Be Healthy

A senior women swimming in a pool

Earn Up to $215 and Stay Healthy with the Optima Medicare Rewards Program

Taking an active role in managing your health is important. That’s why Optima Medicare wants to reward you for completing one or more preventive screenings, exams, or vaccinations.

One way to earn a reward is to complete your Annual Wellness Visit. The Annual Wellness Visit is a Medicare benefit that allows you to have a one-on-one discussion with your provider, once every 12 months, to identify any medical issues or health risks.

More about your rewards.

Managing Your Health is Easy with the Member Portal and Mobile App

Start making the most of your health plan by registering to use the member portal and mobile app.

Activate your account online. You will need your Optima Health member ID to register. If you don’t have it, you can contact Optima Medicare Member Services at 1-800-927-6048 (TTY: 711). The hours of operation are October 1–March 31, 7 days a week, 8 a.m.–8 p.m. | April 1–September 30, Monday–Friday, 8 a.m.–8 p.m.

The Flu Vaccine Saves Lives

The best way to prevent the flu is to get vaccinated every year. The flu is a highly contagious respiratory illness. It is spread from person to person through sneezing and coughing, and by touching surfaces that may not be clean.

You can still get a flu vaccine. Visit your primary care provider (PCP) or your local pharmacy. Some PCPs provide flu vaccines in their office. A copayment may apply if you receive the flu vaccine during a scheduled office visit. There is no copayment if you get one at your local pharmacy. You are eligible for a $10 reward when you get your flu vaccine!

COVID-19 Vaccine

You can get your COVID-19 vaccine at the same time you get your flu vaccine. The COVID-19 vaccine is safe and effective. It helps protect you from getting COVID-19. Once you are fully vaccinated, your level of protection is increased.

If you already received both doses of your vaccine, you may be eligible for a COVID-19 booster. Eligible individuals may choose which vaccine they receive as a booster. Visit the CDC COVID-19 website to see when you are eligible for your booster.

Some people may prefer the vaccine type that they originally received, and others may prefer to get a different booster. The CDC recommendation now allows for this type of mix and match dosing for booster shots. To find out if you are eligible, talk to your doctor or visit the CDC COVID-19 website

Use a “Preferred” Pharmacy for Lower Prescription Copays

Optima Medicare is offering lower copays on medications in 2022! Get your medications from our new “preferred” network of pharmacies and your copay is discounted. Tier 1 medications (also called Preferred Generic) have a $0 copay for all Optima Medicare plan members when purchased at a preferred in-network pharmacy. Our preferred pharmacy network includes pharmacies at Harris Teeter, Kroger, Walgreens, and Walmart. Members can still go to other in-network, also known as standard, pharmacies and pay the standard copay amounts.

For more information on your specific copay amounts, refer to your 2022 Evidence of Coverage. For a listing of Tier 1 medications, refer to your plan’s 2022 Formulary. Both documents can be found online.

New to Medicare?

Do you know the difference between the Welcome to Medicare preventive visit and Annual Wellness Visit?

Understanding the difference between the Welcome to Medicare preventive visit and Annual Wellness Visit is important.