and Care
  • Complaints, Coverage Decisions, and Appeals
  • Disclaimers for Optima Medicare Plans
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  • Patient Information and Health Education Library
  • Frequently Asked Questions
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  • Notice of Coverage
  • Notice of Nondiscrimination
  • Privacy Policies and Disclosures
  • Quality Improvement
  • Fraud, Waste and Abuse
  • Sign In
  • Register
  • Contact Us
  • Language Assistance
  • News Center
  • Get the App
  • Careers
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© Optima Health 2023, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans and Optima Health are trade names of Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Optima Health Insurance Company is an additional trade name for Sentara Health Insurance Company. Virginia Premier Health Plan is an additional trade name for Sentara Health Plans. Optima Behavioral Health is an additional trade name for Sentara Behavioral Health Services, Inc. Optima Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products, are issued and underwritten by Sentara Health Plans. Optima Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All Optima Health plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS.) Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS.)