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.

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.

Consumer Directed Services - Temporary Attendant Update

If you are a COVID-19 emergency parent or spouse caregiver, the emergency response has been extended and will not end August 1, 2021. More information will be provided when there is an end date.

MemberNEWS 2nd Issue June 2021

In this issue: COVID-19 Updates, COVID-19 and Asthma, Mental Health Awareness Month, At-Home Colorectal Cancer Screening, Vaccines for Your Children, Managing Your Out-of-Pocket Costs, Managing Your Diabetes ABCs, Emergency Travel Assistance During the Pandemic, WebMD Health Service Recipes and more.

American Rescue Plan Act Individual and Family Subsidy Changes

The American Rescue Plan Act, signed into law on March 11, 2021, provides additional aid to individuals and their families for health insurance coverage.

MemberNEWS 1st Issue March 2021

In this issue: COVID-19 Updates, Keeping Fit in the New Year, Health and Wellness Webinars Now Available, Schedule Your 2021 Wellness Visit, Well-Child Visits and Vaccinations, Reducing Your Risk of Colorectal Cancer and more.

Update About Urgent Care Locations

We are happy to announce that we have reached an agreement with Patient First to keep their centers in-network for our Commercial, Individual, and Medicaid members. The purpose of our negotiations is to keep healthcare costs for our members low while being fair to providers.

COVID-19 Vaccine for Medicaid Consumer-Directed Services

Optima Health Medicaid members receiving consumer-directed services and their attendants are now eligible to receive the COVID-19 vaccine.

MemberNEWS 4th Issue December 2020

In this issue: COVID-19 Updates, COVID-19 Vaccine, Regulatory Changes Due to COVID-19, How to Manage Diabetes During COVID-19, Flu Prevention, Pregnancy and Vaccination, Tips for Dealing With Stress and Anxiety and more.

Hazard Pay for Consumer Directed Members and Providers (Attendants)

Attendants who worked anytime between March 12, 2020, and June 30, 2020, will receive a hazard payment of $1,500. The $1500 is the amount before any taxes are taken out. This will be a one-time payment.